Systematic Review and Meta-Analysis of the Prevalence of the Maternity Blues in the Postpartum Period

Published:February 06, 2020DOI:



      To determine the prevalence of maternity blues among women in the postpartum period.

      Data Sources

      We conducted our systematic review and meta-analysis by searching the literature for relevant articles published in three international databases, PubMed, Web of Science, and Scopus, from date of inception through December 11, 2019, using the keywords prevalence, incidence, maternity blues, and baby blues.

      Study Selection

      From 336 articles initially screened, we included 26 articles in the systematic review and meta-analysis.

      Data Extraction

      Two independent reviewers used a standardized form to extract data from eligible articles. We evaluated the quality of individual studies and the overall evidence according to Hoy et al.’s risk of bias tool.

      Data Synthesis

      The prevalence of maternity blues in the 26 included studies was 13.7% to 76.0%. Based on the results of the random effects model, the prevalence of maternity blues in 5,667 women was 39.0% (95% confidence interval [32.3, 45.6]; I2 = 96.6%). The prevalence of maternity blues among women in Africa was greatest at 49.6%.


      Considering the great prevalence of maternity blues in women after childbirth, paying attention to the key symptoms of maternity blues and implementing educational programs for health care providers and mothers after childbirth are essential.


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      Khadije Rezaie-Keikhaie, MD, is an associate professor, Department of Obstetrics and Gynecology, Zabol University of Medical Sciences, Zabol, Iran.


      Mohammad Edris Arbabshastan, BSc, MSc, is a lecturer, Department of Nursing, Iranshahr University of Medical Sciences, Iranshahr, Iran.


      Hosein Rafiemanesh, BSc, MSc, is a PhD candidate, Student Research Committee, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.


      Mehrbanoo Amirshahi, BSc, MSc, is a lecturer, Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.


      Shokoufeh Mogharabi Ostadkelayeh, BSc, MSc, is an instructor, Faculty of Nursing, Iranshahr Branch, Islamic Azad University, Iranshahr, Iran.


      Azizollah Arbabisarjou, BSc, MSc, PhD, is an associate professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.