Hubungan kecemasan, cara persalinan dan onset laktasi dengan kejadian postpartum blues

Greiny Arisani(1*), Noordiati Noordiati(2)


(1) Prodi D.III Kebidanan Jurusan Kebidanan Poltekkes Kemenkes Palangka Raya
(2) Prodi D.III Kebidanan Jurusan Kebidanan Poltekkes Kemenkes Palangka Raya
(*) Corresponding Author

Abstract


Masa Nifas rentan terhadap masalah kesehatan mental. Salah satu gangguan kesehatan mental yang terjadi pada masa nifas adalah postpartum blues. Postpartum blues merupakan manifestasi pasikopatologis paling ringan dan paling umum terjadi segera setelah melahirkan pada minggu pertama sampai 10 hari setelah melahirkan puncaknya antara 3 sampai 5 hari postpartum dan menurun pada 10 sampai 12 hari sesudahnya. Postpartum blues berpotensi menjadi prediktor depresi postpartum dan jika kondisi ini berlanjut dapat menyebabkan gangguan mental yang lebih parah. Penelitian ini bertujuan untuk menganalisis hubungan kecemasan, cara persalinan dan onset laktasi dengan kejadian postpartum blues. Jenis penelitian ini adalah analitik observasional dengan desain cross sectional dengan alat pengumpul data berupa kuesioner. Analisis data menggunakan analisis univariat dan bivariat menggunakan uji chi square terhadap 122 responden ibu nifas yang mendapatkan perawatan di BLUD RSUD dr. Doris Sylvanus Palangka Raya. Hasil penelitian menunjukkan sebesar 37,7% responden mengalami postpartum blues dengan skor EPDS≥10.  Terdapat hubungan yang signifikan antara kecemasan (OR=6,28 CI 95% 2,31-16,72; p=0,000), cara persalinan (OR=8,78 CI 95% 3,20-24,09; p=0,000) dan onset laktasi (OR=6,42 CI 95% 2,09-19,74; p=0,001 dengan kejadian postpartum blues. Dapat disimpulkan terdapat hubungan yang signifikan kecemasan, cara persalinan dan onset laktasi dengan postpartum Blues di BLUD RSUD dr. Doris Sylvanus Palangka Raya


Keywords


Postpartum blues; kecemasan; cara persalinan; onset laktasi

Full Text:

PDF

References


Akbarzadeh, M., Mokhtaryan, T., Amooee, S., Moshfeghy, Z., & Zare, N. (2015). Investigation of the effect of religious doctrines on religious knowledge and attitude and postpartum blues in primiparous women. Iranian Journal of Nursing and Midwifery Research, 20(5), 570–576. https://doi.org/10.4103/1735-9066.164586

Almalik, M. M. (2017). Understanding Maternal Postpartum Needs: A Descriptive Survey of Current Maternal Health Services. International Journal of Laboratory Hematology, 26(23–24), 4654–4663. https://doi.org/https://doi.org/10.1111/jocn.13812

Bayri Bingol, F., Bal, M. D., Aydin Ozkan, S., Zengin, O., & Civ, B. (2021). The adaptation of the Postpartum-Specific Anxiety Scale into the Turkish language. Journal of Reproductive and Infant Psychology, 39(1), 86–99. https://doi.org/10.1080/02646838.2019.1705265

Bielinski-Blattmann, D., Gürber, S., Lavallee, K., Grob, A., Surbek, D., & Stadlmayr, W. (2016). Labour experience and postpartum stress and depression: a quantitative and qualitative examination. Journal of Reproductive and Infant Psychology, 34(2), 162–174. https://doi.org/10.1080/02646838.2015.1131252

Castro, C., & Figueiredo, B. (2015). Breastfeeding and depression : A systematic review of the literature. 171, 142–154. https://doi.org/10.1016/j.jad.2014.09.022

Clout, D., & Brown, R. (2015). Sociodemographic, pregnancy, obstetric, and postnatal predictors of postpartum stress, anxiety and depression in new mothers. Journal of Affective Disorders, 188, 60–67. https://doi.org/10.1016/j.jad.2015.08.054

Daglar, G., Bilgic, D., & Aydın Özkan, S. (2018). Depression, Anxiety and Quality of Life of Mothers in the Early Postpartum Period. International Journal of Behavioral Sciences, 11(4), 152–159.

Gerli, S., Fraternale, F., Lucarini, E., Chiaraluce, S., Tortorella, A., Bini, V., Giardina, I., Moretti, P., Gerli, S., Fraternale, F., Lucarini, E., Chiaraluce, S., Tortorella, A., Bini, V., Giardina, I., Moretti, P., & Favilli, A. (2019). Obstetric and psychosocial risk factors associated with maternity blues. The Journal of Maternal-Fetal & Neonatal Medicine, 0(0), 1–6. https://doi.org/10.1080/14767058.2019.1630818

Idaiani, S., & Basuki, B. (2012). Postpartum depression in Indonesia women: a national study. Health Science Journal of Indonesia, 3(1), 3–8. https://doi.org/10.22435/hsji.v3i1Jun.396.3-8

Ilska, M., Banaś, E., Gregor, K., Brandt-Salmeri, A., Ilski, A., & Cnota, W. (2020). Vaginal delivery or caesarean section – Severity of early symptoms of postpartum depression and assessment of pain in Polish women in the early puerperium. Midwifery, 87. https://doi.org/10.1016/j.midw.2020.102731

Kendall-Tackett, K. (2007). A new paradigm for depression in new mothers: The central role of inflammation and how breastfeeding and anti-inflammatory treatments protect maternal mental health. International Breastfeeding Journal, 2, 1–14. https://doi.org/10.1186/1746-4358-2-6

Kokkinaki, T. (2015). Maternal and Paternal Postpartum Depression: Effects on Early Infantparent Interactions. Journal of Pregnancy and Child Health, 03(01), 1–5. https://doi.org/10.4172/2376-127x.1000e126

Koutra, K., Vassilaki, M., Georgiou, V., Koutis, A., Bitsios, P., Kogevinas, M., & Chatzi, L. (2018). Pregnancy, perinatal and postpartum complications as determinants of postpartum depression: The Rhea mother-child cohort in Crete, Greece. Epidemiology and Psychiatric Sciences, 27(3), 244–255. https://doi.org/10.1017/S2045796016001062

Lim, G. (2021). Perinatal depression. Current Opinion in Anaesthesiology, 34(3), 233–237. https://doi.org/10.1097/ACO.0000000000000998

Manjunath, N., Venkatesh, G., & Rajanna. (2011). Postpartum blue is common in socially and economically insecure mothers. Indian Journal of Community Medicine, 36(3), 231–233. https://doi.org/10.4103/0970-0218.86527

Manurung, S., & Setyowati, S. (2021). Development and validation of the maternal blues scale through bonding attachments in predicting postpartum blues. Malaysian Family Physician, 16(1), 64–74. https://doi.org/10.51866/oa1037

Ningrum, S. P. (2017). Faktor-Faktor Psikologis yang Mempengaruhi Postpartum Blues. Psympathic : Jurnal Ilmiah Psikologi, 4(2), 205–218. https://doi.org/10.15575/psy.v4i2.1589

Olieman, R. M., Siemonsma, F., Bartens, M. A., Garthus-niegel, S., & Scheele, F. (2017). The effect of an elective cesarean section on maternal request on peripartum anxiety and depression in women with childbirth fear : a systematic review. 21–23. https://doi.org/10.1186/s12884-017-1371-z

Pearson-Glaze, P. (2021). No Breast Milk After Delivery. https://breastfeeding.support/no-breast-milk-after-delivery/

Petrozzi, A., & Gagliardi, L. (2013). Review article Anxious and depressive components of Edinburgh Postnatal Depression Scale in maternal postpartum psychological problems 1 ). 41(4), 343–348. https://doi.org/10.1515/jpm-2012-0258

Piesesha, F., Purnomo, W., Irawan, R., Health, C., & Disease, M. (2018). Maternal Parity and Onset of Lactation on Postpartum Mothers. 2(2), 249–251.

Pius Kamsu Moyo, G., & Djoda, N. (2020). The Emotional Impact of Mode of Delivery in Cameroonian Mothers: Comparing Vaginal Delivery and Caesarean Section. American Journal of Psychiatry and Neuroscience, 8(1), 22. https://doi.org/10.11648/j.ajpn.20200801.15

Reck, C., Stehle, E., Reinig, K., & Mundt, C. (2009). Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. Journal of Affective Disorders, 113(1–2), 77–87. https://doi.org/10.1016/j.jad.2008.05.003

Rezaie Keikhaie, K., Arbabshastan, M. E., Rafiemanesh, H., Amirshahi, M., Mogharabi, S., & Sarjou, A. A. (2020). Prevalence of the Maternity Blues in the Postpartum Period. Journal of Obstetric, Gynecologic & Neonatal Nursing, February, 1–10.

Riazanova, O. V., Alexandrovich, Y. S., & Ioscovich, A. M. (2018). The relationship between labor pain management, cortisol level and risk of postpartum depression development: A prospective nonrandomized observational monocentric trial. Romanian Journal of Anaesthesia and Intensive Care, 25(2), 123–130. https://doi.org/10.21454/rjaic.7518.252.rzn

Sacher, J., Rekkas, P. V., Wilson, A. A., Houle, S., Romano, L., Hamidi, J., Rusjan, P., Fan, I., Stewart, D. E., & Meyer, J. H. (2015). Relationship of monoamine oxidase-A distribution volume to postpartum depression and postpartum crying. Neuropsychopharmacology, 40(2), 429–435. https://doi.org/10.1038/npp.2014.190

Sadat, Z., Taebi, M., Saberi, F., & Kalarhoudi, M. A. (2013). The relationship between mode of delivery and postpartum physical and mental health related quality of life. 18(6).

Seth, S., Lewis, A. J., & Galbally, M. (2016). Perinatal maternal depression and cortisol function in pregnancy and the postpartum period: A systematic literature review. BMC Pregnancy and Childbirth, 16(1). https://doi.org/10.1186/s12884-016-0915-y

Takahashi, Y., & Tamakoshi, K. (2014). Factors associated with early postpartum maternity blues and depression tendency among Japanese mothers with full-term healthy infants. Nagoya Journal of Medical Science, 76(1–2), 129–138. https://doi.org/10.18999/nagjms.76.1-2.129

Xu, H., Ding, Y., Ma, Y., Xin, X., & Zhang, D. (2017). Cesarean section and risk of postpartum depression: A meta-analysis. Journal of Psychosomatic Research, 97, 118–126. https://doi.org/10.1016/j.jpsychores.2017.04.016

Zanardo, V., Volpe, F., de Luca, F., Giliberti, L., Giustardi, A., Parotto, M., Straface, G., & Soldera, G. (2020). Maternity blues: a risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale. Journal of Maternal-Fetal and Neonatal Medicine, 33(23), 3962–3968. https://doi.org/10.1080/14767058.2019.1593363

Zubaran, C., & Foresti, K. (2013). Sexual & Reproductive Healthcare The correlation between breastfeeding self-efficacy and maternal postpartum depression in southern Brazil. Sexual & Reproductive Healthcare, 4(1), 9–15. https://doi.org/10.1016/j.srhc.2012.12.001


Article Metrics

Abstract view : 56 times
PDF - 0 times

DOI: https://doi.org/10.26714/jk.10.2.2021.149-160

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Jurnal Kebidanan

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



JURNAL KEBIDANAN

Program Studi Kebidanan
Fakultas Ilmu Keperawatan dan Kesehatan
Universitas Muhammadiyah Semarang, Indonesia
NRC Building, 2nd FLoor
Jl. Kedungmundu Raya No. 18, Semarang
Tlp. +6224-76740288, Fax. +6224-76740287