Table 3: Factors identified to be associated with postpartum depression.

Variable Study Associated factor OR [95% CI]
Socio-demographic variables
Age Bener (2012) Age > 35y vs. 25-35y;
Age<25y vs. 25-35y.
1.96 [1.43-2.96]
2.22 [1.48-3.33]
Alhinai (2014) Age < 25 y -
Green (2012) Older age at first marriage -
Education Glasser (2011) ≤10 years vs. High school 1.29 [0.48-3.45]
Bener (2012)
Illiterate
Primary education
Intermediate education
2.21 [1.33-3.70]
2.10 [1.39-3.19]
1.65 [1.09-2.50]
Al-fayumi-Zeadna (2015) Low level of education 1.6 [1.1–2.4]
Residency Chaaya (2002) Rural vs. Urban 1.83 [1.12-2.99]
Saleh (2013) Rural 1.23 [0.59- 2.57]
Mother’s employment Hamdan (2011) Employed 2.55 [0.77-8.35]
Abdelwahid (2012) Unemployed (housewife) 3.4 [1.04-10.9]
Alhinai (2014) Work difficulties 2.4 [1.42-4.08]
Low Income or Socioeconomic status (SES) Masmoudi (2008) Low SES 23.8 [2.29-245.6]
Glasser (2011) Low income 3.46 [1.18-10.13]
Mohamed NA (2011) Low SES -
Bener (2012) Low income 3.06 [2.06-4.55]
Saleh (2013) Low SES t = −2.06; p<0.05*
Al-fayumi-Zeadna (2015) Perceived low income 1.6 [1.1–2.5]
Mohammed ES (2014) Low income 3.56 [2.15- 5.89]
Pregnancy and birth variables
Parity Ghubash (1997) Primiparity (first child) 5.25 [1.51-18.25]
Green (2006) Primiparity -
Hamdan (2011) ≥ 1 child 4.53 [0.97-21.16]
Saleh (2013) Higher parity 3.27 [1.18-9.07]
Obstetric complications during pregnancy Agoub (2005) Complication during pregnancy 6.42 [1.59-25.82]
Alami (2006) Complication during pregnancy 6.66 [1.53-28.97]
Bener (2012) Complication during pregnancy 1.79 [1.34-2.40]
Mohammed ES (2014) Complication after delivery 2.84 [1.18-6.81]
Medical disease during or before pregnancy Chaaya (2002) ≥ 2 problems 2.42 [1.13-5.15]
Bener (2012) -
El-Hachem (2014) 5.28 [1.66- 16.78]
Al-Modayfer (2015) 2.96 [1.58- 5.55]
Unwanted or unplanned pregnancy Ghubash (1997) 3.09 [0.35-102]
Alami (2006) 0.86 [0.31-2.35]
Glasser (2011) 2.30 [1.04-5.08]
Mohammad KI (2011) -
Saleh (2013) 8.14 [2.25-25.49]
Alasoom (2014) 2.1 [1.24-3.55]
Al-fayumi-Zeadna (2015) 1.6 [1.0–2.5]
Delivery mode Chaaya (2002) CS in rural & vaginal y in urban areas 6.58 [1.25-34.76]
Bener (2012) Caesarean delivery (CS) 1.40 [1.04-1.87]
Abdelwahid (2012) Normal delivery 3.9 [1.1-6.7]
Infant variables
Infant is ill or low weight Ghubash (1997) Ill infant 3.83 [1.06-13.76]
Agoub (2005) Low weight 14.5 [1.44-145.4]
Alami (2006) Low weight 0.99 [0.39-2.48]
Saleh (2013) 2.40 [1.03-5.57]
Alasoom (2014) 2.09 [1.14- 3.86]
Al-fayumi-Zeadna (2015) 3.9 [1.2–12.8]
Mohammed ES (2014) -
Premature infant Bener (2012) 1.64 [1.06-2.54]
Al-Modayfer (2015) 3.6 [1.12–11.61]
Female infant (baby gender) Mohammad KI (2011) -
Abdelwahid (2012) 3.9 [1.3-12.4]
Saleh (2013) 2.25 [1.08-4.68]
Hassanein (2014) Having 2 females 1.97 [1.22- 3.2]
Infant feeding Hamdan (2011) Formula 5.83 [1.81-18.79]
Bener (2012) Formula 2.58 [1.72-3.86]
Abdelwahid (2012) Breastfeeding 3.8 [1.3-11.4]
Saleh (2013) Bottle feeding 1.92 [0.92-3.99]
Marital and family relationship variables
Poor marital relationship or marital conflict (including physical or verbal violence, Unsatisfying marital and sexual life) Ghubash (1997) Conflict during pregnancy
Previously divorced mother
10.35 [2.78-38.5]
5.45 [1.26-23.46]
Agoub (2005) 3.16 [1.64-25.05]
Alami (2006) 0.61 [0.18-2.05]
Masmoudi (2008) 0.90 [0.23-3.42]
Bener (2012) Poor marital relationship 1.13 [1-1.29]
Abdelwahid (2012) Poor husband relationship 12 [4.2-34.5]
Saleh (2013) Negative attitude toward spouce 8.04 [3.42-18.92]
Alassom (2014) 11.74 [5.15-26.32]
Alhinai (2014) Conflict with family member 1.7 [1.10-2.67]
Al-fayumi-Zeadna (2015) 1.5 [1.9–2.2]
Al-Modayfer (2015) Poor perception of marital relationship 6.53 [1.29- 32.97]
Poor husband support or practical help Alami (2006) -
Al-Dallal (2012) 2.41 [1.24-4.69]
Saleh (2013) 7.1 [3.16- 15.9]
Alasoom (2014) 2.5 [1.24-5.03]
Al-fayumi-Zeadna (2015) 2.6 [1.3–4.9]
Mohammed ES (2014) Supportive husband is protective 0.18 [0.05- 0.74]
Conflict with mother-in-law Green (2006); -
Mohammad KI (2011) -
Bener (2012) 1.79 [1.33-2.42]
Alasoom (2014) 2.72 [0.81- 9.14]
Psychosocial variables
History of depression or mental illness Ghubash (1997) 10 [2.53-39.49]
Chaaya (2002) 1.79 [0.87-3.74]
Masmoudi (2008) 23.4 [2.28-239.6]
Al-Dallal (2012) 8.13 [3.77-17.5]
Mohamed NA (2011) -
Saleh (2013) t = 2.19; p< 0.05*
Alasoom (2014) 2.1 [1.2-3.64]
Al-fayumi-Zeadna (2015) History of emotional problems 3.2 [1.7–5.8]
El-Hachem (2014) 6.80 [1.65-28.04]
Mohammed ES (2014) -
Al-Modayfer (2015) 3.86 [2.09- 7.12]
Family history of depression Al-Dallal (2012) 2.77 [1.03-7.46]
Alasoom (2014) 3.1 [1.26-7.8]
El-Hachem (2014) 7.78 [2.46- 24.62]
Ante-partum depression, anxiety or stress Chaaya (2002) 6.66 [3.47-12.78]
Hamdan (2011) Depression during 2nd trimester;
Depression during 3rd trimester
7.05 [1.21-40.90]
14.1 [1.88-105.5]
Mohammad KI (2011) Stress and depression -
Mohamed NA (2011) Depression and anxiety -
Alasoom (2014) Prenatal anxiety/prenatal depression 2.33 [1.12- 4.85]
Al-Modayfer (2015) Stress during pregnancy 2.75 [1.69- 4.50]
Maternity blues Mohamed NA (2011) -
El-Hachem (2014) 1.23 [1.11- 1.36]
Stressful life events (in the past year or during pregnancy) Ghubash (1997) 14.71 [1.84-117]
Chaaya (2002) 1.19 [0.63-2.27]
Agoub (2005) 8.31 [3.26-21.15]
Alami (2006) 0.79 [0.32-1.97]
Mohamed NA (2011) -
Saleh (2013) Psychosocial stressors t =13.38;p=0.001*
Alasoom (2014) 1.9 [1.11- 3.3]
Al-fayumi-Zeadna (2015) 1.7 [0.9–3.4]
Social and family support Chaaya (2002) Good support 0.66 [0.35-1.26]
Mohammad KI (2011) Low support -
Mohamed NA (2011) -
Bener (2012) Low support 1.52 [1.0-2.14]
Al-Modayfer (2015) Family violence 2.55 [1.14- 5.71]
Major financial problems Alami (2006) 0.49 [0.16-1.46]
Bener (2012) 2.37 [1.56-3.58]
Mohammed ES (2014) -

* mean difference using t-test.