{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T08:56:13Z","timestamp":1787648173110,"version":"build-2736575974"},"update-to":[{"DOI":"10.12688\/f1000research.166397.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000}}],"reference-count":36,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019786","name":"Universitas Negeri Semarang","doi-asserted-by":"publisher","award":["15487\/UN37\/PR.00.02\/2025"],"award-info":[{"award-number":["15487\/UN37\/PR.00.02\/2025"]}],"id":[{"id":"10.13039\/100019786","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Background Complications during the puerperium present abnormal conditions that can jeopardize the health and well-being of both mother and newborn. These complications are significant contributors to maternal morbidity and mortality worldwide. This systematic review aims to identify and synthesize evidence on the factors associated with postpartum disease complications. Methods This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol was registered in PROSPERO (CRD420251013692). A comprehensive search was performed using electronic databases, including Scopus and PubMed, to identify relevant studies published between 2014 and 2024. Eligible studies included full-text, peer-reviewed articles that used quantitative or qualitative designs and addressed postpartum complications in accordance with the PEO framework. Descriptive analysis was used to synthesize findings. Results A total of 907 records were identified, and 13 studies met the inclusion criteria. The findings highlight a range of factors significantly associated with postpartum complications, including postpartum hemorrhage, maternal age &gt;35 years, depressive and anxiety disorders, preeclampsia, multiple pregnancies, type of vaginal delivery, infant-related health concerns, childhood trauma, low social support, low educational attainment of both mothers and husbands, perceived social isolation, and marital dissatisfaction. While early detection and intervention were not directly evaluated in these studies, the identification of these risk factors suggests that targeted screening and supportive strategies may be beneficial in mitigating postpartum complications. Conclusions This review identifies multiple psychosocial, demographic, and clinical factors associated with postpartum complications. These findings underscore the importance of early detection and comprehensive postpartum care to mitigate risks and improve maternal health outcomes.<\/ns3:p>","DOI":"10.12688\/f1000research.166397.2","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T11:10:09Z","timestamp":1763809809000},"page":"649","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with postpartum complications: A systematic review to inform early detection strategies"],"prefix":"10.12688","volume":"14","author":[{"given":"Elisa","family":"Ulfiana","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tandiyo","family":"Rahayu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuni","family":"Wijayanti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina Nur Anggraini","family":"Ningrum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amalia Augustina","family":"Fadlilah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7802-1328","authenticated-orcid":false,"given":"Faizul","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"e0189416","DOI":"10.1371\/journal.pone.0189416","article-title":"Timing of maternal death: levels, trends, and ecological correlates using sibling data from 34 sub-Saharan African countries.","volume":"13","author":"L Merdad","year":"2018","journal-title":"PloS one."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"980-1004","DOI":"10.1016\/S0140-6736(14)60696-6","article-title":"Global, regional, and national levels and causes of maternal mortality during 1990\u20132013: a systematic analysis for the Global Burden of Disease Study 2013.","volume":"384","author":"N Kassebaum","year":"2014","journal-title":"Lancet."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"41-48","DOI":"10.1111\/1471-0528.15623","article-title":"Non-obstetric causes of severe maternal complications: a secondary analysis of the Nigeria Near-miss and Maternal Death Survey.","volume":"126","author":"A Adeniran","year":"2019","journal-title":"BJOG Int. 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No T\/ 15487\/UN37\/PR.00.02\/2025. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}