Meta-Analysis: The Association between Social Support and Postpartum Depression

Ardiani Ardiani, RB. Soemanto, Bhisma Murti


Background: Postpartum depression is a mood disorder that occurs in the first year after childbirth, which affects mothers, babies and their families. The prevalence of post­partum depression is estimated to be 10-15% worldwide. Postpartum women who have weak social support are at risk for postpartum depression. This study aimd to estimate the strength of the relationship between social support and postpartum depression based on the results of previous similar studies.

Subjects and Method: This research is a systematic review and meta-analysis. Meta analysis is carried out by systematically re­viewing articles published from 2010 to 2020 from the Pubmed, Google Scholar, Science Direct, and Spinger Link databases using search keywords, namely "social sup­port" OR "family support" OR "partner sup­port" AND" postpartum depression "OR" postnatal de­pression "AND" cross sectional "AND" multi­variate. Article searches were carried out using PICO. The study population was post­partum women, intervention/ expo­sure was weak social support with compa­rison was strong social support and the out­come was postpartum depression. The search for arti­cles was carried out for one month. The arti­cles included in this study were full text arti­cles with cross sectional design. Arti­cles were reviewed using the PRISMA flow dia­gram guidelines. Articles analyzed using Revman 5.3 Software.

Results: 12 articles were reviewed in this study. This study shows that weak social sup­port increased the risk of postpartum depres­sion (aOR = 2.64; 95% CI: 2.08 - 3.35; p <0.001).

Conclusion: Weak social support increases the risk of postpartum depression.

Conclusion: Weak social support increases the risk of postpartum depression.

Keywords: social support, postpartum depression

Correspondence: Ardiani. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central  Java. Email: dhini­ Telepon: 085337742831.

Journal of Maternal and Child Health (2020), 05(06): 641-650


Full Text:



Abadiga M (2019). Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: A community-based study. PloS one, 14(11): e0224792.

Ahmad NA, Silim UA, Rosman A, Mohamed M, Chan YY, Kasim NM, Jamaluddin R (2018). Postnatal depression and intimate partner violence: a nationwide clinic-based cross-sectional study in Malaysia. BMJ open. 8:e020649.

Bahiyatun (2010). Buku Ajar Asuhan Kebi-danan Nifas Normal (Textbook of Normal Postpartum Midwifery Care). Jakarta: EGC.

Fedora I (2019). Ibu hamil dan nifas dalam ancaman depresi (pregnant and post-partum women under threats of depression). Jawa Tengah: Pena Persada.

Gomez CM, Peral PM, Bellon JA, Ceron SC, Paino HC, Gomez IG, Rigabert A, Benitez I, Motrico E (2015). Effective-ness of psychological, psychoeducational and psychosocial interventions to prevent postpartum depression in adolescent and adult mothers: Study protocol for a systematic review and meta-analysis of randomised control-led trials. BMJ Open. 0: e034424. doi:10.1136/ bmjopen-2019-034424.

Giri RK, Khatri RB, Mishra SR, Khanal V, Sharma VD (2015). Prevalence and factors associated with depressive symptoms among post-partum mothers in Nepal. BMC Res Notes. 8: 111.

Kim THM, Connolly JA, Tamim H (2014). The effect of social support around pregnancy on postpartum depression among Canadian teen mothers and adult mothers in the maternity experiences survey. BMC Pregnancy Child-birth. 14: 162.

Li Y, Long Z, Cao D, Cao F (2017). Social support and depression across the perinatal period: A longitudinal study. J Clin Nurs. 26(17-18): 2776-2783.

Murti B (2018). Prinsip dan Metode Riset Epidemiologi. Edisi IV. Cetakan I. Surakarta: Program Studi Ilmu Kesehatan Masyarakat, Program Pasca-sarjana, Universitas Sebelas Maret.

Ozbasaran F, Çoban A, Kucuk M (2011). Prevalence and risk factors concerning postpartum depression among women within early postnatal periods in Turkey. Arch Gynecol Obstet. 283 (3): 483-90.

Pao C, Guintivano J, Santos H, Meltzer-brody S (2018). Postpartum depression and social support in a racially and ethnically diverse population of women. Arch Womens Ment Health. 22(1): 105-114.

Pilkington PD, Whelan TA, Milne LC, (2016). Maternal crying and postpartum distress: the moderating role of partner support of partner support. J Reprod Infant Psy. 34(1): 64-76.

Reid KM, Taylor MG (2015). Social support, stress, and maternal postpartum depression: A comparison of supportive relationships. Soc Sci Res. 54: 246-62.

Shitu S, Geda B, Dheresa M (2019). Post-partum depression and associated factors among mothers who gave birth in the last twelve months in Ankesha district, Awi zone, North West Ethiopia. BMC pregnancy and childbirth, 19(1): 435.

Tambag H, Turan Z, Tolun S, Can R (2010). Social support and postpartum depression in lowsocioeconomic level postpartum women in Eastern Turkey. Int J Public Health. 55(6): 543-9.

Tani F, Castagna V, Tani F, Castagna V (2016). Maternal social support, qua-lity of birth experience, and post-partum depression in primiparous women Maternal social support, qua-lity of birth experience and post-partum. 7058(May).

Vaezi A, Soojoodi F, Tehrani A, Nojomi M (2018). The association between social support and postpartum depression in women: A cross sectional study. Women Birth. 32(2): e238-e242.

Yagmur Y, Ulukoca N (2010). Social sup-port and postpartum depression in low-socioeconomic level postpartum women in Eastern Turkey. Int J Pu-blic Health. 55(6): 543-9.

Yamada A, Isumi A, Fujiwara T (2020). Association between lack of social support from partner or others and postpartum depression among Japanese mothers: A population-based cross-sectional study. Int J Environ Res Public Health. 17(12): 4270.


  • There are currently no refbacks.