Analysis of Factors Related to the Incidence of Postpartum Blues in Adolescent Mother

Authors

  • Nina Gartika Department of Nursing, Faculty of Health Sciences, Universitas ‘Aisyiyah Bandung, Kota Bandung, Indonesia
  • Ariani Fatmawati Department of Nursing, Faculty of Health Sciences, Universitas ‘Aisyiyah Bandung, Kota Bandung, Indonesia https://orcid.org/0000-0002-7812-5685

DOI:

https://doi.org/10.3889/oamjms.2024.8511

Keywords:

Social support, Adolescent mother, Postpartum, Postpartum blues

Abstract

BACKGROUND: Adolescent marriage in Indonesia is very high, this will have an impact on the psychological aspects of adolescents. Postpartum psychological disorders of adolescent mothers are postpartum blues.

AIM: The study aimed to identify factors related to the incidence of postpartum blues in adolescent mothers.

METHODS: This quantitative study used a cross-sectional method involving 90 respondents taken by consecutive sampling. Research sites in Bandung City Special Hospital for Mothers and Children and Al-Ihsan Regional Public Hospital, Bandung District. This research was conducted from May to September 2019. Data collection instruments in this study use the Edinburgh Postpartum Depression Scale. Pregnancy planning uses the London Measure of Unplanned Pregnancy questionnaire. Social support uses a postpartum support system and a family coping questionnaire. The last questionnaire is the psychosocial condition of the mother Postpartum Postnatal Risk Questionnaire. Multivariate analysis using logistic regression tests to determine the factors most related to the incidence of postpartum blues in adolescent mothers.

RESULTS: The results showed that there were 44.4% of adolescent mothers experience postpartum blues. There was a significant relationship between social support and the incidence of postpartum blues (p = 0.001; odds ratio [OR] 11,777; 95% confidence interval [CI] = 3604–109,534) and home living also had a significant relationship with the incidence of postpartum blues (p = 0.002; OR = 9,653; 95% CI = 0.001–0.225). A negative B value at the home living indicated that home living is a preventative factor for postpartum blues in adolescent mothers.

CONCLUSIONS: Postpartum blues are influenced by social support, psychosocial conditions, and pregnancy planning. Adolescent mothers need to get attention, especially from their husbands and families during the period of puerperium.

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References

Machmudah. Postpartum mother psychological disorders; Postpartum blues. J Keperawatan Matern. 2015;3(2):118-25.

Young J, Miller MR, Khan N. Screening and managing depression in adolescents. Adolesc Health Med Ther. 2010;1:87-95. https://doi.org/10.2147/AHMT.S7539 PMid:24600264 DOI: https://doi.org/10.2147/AHMT.S7539

Jeannette B. Early marriage as a barrier to girl’s education: A developmental challenge in Africa. J Soc Psychol. 2012;12(6):23-48.

Sylvén SM, Thomopoulos TP, Kollia N, Jonsson M, Skalkidou A. Correlates of postpartum depression in first time mothers without previous psychiatric contact. 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

Dadi AF, Miller ER, Mwanri L. Antenatal depression and its association with adverse birth outcomes in low and middleincome countries: A systematic review and meta-analysis. PLoS One. 2020;15(1):1-23. https://doi.org/10.1371/journal.pone.0227323 PMid:31923245 DOI: https://doi.org/10.1371/journal.pone.0227323

Yamada A, Isumi A, Fujiwara T. Association between lack of social support from partner or others and postpartum depression among Japanese mothers: A population-based cross-sectional study. Int J Environ Res Public Health. 2020;17(12):1-15. https://doi.org/10.3390/ijerph17124270 PMid:32549294 DOI: https://doi.org/10.3390/ijerph17124270

Khan SA. Baby steps: A bonding program for adolescent mothers and their infants. Chicago School of Professional Psychology, 2011.

Santy, Setyowati, Novieastari E. Experiences of Single Parent Teenage Girls in the Work Area of the Panjang District Health Center, Bandar Lampung City. Indonesia: Universitas Indonesia; 2011.

Lowdermilk, Perry SE, Cashion K. Keperawatan Maternitas. 8th ed. Book. 2. Singapura: Elsevier; 2013.

Slomian J, Honvo G, Emonts P, Reginster JY, Bruyère O. Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health (Lond). 2019;15:1745506519844044. https://doi.org/10.1177/1745506519844044 PMid:31035856 DOI: https://doi.org/10.1177/1745506519844044

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

Fitriana LA, Nurbaeti S. Description of the incidence of postpartum blues in postpartum mothers based on characteristics at the Level IV Sariningsih general hospital, Bandung city. J Pendidik Keperawatan Indones. 2016;2(1):44- 51. https://doi.org/10.17509/jpki.v2i1.2852 DOI: https://doi.org/10.17509/jpki.v2i1.2852

Kirana Y. The relationship between the level of postpartum anxiety and the incidence of post partum blues at Dustira Cimahi Hospital. J Ilmu Keperawatan. 2015;3(1):1-13.

Fatmawati A, Rachmawati IN, Budiati T. The influence of adolescent postpartum women’s psychosocial condition on mother-infant bonding. Enferm Clin. 2018;28(Sup 1):203-6. https://doi.org/10.1016/S1130-8621(18)30068-8 DOI: https://doi.org/10.1016/S1130-8621(18)30068-8

Kinsey CB, Hupcey JE. State of the science of maternal-infant bonding: A principle-based concept analysis. Midwifery. 2013;29(12):1314-20. https://doi.org/10.1016/j.midw.2012.12.019 PMid:23452661 DOI: https://doi.org/10.1016/j.midw.2012.12.019

Foster CJ, Garber J, Durlak JA. Current and past maternal depression, maternal interaction behaviors, and children’s externalizing and internalizing symptoms. J Abnorm Child Psychol. 2008;36(4):527-37. https://doi.org/10.1007/s10802-007-9197-1 PMid:18071896 DOI: https://doi.org/10.1007/s10802-007-9197-1

Zimmer-Gembeck MJ, Waters AM, Kindermann T. A social relations analysis of liking for and by peers: Associations with gender, depression, peer perception, and worry. J Adolesc. 2010;33(1):69-81. https://doi.org/10.1016/j.adolescence.2009.05.005 PMid:19539359 DOI: https://doi.org/10.1016/j.adolescence.2009.05.005

Irawati D, Yuliani F. The influence of psychosocial factors and the method of delivery on the occurrence of postpartum blues in postpartum mothers. Hosp Majapahit. 2014;6(1):1-14.

Kurniawati D. Hubungan Antara Kondisi Psikososial ibu Pada Masa Postpartum dan Kepauasan Ibu Terhadap Pelayanan Persalinan Dengan Ikatan Antara Ibu Dan Bayi. Indonesia: Universitas Indonesia; 2015.

Nurfatimah, Entoh C. Relationship between demographic factors and social support with postpartum depression. J Profesi Med. 2018;11(2):89-99. https://doi.org/10.33533/jpm.v11i2.229 DOI: https://doi.org/10.33533/jpm.v11i2.229

Anuradha G, Sebanti G. Evaluation of post partum depression in a tertiary hospital. J Obstet Gynecol India. 2011;61(5):528-30. https://doi.org/10.1007/s13224-011-0077-9 PMid:23024522 DOI: https://doi.org/10.1007/s13224-011-0077-9

Easterbrooks MA, Kotake C, Raskin M, Bumgarner E. Patterns of depression among adolescent mothers: Resilience related to father support and home visiting program. Am J Orthopsychiatry. 2016;86(1):61-8. https://doi.org/10.1037/ort0000093 PMid:26460697 DOI: https://doi.org/10.1037/ort0000093

Nilsen W, Karevold E, Røysamb E, Gustavson K, Mathiesen KS. Social skills and depressive symptoms across adolescence: Social support as a mediator in girls versus boys. J Adolesc. 2013;36(1):11-20. https://doi.org/10.1016/j.adolescence.2012.08.005 PMid:22998732 DOI: https://doi.org/10.1016/j.adolescence.2012.08.005

Hammen C, Brennan PA, Le Brocque R. Youth depression and early childrearing: Stress generation and intergenerational transmission of depression. J Consult Clin Psychol. 2011;79(3):353-63. https://doi.org/10.1037/a0023536 PMid:21517152 DOI: https://doi.org/10.1037/a0023536

Dennis CL, McQueen K. The relationship between infant-feeding outcomes and postpartum depression: A qualitative systematic review. Pediatrics. 2009;123(4):e736-51. https://doi.org/10.1542/peds.2008-1629 PMid:19336362 DOI: https://doi.org/10.1542/peds.2008-1629

Eastwood JG, Jalaludin BB, Kemp LA, Phung HN, Barnett BE. Relationship of postnatal depressive symptoms to infant temperament, maternal expectations, social support and other potential risk factors: Findings from a large Australian cross-sectional study. BMC Pregnancy Childbirth. 2012;12:148. https://doi.org/10.1186/1471-2393-12-148 PMid:23234239 DOI: https://doi.org/10.1186/1471-2393-12-148

Kim TH, Connolly JA, Tamim H. The effect of social support around pregnancy on postpartum depression among Canadian teen mothers and adult mothers in the maternity experiences survey. BMC Pregnancy Childbirth. 2014;14:162. https://doi.org/10.1186/1471-2393-14-162 PMid:24884410 DOI: https://doi.org/10.1186/1471-2393-14-162

Leahy-Warren P, McCarthy G, Corcoran P. Postnatal depression in first time mothers: Prevalence and relationships between functional and structural social support at 6 and 12 weeks postpartum. Arch Psychiatr Nurs. 2011;25(3):174-84. https://doi.org/10.1016/j.apnu.2010.08.005 PMid:21621731 DOI: https://doi.org/10.1016/j.apnu.2010.08.005

Ria MB, Budihastuti UR, Sudiyanto A. Risk factors of postpartum depression at Dr. moewardi hospital, Surakarta. J Matern Child Health. 2018;3(1):81-90. https://doi.org/10.26911/thejmch.2018.03.01.08 DOI: https://doi.org/10.26911/thejmch.2018.03.01.08

Reid K, Taylor M. Social support, stress, and maternal postpartum depression: A comparison of supportive relationships. Soc Sci Res. 2015;54:246-62. https://doi.org/10.1016/j.ssresearch.2015.08.009 PMid:26463547 DOI: https://doi.org/10.1016/j.ssresearch.2015.08.009

Hymas R, Gyrard L. Predicting postpartum depression among adolescent mothers: A systematic review of risk. J Affect Disord. 2019;246:873-85. https://doi.org/10.1016/j.jad.2018.12.041 PMid:30795494 DOI: https://doi.org/10.1016/j.jad.2018.12.041

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Published

2024-01-27

How to Cite

1.
Gartika N, Fatmawati A. Analysis of Factors Related to the Incidence of Postpartum Blues in Adolescent Mother. Open Access Maced J Med Sci [Internet]. 2024 Jan. 27 [cited 2024 Apr. 29];12(1):1-5. Available from: https://oamjms.eu/index.php/mjms/article/view/8511

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Nursing in Gynecology and Obstetrics

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