Risk factors for postpartum depression
The things that put you at risk for postpartum depression are the same as those that put you at risk for depression at other times.
These are the most important risk factors:1 2 3 4 5
- You've had a mental illness before, particularly depression. This includes postpartum depression after a previous pregnancy.
- You don't get enough support from people like your friends and neighbors, relatives and health professionals.
- You have a bad relationship with your husband or partner.
- You have difficult things happening in your life. For example, you may have lost your job or your partner has lost his or her job. Or you've had to move house when you didn't want to. Or a close family member or friend of yours has been in an accident, had an illness or has died.
- You had problems during your pregnancy
- You have been abused
- Your family doesn't have much income
- You don't get much job satisfaction.
- You didn't plan to get pregnant
- You're a teenage mother
- You're not breastfeeding
- It took a long time for you to get pregnant
- Your partner has depression
- You had a condition called the baby blues in the first days after your baby was born (to read more, see The baby blues)
- You have two or more children
- Your baby has, or had, health problems
- Your baby died.
Sources for the information on this page:
- O'Hara MW, Swain AM. Rates and risks of postpartum depression: a meta-analysis. International Review of Psychiatry. 1996; 8: 37-54.
- Beck CT. A meta-analysis of predictors of postpartum depression. Nursing Research. 1996; 45: 297-303. 8831657
- Wilson LM, Reid AJ, Midmer DK, et al. Antenatal psychosocial risk factors associated with adverse postpartum family outcomes. Canadian Medical Association Journal. 1996; 154: 785-799. 8634957
- Robertson E, Grace S, Wallington T, et al. Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry. 2004; 26: 289-295. 15234824
- O'Hara MW, Gorman LL. Can postpartum depression be predicted? Primary Psychiatry. 2004; 11: 42-47.
- Nielsen Forman D, Videbech P, Hedegaard M, et al. Postpartum depression: identification of women at risk. British Journal of Obstetrics and Gynaecology. 2000; 107: 1210-1217. 11028570
- Scottish Intercollegiate Guidelines Network. Postnatal depression and puerperal psychosis. Clinical guideline no. 60. June 2002. Available at http://www.sign.ac.uk (accessed on 30 September 2008).
- Boyce P, Hickey A. Psychosocial risk factors to major depression after childbirth. Social Psychiatry and Psychiatric Epidemiology. 2005; 40: 605-612. 16096700
This information was last updated in Oct 13, 2008
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This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved. |












