Document Type : systematic review


1 1. PhD student of reproductive health, Student Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 PhD of social determinant of health, Assistant Professor of Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, IRAN

4 Associated Professor, Social Determinants of health research center. alborz University of Medical Sciences. Karaj. IR, Iran

5 Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

6 Department of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran


Objective Pregnancy is a complex and vulnerable period that cause some challenges including the development of postpartum psychiatric disorders (PPDs) for women. Identifying the factors associated with these disorders can be effective in reducing maternal symptoms and supporting mother, child and family. The aim of this study was to identify and determine the relationship between postpartum mental health and intermediate social determinants of health in Iran.

Methods In this systematic review, all Persian and English observational studies in Iran we’re obtained through advanced search in online databases, such as PubMed, Scopus, EMBASE, SID, Magiran, Psycinfo, and Google Scholar search engine in the period of January 2005 to August 5, 2021 using the following keywords: social determinants, intermediate factors, social support, mental health, risk factors, postpartum, Iran, and their English equivalents through Mesh. Articles were selected based on inclusion and exclusion criteria and quality assessment of articles was performed using the standard Newcastle-Ottawa Scale(NOS).

Results Out of 42 eligible articles (total sample:39216), 40 articles examined the relationship between postpartum depression and 2 articles studied the relationship of maternal grief with some intermediate social determinants. In general, these factors were classified into five categories, including midwifery and pregnancy-related factors, psychosocial conditions, factors related to postpartum status, behavioral factors and material status or conditions, and health care.

Conclusion Mothers' mental health is affected by many underlying factors; Therefore, identifying the risk factors associated with mental disorders in this population based on the model of the World Health Organization, especially in the intermediate area due to the extent of this area is very important.