“…Research in Pakistan estimates a very high prevalence of antenatal depression and anxiety [ 21 ]—a major predictor of child morbidity in the region [ 11 ]. Among Pakistani women, important risk factors include poverty, high parity, uneducated husband [ 21 ], abuse [ 22 , 23 ], problems in marriage, history of psychiatric illnesses, postnatal depression, previous miscarriages, stillbirths, complications in pregnancy [ 24 ], illiteracy and unplanned pregnancies [ 25 ], fear of childbirth, separation from husband [ 26 ], low social support, rural background, abortion, history of harassment, c-section delivery [ 27 ], and young age [ 28 ]. The heterogeneous etiology of perinatal depression is evident from the literature.…”