| Study & year | Country | Quality | No. of participants |
Non-Response rate |
Follow up drop rate | Recruitment Setting | Study design | Time of investigation | Tools used | Cut-off | Prevalence [95% CI]* |
| Ghubash&Abou-Saleh (1997) | UAE, Dubai | 7 | 95 | 23.8% | - | Tertiary hospital | Longitudinal |
2nd day postpartum 7th day postpartum 8 ±2 wks postpartum 30 ±2 wks postpartum |
SRQ EPDS PSE = |
- ≥ 12 - |
24.5% [16.26% - 34.28%] 17.8% [11.06% - 27.38%] 15.8% [9.4% - 25.03%] 4.2% [1.36 %- 11.04%] |
| Chaaya et al. (2002) | Lebanon, Beirut and Bekaa Valley | 8 |
396 [207 urban +189 rural] |
- |
26% 32% urban 20% rural |
9 hospitals | Cross-sectional | 3-5 mo | EPDS | ≥ 12 |
21% [17.12% - 25.37%] Rural:26%[19.97%-32.89%] Urban: 16% [11.37%-21.8%] |
| Agoub et al (2005) | Morocco, Casablanca | 7 | 144 | - | - | MCH clinic | Longitudinal |
2-3 wks postpartum 6 wks postpartum 6 mo postpartum 9 mo postpartum |
EPDS MINI MINI = = |
≥ 12 - - |
20.1% [14.11% - 27.81%] 18.7% [12.92% - 26.29%] 6.9% [3.56% - 12.73%] 11.8% [7.23% -18.5%] 5.6%[2.61% -11.02%] |
| Green et al (2006) | UAE, Abu Dhabi | 7 | 125 | 10% |
32% at 3mo 55% at 6mo |
Hospital | Longitudinal |
3mo 6mo |
EPDS = EPDS = |
≥ 13 10-12 ≥ 13 10-12 |
22.1% [14.14% -32.58%] 22.1% [14.14% -32.58%] 12.5% [5.59% - 24.69% ] 19.6% [10.66% - 32.83%] |
| Alami et al (2006) | Morocco, Casablanca | 7 | 100 | 18.6% | - | MCH clinic | Longitudinal |
2-3wk postpartum 12 wk postpartum 24 wk postpartum 36 wk postpartum - |
MINI = = = EPDS |
≥ 13 |
16.8% [10.40% - 25.92%] 14%[8.14% - 22.71%] 12% [6.63% - 2.04%] 6% [2.46% - 13.12%] 21% [13.75% - 30.53%] |
| Masmoudi et al. (2008) | Tunisia, Sfax | 6 | 213 | - | 36.15% | Tertiary hospital | Longitudinal |
1stwk postpartum 6-10 wks postpartum |
EPDS = |
≥ 10 |
19.2% [14.31% - 25.32%] 13.2% [8.25% - 20.38%] |
| Hamdan & Tamim (2011) | UAE, Sharjah | 9 | 137 | 16.66% | 8.66% | MCH clinic | Longitudinal | 2 mo postpartum |
MINI EPDS = |
- ≥ 10 ≥ 12 |
10.1% [5.91%- 16.85%] 16.8% [11.15% - 24.34%] 10.8% [6.47% - 17.71%] |
| Glasser et al. (2011) | Bedouin Palestinian Arabs in Israel | 6 | 104 | 6.3% | - | MCH clinic | Cross-sectional | within 3mo of birth | EPDS in Hebrew |
≥10 ≥13 |
43% [33.7% - 53.34%] 26% [18.08% - 35.65%] |
| Mohammad KI et al (2011) | Jordan, Irbid | 9 | 353 | 33.1% | - |
Teaching hospital and 5 MCH clinics |
Longitudinal |
6-8 wks 6 mo |
EPDS = DASS-21 |
≥ 13 - |
22.1% [17.95% - 26.87%] 21.2% [17.17% - 25.97%] - |
| Mohamed NA et al. (2011) | Egypt, Asiut | 6 | 110 | Family planning clinic of private hospital | Cross-sectional |
EPDS PDPI |
≥ 13 - |
51.8% [42.6%- 60.9%] - |
|||
| Glasser et al (2012) | Palestinian Arabs in Northern Israel | 8 | 2,326 | - | - | 58 MCH clinic | Cross-sectional | 6 wks postpartum |
EPDS = |
≥ 10 ≥ 13 |
16.3% [14.82% - 17.87%] 8% [6.95% - 9.2% ] |
| Al Dallal & Grant (2012) | Bahrain | 9 | 237 | 5.2% | - | 20 PHC center + 2 clinics | Cross-sectional | 8 wks postpartum |
EPDS = |
≥ 12 | 37.1% [31.03% - 43.66%] |
| Bener et al. (2012) | Qatar | 9 | 1,397 | 27.4% | - | 12 PHC centers (9 urban & 3 semi-urban) | Cross-sectional | during first 6mo postpartum |
EPDS DASS-21 |
≥ 12 - |
17.6% [15.67% - 19.73%] 18.6% |
| Abdelwahid et al. (2012) | Egypt, Ismailia, El Mahsama village | 9 | 200 | 5% | - | 2 family practice centers | Cross-sectional | 6-8 wks postpartum | EPDS | ≥ 13 | 22% [16.3% - 27.7%] |
| Study & year | Country | Quality | No. of participants |
Non-Response rate |
Follow up drop rate | Recruitment Setting | Study design | Time of investigation | Tools used | Cut-off | Prevalence [95% CI]* |
| Saleh et al. (2013) | Egypt, Mansoura | 9 | 379 | - | 11.7% | University Teaching Hospital | Cross-sectional then Case control |
1 wk 1,3,12 mo postpartum |
SCID-CV EPDS |
- ≥ 13 |
One year prevalence 17.9% [14.4% - 22.2%] |
| Alharbi & Abdulghani (2014) | Saudi Arabi, Riyadh | 8 | 352 | - | - | University & Military Hospitals + Vaccination PHC Centers | Cross-sectional then Case control | 8–12 wk postpartum | EPDS | ≥ 10 | 33.2% [28.5%- 38.3%] |
| Alasoom & Koura (2014) | Saudi Arabia, Dammam | 6 | 450 | - | - | 5 vaccination PHC centers | Cross-sectional | 2-6 months postpartum | EPDS | 10-12 / ≥ 13 |
Moderate: 9.8% /Severe: 8% Total: 17.8% [14.5% -21.5%] |
| Al Hinai (2014) | Oman, Al-Dakhliya governorate | 8 | 282 | - | - | Postnatal and vaccination PHC clinics | Cross-sectional |
2 weeks postpartum 8 weeks postpartum |
EPDS |
10-12/ ≥ 13 10-12/ ≥ 13 |
15.2% / 13.5% 13.8%/ 10.6% |
| Hassanein et al. (2014) | Egypt, Suhag | 8 | 290 | 0 | - | Family planning clinics of university hospital | Cross-sectional | within 3 months postpartum |
EPDS BDI |
>13 Mild, moderate, severe |
39% [33.5%- 44.7%] 31% 25.7% 43.4% |
| El-Hachem et al (2014) | Lebanon, Beirut. | 8 | 228 | 6.9% | 6.6% | University hospital |
Cross-sectional then Case control |
2nd day day 30-40 |
EPDS = |
≥ 9 ≥ 9 |
33.3% [27.5%- 39.7%] 12.8% [8.3% - 19%] |
| Mohammed ES et al. (2014) | Egypt, Al-Minia, El-Burgaia village. | 8 | 200 | 5.6% | - | Community study | Cross-sectional | within 14 months of delivery | EPDS | 10-12 / ≥ 13 |
29.5%/ 20% Total: 49.5% [42.6%- 56.3%] |
| Mohamed H et al. (2014) | Egypt, Kom-ombo City, Aswan | 6 | 57 | - | - | General hospital, MCH and private clinics | Cross-sectional | 2 wk to 1 yr postpartum | EPDS | ≥ 10 | 73.7% [61%- 83%] |
| Alfayumi-Zeadna et al. (2015) | Palestinian Arabs in Israel, Naqab | 7 | 564 | 2.7% | - | 8 MCH clinics | Cross-sectional |
4 weeks to 7 months postpartum |
EPDS |
≥ 10 ≥ 13 |
31% [27.2%- 34.8%] 19.1% [16.1% - 22.6%] |
| Al-Modayfer et al. (2015) | Saudi Arabia, Riyadh | 8 | 571 | 52.4% | - | Major Hospital | Cross-sectional | 5 weeks postpartum | EPDS | ≥ 13 | 13.7% [11.1%- 16.7%] |
| Khalifa et al. (2015) | Sudan, Khartoum | 8 | 238 | 57.1% | 20.6% | Clinics of 2 major public tertiary hospitals | Cross-sectional | 3 months postpartum |
EPDS MINI |
≥ 12 - |
9.2% [6.2% - 13.6%] - |