# Factors Influencing Postpartum Depression in Nepal: An Integrative Review

**Authors:** Jaya Rijal, Satya Rijal, Radhika Upadhyay

PMC · DOI: 10.31729/jnma.8975 · JNMA: Journal of the Nepal Medical Association · 2025-05-31

## TL;DR

This review explores the factors contributing to postpartum depression in Nepal, highlighting the need for culturally sensitive and integrated healthcare strategies.

## Contribution

The study provides a comprehensive analysis of postpartum depression determinants specific to the Nepalese socio-cultural context.

## Key findings

- Key risk factors include low socioeconomic status, unintended pregnancies, and inadequate support.
- Cultural factors like preference for male children worsen postpartum depression outcomes.
- The review emphasizes the importance of early screening and integrated mental health care.

## Abstract

Postpartum depression remains a critical concern in Nepal, influenced by various socio-cultural and healthcare-related factors. Therefore, this integrative review aimed to analyze and synthesize its key determinants within the Nepalese context. Fourteen articles met the eligibility criteria after systematically searching five electronic databases. The review underscores that increased age, low socioeconomic status, limited educational attainment, unintended pregnancies, inadequate support, and maternal health issues are the prominent risks. Cultural inclinations, such as a preference for male children and lack of adequate antenatal care, contribute to the severity of the condition. The findings stress the need for culturally sensitive strategies, early screening efforts, and the assimilation of mental health care and maternal services. Iwt advocates for focused interventions and future longitudinal studies, and the insights are valuable for healthcare professionals, policymakers, and future investigations to improve maternal health outcomes in Nepal.

## Linked entities

- **Diseases:** postpartum depression (MONDO:0005929)

## Full-text entities

- **Diseases:** PPD (MESH:D019052), anxiety (MESH:D001007), ANTENATAL CARE (MESH:C536301), complications (MESH:D008107), loss of interest (MESH:D016388), major depressive disorder (MESH:D003865), MATERNAL HEALTH PROBLEMS (MESH:D000076082), psychosis (MESH:D011618), intimate (MESH:C563733), maternal (MESH:D000079262), postpartum (MESH:D006473), Depression (MESH:D003866)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

30 references — full list in the complete paper: https://tomesphere.com/paper/PMC12831822/full.md

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Source: https://tomesphere.com/paper/PMC12831822