Determinants of Postpartum Blues for Postpartum Mothers Survey Study at the Madiun City General Hospital

Tinuk Esti Handayani; Budi Joko Santosa; Suparji Suparji; Patrisia Anastasia Setyasih

doi:10.3889/oamjms.2021.7348

Authors

Tinuk Esti Handayani Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, Indonesia
Budi Joko Santosa Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, Indonesia
Suparji Suparji Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, Indonesia
Patrisia Anastasia Setyasih Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7348

Keywords:

Risk factors, Type of delivery, Parity, Education, Family support, Postpartum blues

Abstract

BACKGROUND: Postpartum blues in mothers fail in adapting to changes in life patterns due to pregnancy and the process of pregnancy, childbirth, and postpartum. Many factors influence the incidence of postpartum blues.

AIM: The purpose of this study was to determine the determinants that affect the symptoms of postpartum blues in patients treated at the Madiun City General Hospital.

METHODS: A cross-sectional study design, the population is all postpartum mothers at the Madiun City Hospital in March–April 2020, the population is 52 respondents. The sample size is 47 people, sampling using simple random sampling technique. The independent variables were age, type of delivery, parity, education, and family support. The dependent variable is postpartum blues symptoms. The research instrument used a questionnaire and a checklist. Data analysis used Chi-square and Fisher’s exact test with significance level = 0.05.

RESULTS: The results showed that age for postpartum blues symptoms had p = 0.006, and the type of delivery had p = 0.032. Meanwhile, data analysis using Chi-square test of childbirth experience (parity) on postpartum blues symptoms showed p = 0.033, education showed p = 0.006, and family support showed p = 0.000.

CONCLUSION: The conclusion of the research is the determinants of age at risk, type of delivery, parity, education, and family support which have a significant impact on the occurrence of postpartum blues symptoms. This research recommends the need for early detection efforts and increased counseling for postpartum mothers to prevent postpartum blues symptoms.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Sylvén SM, Thomopoulos TP, Kollia N, Jonsson M, Skalkidou A. Correlates of postpartum depression in first time mothers without previous psychiatric contact. European Psychiatry. Eur Psychiatry. 2017;40:4-12. https://doi.org/10.1016/j.eurpsy.2016.07.003 PMid:27837672 DOI: https://doi.org/10.1016/j.eurpsy.2016.07.003

Habel C, Feeley N, Hayton B, Bell L, Zelkowitz P. Causes of Women’s postpartum depression symptoms: Men’s and Women’s perceptions. Midwifery. 2015;31(7):728-34. https://doi.org/10.1016/j.midw.2015.03.007 PMid:25921442 DOI: https://doi.org/10.1016/j.midw.2015.03.007

Oktaputrining D, Susandi C, Suroso S. Post partum blues: The importance of social support and marital satisfaction in primiparous mothers. Psikodimensia. 2017;16(2):151-7. DOI: https://doi.org/10.24167/psiko.v16i2.1217

Putriarsih R, Budihastuti UR, Murti B. Prevalence and determinants of postpartum depression in Sukoharjo district, Central Java. J Matern Child Health. 2018;3(1):395-408. https://doi.org/10.26911/thejmch.2017.03.01.02 DOI: https://doi.org/10.26911/thejmch.2017.03.01.02

Sadock B, Sadock V. Kaplan and Sadock’s Synopsis of Psychiatry-Behavioral Sciences/Clinical Psychiatry. 10th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2007. p. 857-69.

Ambarwati A. Postpartum Midwifery Care. Jakarta: Nuha Medika; 2010.

Susanti P. Psychological factors affecting postpartum blues. Jurnal Ilmiah Psikologi. 2017; 4(2):205-18. DOI: https://doi.org/10.15575/psy.v4i2.1589

Fatmawati DA. Risk factors that influence the incidence of postpartum blues. J Educ Health. 2015;5(2):94-101.

SDKI, Ministry of Health of the Republic of Indonesia. Data on Manpower and Labor force. Indonesian Demographic and Health Survey (IDHS) (Kementerian Kesehatan Republik Indonesia. Data Tenaga Kerja dan angkatan Kerja. Survei Demografi dan Kesehatan Indonesia (SDKI). Jakarta, Indonesia: Ministry of Health of the Republic of Indonesia; 2012.

Kurniasari D, Astuti YA. The relationship between the characteristics of the mother, the condition of the baby and the husband’s social support with postpartum blues in mothers with CS delivery at the Ahmad Yani Metro General Hospital in 2014. Jurnal Kesehatan Holistik. 2015;9(3):115-25.

Zoleykha A, Mohammad A, Mohammad M. The importance of screening in prevention of postpartum depression. Iran J Public Health. 2021;50(5):1072-3. https://doi.org/10.18502/ijph.v50i5.6127 PMid:34183968 DOI: https://doi.org/10.18502/ijph.v50i5.6127

Meltzer-Brody S. New insights into perinatal depression: Pathogenesis and treatment during pregnancy and postpartum. Dialogues Clin Neurosci. 2011;13(1):89-100. https://doi.org/10.31887/DCNS.2011.13.1/smbrody PMid:21485749 DOI: https://doi.org/10.31887/DCNS.2011.13.1/smbrody

Mathisen SE, Glavin K, Lien L, Lagerlov P. Prevalence and risk factors for postpartum depressive symptoms in Argentina: A cross-sectional study. Int J Womens Health. 2013;5:787-93. https://doi.org/10.2147/IJWH.S51436 PMid:24294009 DOI: https://doi.org/10.2147/IJWH.S51436

Yusuff AS, Tang L, Binns CW, Lee AH. Prevalence and risk factors for postnatal depression in Sabah, Malaysia: A cohort study. Women Birth. 2015;28(1):25-9. https://doi.org/10.1016/j.wombi.2014.11.002 PMid:25466643 DOI: https://doi.org/10.1016/j.wombi.2014.11.002

Fairus M, Widiyanti S. The relationship between husband’s support and the incidence of postpartum depression in postpartum mothers. Jurnal Kesehatan Metro Sai Wawai. 2014;7(1):11-8.

Mercier RJ, Garret J, Thorp J, Siega-Riz A. Pregnancy intention and postpartum depression: Secondary data analysis from a prospective cohort. BJOG. 2013;120(9):1116-22. https://doi.org/10.1111/1471-0528.12255 PMid:23651010 DOI: https://doi.org/10.1111/1471-0528.12255

Nurbaeti I. Predicting factors of maternal depression during income family in Indonesia. Vol. 10. In: 1st International Integrative Conference on Health, Life and Social Sciences (ICHLaS 2017), Alternative Press; 2017. p. 87-90.

Suryani EY. Postpartum blues; a literature review. Wellness Healthy Mag. 2020;2(2):298-304.

Apriliana KA, Maftuchah M, Nurhudhariani R. The relationship between education and parity with the incidence of unwanted pregnancy in family planning acceptors at PKBI as Sakinah Pemalang regency in 2014. SMART Jurnal Kebidanan. 2014;3(2):36-45. DOI: https://doi.org/10.34310/sjkb.v3i2.61

Saptarini I, Suparmi S. Determinants of unwanted pregnancy in Indonesia (riskesdas 2013 secondary data analysis). Jurnal Kesehatan Reproduksi. 2016;7(1):15-24. DOI: https://doi.org/10.22435/kespro.v7i1.5096.15-24

Intan K, Hendawati H. Risk factors for postpartum blues in Palembang city. J Kesehatan Poltekkes Palembang. 2019;14(2):2654-3427.

Salonen A, Kaunonen M, Astedt-Kurki P, Jarvenpaa AL, Isoaho H, Tarkka M. Development of an internet-based intervention for parents infants. J Adv Nurs. 2008;64(1):60-72. https://doi.org/10.1111/j.1365-2648.2008.04759.x PMid:18808593 DOI: https://doi.org/10.1111/j.1365-2648.2008.04759.x

Indriasari S. The level of depression in postpartum mothers at Morokrembangan Health Center Surabaya. Dunia Keperawatan. 2017;5(1):43-9. DOI: https://doi.org/10.20527/dk.v5i1.3646

Manurung S, Lestari TR, Suryati B, Mitadwiyana B, Karma A, Paulina K. The effectiveness of music therapy on the prevention of postpartum blues in primiparous mothers in the Midwifery Room of Cipto Mangunkusumo Hospital, Central Jakarta. Buletin Penelitian Sistem Kesehatan. 2011;14(1):17-23.

Wilkinson A. Anderson S. Wheeler SB. Screening for and treating postpartum depression and psychosis: A cost-effectiveness analysis. Matern Child Health J. 2017;21(4):903-14. https://doi.org/10.1007/s10995-016-2192-9 PMid:27832444 DOI: https://doi.org/10.1007/s10995-016-2192-9

Hansotte E, Payne SI, Babich SM. Positive postpartum depression screening practices and subsequent mental health treatment for low-income women in Western countries: A systematic literature review. Public Health Rev. 2017;38:3. https://doi.org/10.1186/s40985-017-0050-y PMid:29450075 DOI: https://doi.org/10.1186/s40985-017-0050-y

Anderson G, Maes M. Postpartum depression: Psychoneuroimmunological underpinnings and treatment. Neuropsychiatr Dis Treat. 2013;9:277-87. https://doi.org/10.2147/NDT.S25320 PMid:23459664 DOI: https://doi.org/10.2147/NDT.S25320

Yustisia IP, Izzatul A, Kusuma EW. Analysis of risk factors of depression symptoms in mothers in the postpartum period in Banjarsari district, Surakarta. Buletin Penelitian Kesehatan. 2020;48(2):131-8. DOI: https://doi.org/10.22435/bpk.v48i2.2872

Indriyani D. Application of Concepts and Theory of Postpartum Maternity Nursing with Fetal Death. Yogyakarta: Ar-Ruzz Media; 2013.

Kusumastuti K, Astuti DP, Hendriyati S. The relationship between individual characteristics and postpartum depression in postpartum mothers at the Kebumen District General Hospital. Jurnal Involusi Kebidanan. 2015;5(9):1-17.

Shahry P, Kalhori SR, Esfandiyari A, Zamani-Alavijeh F. A comparative study of perceived social supportand self-efficacy among women with wanted and unwanted pregnancy. Int J Community Based Nurs Midwifery. 2016;4(2):176-85. PMid:27218115

Mariyatul Q. Overview of the factors (family support, knowledge, pregnancy status and type of delivery) behind the post partum blues incidence in postpartum mothers on the 7th day (at polindes doa ibu gesikharjo and polindes teratai kradenan palang). Jurnal Kebidanan. 2018;10(2):9-19. DOI: https://doi.org/10.30736/midpro.v10i2.75

Yasi A. The Event of Maternity Blues Been Reviewed From Paritas Ibu Nifas in BPM Nanik Cholid Sidoarjo, International Health Conference; 2017.

Intan K, Hendawati H. Risk factors for postpartum blues in Palembang city. Jurnal Kesehatan. 2019;14(2):91-6. DOI: https://doi.org/10.36086/jpp.v14i2.408

Purwati P, Alfi N. Factors that cause postpartum blues. Jurnal Ilmiah Rekam Medis Informatika Kesehatan. 2020;10(2):1-4. DOI: https://doi.org/10.47701/infokes.v10i2.1021