scholarly journals Upaya Pencegahan Gangguan Postpartum Mood Sejak Kehamilan di Masa Pandemi Covid-19

2021 ◽  
Vol 3 (2) ◽  
pp. 95
Author(s):  
Dwi Sri Handayani ◽  
Yuni Purwati

In these recent days, Covid-19 becomes the global health problem. One of the effects of the Covid-19 pandemic is a mother’s anxiety during pregnancy and the puerperium. This anxiety can put mothers at risk for postpartum mood disorders. Prevention of postpartum mood disorders can be done from the pregnancy time with preparatory education in dealing with the mothers’ roles for their babies. As an effort to maintain health protocols in this pandemic era, services to pregnant and postpartum women during the Covid-19 pandemic can be done through online communication media. This service aims to determine the data of the risk of postpartum mood disorders or postpartum depression since pregnancy and prepare mothers to welcome their role as postpartum mothers.The service method was carried out by screening the risk of postpartum mood disorders using the Edinburgh Postnatal Depression Scale (EPDS) and health education about the management of postpartum care for mothers and babies to the third-trimester pregnant women through online media. The results showed that six pregnant women (42.86%) had no risk of depression; seven pregnant women (50%) indicated that depression might occur, and one pregnant woman (7.14%) indicated the possibility of depression. During the counselling session, the mothers were less active in group discussions in online media and some mothers preferred private consultations. In addition, the mothers also expressed their desire to learn materials about pregnancy exercise, postpartum exercise, and lactation management during the outreach activities. From the results of screening using EPDS regarding postpartum mood disorders since pregnancy, it was found that there was a risk of depression during pregnancy and a possible risk of postpartum depression. Online health education for postpartum care management for postpartum mothers and babies as an effort to prevent postpartum mood since pregnancy during the Covid-19 pandemic can be done using the online method

2021 ◽  
pp. 33-36
Author(s):  
Chandrima Maity ◽  
Debasish Sanyal ◽  
Arati Biswas ◽  
Sudarsan Saha

The investigators assessed the prevalence of Postpartum Depression (PPD), its clinical features and relationship of PPD with socio-demographical and obstetrical factors. The samples were selected from the OPD and IPD, of a Medical college in Kolkata.. Observational study was performed on 500(N=500) postpartum mothers who were selected by using Simple Random Sampling Technique within the six weeks of postpartum period. Data were collected by using the Structured Questionnaire for background information, Edinburgh Postnatal Depression Scale (Bengali Version of EPDS) for postpartum depression. Data analysis was performed using Descriptive Statistics, Chi-square, Logistic Regression and Decision Tree. A total of 112 (Prevalence Rate 22.4%) postpartum mothers had PPD. Stepwise logistic regression model correctly classied 92.2% of women who developed PPD. Using logistic regression model, postpartum depression is best predicted by: No. of Postpartum days p< 0.001***, Age of the mother p<0.024**, Religion p<0.003**, Type of family p<0.020**, Education of the mother p<0.001***, Monthly Income of the family p<0.001***, No of other living children p<0.001***, Pregnancy outcome p<0.033**, Any complication during pregnancy / delivery/ postpartum p< 0.001*** and Problems with family members p< 0.001***. The study recommends that evaluation should be carried out for Postpartum Depression and its risk factors to prevent and treat PPD in a timely manner.


2019 ◽  
Vol 4 (2) ◽  
pp. 107
Author(s):  
Chici Riansih ◽  
Sri Nabawiyati nurul Makiyah ◽  
Farida Kartini

Postpartum depression is one of serious problems that women experience after giving birth. Depression symptoms found in postpartum mothers include sadness, anxiety, crying, temperament, lack of appetite, insomnia, and inattentive to the baby. It is a part of the symptoms of maternal psychological disorders that lead to the postpartum depression. This study used quantitative research with analytic observational research design. The population of primiparous postpartum mothers is 60 people consisting of 20 postpartum mothers of Sectio Caesarea, 20 spontaneous postpartum mothers, and 20 vacuum extraction postpartum mothers in the Public Hospital of Yogyakarta Municipality. The sampling teachnique used consecutive sampling. The study utilized Edinburgh Postnatal Depression Scale (EPDS) questionnaire. Bivariate analysis used ANOVA statistical test followed by post hoc test and Chi-Square test with 95% of confidence level. The results of the analysis show Respondents data who were at risk of postpartum depression in Sectio Caesarea intrapartum (16 or 80%) compared to vacuum extraction intrapartum (5 or 13%) and spontaneous intrapartum (7 or 35%). There was a difference on the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction with the risk of postpartum depression of p-value = 0.001 (p <0.05). The difference of the risk was significant on the type of Sectio Caesarea intrapartum when compared with vacuum extraction and spontaneous intrapartum, while between vacuum extraction and spontaneous intrapartum was not significantly different. The conclusion of this study is that there are differences in the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction on the risk of postpartum depression among primiparous mothers in Public Hospital of Yogyakarta Municipality.


2021 ◽  
Vol volume 05 (issue 2) ◽  
pp. 211-217
Author(s):  
Maddiha Sattar ◽  
Mamoona Ismail Loona ◽  
Raazia Israr

Postpartum Bonding Questionnaire (PBQ) was widely used to measure the emotional thoughts of mothers towards the infant. Postpartum Bonding Questionnaire is helpful for the assessment of mother-infant bonding problems in mothers with postpartum depression. Therefore it is necessary to translated PBQ into Urdu language to make it understandable for Pakistani mothers. In the present study, Postpartum Bonding Questionnaire (PBQ) developed by Brockington et al. (2001) and revised by Brockington, Fraser and Wilson (2006) was translated for the assessment of mother-infant bonding problems in a sample of Pakistani postpartum mothers with postpartum depression. Four hundred postpartum mothers were screened on Edinburgh Postnatal Depression Scale (EPDS) and 150 depressed mothers of age range 18 to 45 years were selected to participate in the study through purposive sampling technique. PBQ was translated into Urdu using Back-translation method of Brislin (1976). The alpha reliability coefficients for the subscales of Postpartum Bonding Questionnaire Urdu –version were ranged from .33 to .93. Findings also showed that PBQ has satisfactory internal validity. The PBQ Urdu-version would be very useful for identifying problems of the mother-infant bonding in mothers with postpartum depression. In the future researches PBQ Urdu-version would also be useful for the researchers working in the same area.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259782
Author(s):  
Mohd Izzuddin Hairol ◽  
Sha’ari Ahmad ◽  
Sharanjeet Sharanjeet-Kaur ◽  
Lei Hum Wee ◽  
Fauziah Abdullah ◽  
...  

Postpartum depression (PPD) is one of the mental health complications that may arise following childbirth. This cross-sectional study explores the association between socioeconomic factors and PPD literacy with PPD incidence in 350 participants (mean age: 30.58±4.72 years) at one to six months postpartum, who attended the Kuala Lumpur Health Clinic from May to October 2020. PPD incidence and literacy were assessed using the validated Malay versions of the Edinburgh Postpartum Depression Scale (EPDS) and the Postpartum Depression Literacy Scale (PoDLiS), respectively. The participants’ socioeconomic characteristics were collected using a self-administered questionnaire. Chi-square tests were performed to determine the association between these factors and PPD incidence. Binary logistic regression models were used to determine the odds ratios (OR). The incidence of postpartum depressive symptoms was 14.29%. Those with low household income were twice likely to have PPD symptoms (OR:2.58, 95% CI:1.23–5.19; p = 0.01) than those with higher incomes. Unemployment (i.e., participants who were housewives/homemakers) was associated with higher PPD incidence (Χ2(2, 350) = 6.97, p = 0.03), but it was not a significant PPD predictor. In conclusion, PPD incidence in the sample of Kuala Lumpur postpartum mothers is significantly associated with low household income. Other socioeconomic characteristics, including PPD literacy, were not significant predictors of PPD incidence.


2020 ◽  
pp. 27-34
Author(s):  
Nova Arami ◽  
Surahma Asti Mulasari ◽  
Ummu Hani EN

Air Susu Ibu (ASI) merupakan satu-satunya makanan yang sempurna dan terbaik bagi bayi karena mengandung unsur-unsur gizi yang dibutuhkan untuk pertumbuhan dan perkembangan bayi yang optimal. Namun ada beberapa penyebab ibu tidak memberikan ASI secara eksklusif seperti tidak mendapatkan dukungan dari suami/keluarga, penghasilan, usia, pendidikan yang menyebabkan terjadinya depresi postpartum sehingga menghambat proses laktasi. Tujuan penelitian untuk menyimpulkan dan memeriksa literature (examine literature) apakah gejala depresi pada ibu postpartum berhubungan dengan  keberhasilan pemberian ASI. Metode penelitian menggunakan studi appraisal dengan Critical Appraisal Joana Brigs Institute, dan metode sintesis menggunakan PEOS. Pencarian dibatasi pada studi yang diterbitkan dalam bahasa Inggris dan menyajikan data periode 2012-2019. Studi yang terindentifikasi ditinjau menggunakan PRISMA Flowchart. Studi dengan desain kuantitatif terkait gejala depresi postpartum mempengaruhi keberhasilan ASI eksklusif. Hasil penelitian adalah depresi postpartum diukur menggunakan EPDS (Edinburgh Postpartum Depression Scale) yang dilakukan pada ibu postpartum usia 2-6 minggu pascapersalinan. Gejala depresi dapat mempengaruhi keberhasilan pemberian ASI dan beberapa faktornya karena kurangnya dukungan emosional, pendidikan, pengetahuan, pendapatan yang rendah, dan terdapat riwayat depresi sebelumnya. Namun hal yang paling dominan terjadinya depresi postpartum yaitu kurangnya dukungan suami/keluarga. Kesimpulan penelitian ini adalah gejala depresi postpartum dapat mempengaruhi keberhasilan ASI eksklusif dikarenakan ada perubahan hormon dan mood yang terjadi pada ibu seperti tidak nafsu makan, gangguan tidur, cemas, sensitif sehingga dapat menggaggu kelancaran ASI. Breastmilk (ASI) is the only perfect and best food for babies because it contains nutritional elements for optimal baby growth and development. However, there are several reasons why mothers do not exclusively breastfeed, such as not getting support from their husbands/families, stage, education which causes postpartum depression which hinders the lactation process. This study aims to conclude and examine the literature (examining the literature) whether the symptoms of depression in postpartum mothers are associated with breastfeeding. The method of the study using appraisal study using Joana Brigs Institute Critical Appraisal, and synthesis method using PEOS. Base search on studies published in English and present data for the period 2012-2019. Identified studies were reviewed using PRISMA Flowchart. A quantitative design study of postpartum depressive symptoms affects exclusive breastfeeding. The results showed postpartum depression was measured using the EPDS (Edinburgh Postpartum Depression Scale) which was performed on postpartum mothers aged 2-6 weeks postpartum. Depressive symptoms can affect the situation of offering breast milk and several factors due to emotional support, education, low income, a previous history of depression. But the worst thing that happens in postpartum depression is support from family. The conclusion was postpartum depressive symptoms can affect exclusive breast milk because there are hormonal and mood changes that occur in the mother such as lack of appetite, sleep disturbances, anxiety, sensitivity so that they can interfere with the smoothness of breast milk.  


Care in Primary Health Care for women in the pregnancy-puerperal cycle must take place in an integral way, with individualized care that considers the life history, feelings and the environment in which the woman lives, seeking her physical and mental well- being to prevent postpartum depression. Given this fact, a postpartum consultation is recommended as essential by the Ministry of Health for the early detection of preventable complications common in the period, such as puerperal depression (BRAZIL, 2012). It is known that each woman has a way of reacting to the postpartum due to the different situations that occur, such as the relationship with her partner and her family, her social and cultural life, meaning that, each pregnancy is a unique and individual experience. . (SARMENTO, SETÚBAL, 2012). Therefore, we will address the relationship between nurses and postpartum depression in family health strategies in a city in the state of Rio de Janeiro. It will be a qualitative, descriptive and exploratory study, whose overall objective is to analyze how nurses perform to postpartum women with postpartum depression. OBJECTIVE: The objective of this study is to find out about the role of nurses in Family Health Strategies (FHS) in the city of Valença, RJ. METHOD: This is a descriptive and exploratory study, with a qualitative approach. There are 19 ESFs in the municipality, but 9 strategies were selected, however only 5 wanted to participate. A Google Forms form was sent along with the Free and Informed Consent Form to the email of the selected nurses, but only 5 were returned. Data was collected through a semi-structured interview. RESULTS: Through the data gathered, it was seen that nurses have difficulties in identifying the signs and symptoms of PPD, as well as an approach due to the difficulties encountered both because of the non- adherence of pregnant women in prenatal consultations, which makes it difficult for these pregnant women to adhere to postpartum consultations at the unit and the nurses' work routine, which makes tracking difficult. The use of the Edinburgh Postnatal Depression Scale is being questioned. CONCLUSIONS: With the lack of adherence of these puerperal women in the consultations, it is very difficult to identify the signs and symptoms of Postpartum Depression, the nurse must seek the population closer to the unit in carrying out health education in the strategy, creating bonds besides giving the postpartum autonomy over their care. The professional must work together with their team in the actions of permanent education, thus, empowering community health workers in the identification, therefore this professional brings the community closer to the strategy, which facilitates users' adherence to the health service.


2020 ◽  
Vol 2 (2) ◽  
pp. 43-51
Author(s):  
Katarzyna Jankowska ◽  
Piotr A. Woźniak

The sudden drop in the level of postpartum certain hormones, especially estrogens and progesterone, promotes mood disorders. Some women may have severe symptoms of postpartum depression, that need timely diagnosis and proper treatment. Women with premenstrual syndrome symptoms are particularly at risk of depression. To prevent the dangerous consequences of unrecognized postpartum depression, a requirement was introduced in 2019 in Poland for gynecologists to interview pregnant women and to exclude the occurrence of depression in the postpartum period. The aim of the study is to present the hormonal determinants of postpartum depression with particular attention to risk factors.


2016 ◽  
Vol 23 (11) ◽  
pp. 1415-1423 ◽  
Author(s):  
Beatriz Ibarra-Yruegas ◽  
Ma. Asunción Lara ◽  
Laura Navarrete ◽  
Lourdes Nieto ◽  
Omar Kawas Valle

This study assessed the reliability and concurrent validity of the prenatal section of the Postpartum Depression Predictors Inventory–Revised for 250 pregnant women receiving prenatal care in Mexico. The Postpartum Depression Predictors Inventory–Revised has shown adequate psychometric properties for English-speaking perinatal women, but no similar data have been reported for Spanish-speaking samples. The results show that the Postpartum Depression Predictors Inventory–Revised is highly reliable and exhibits adequate concurrent validity compared to the Edinburgh Postnatal Depression Scale. These findings suggest that the Postpartum Depression Predictors Inventory–Revised can be a reliable instrument in prenatal care services for detecting risk factors for perinatal depression in Mexican women and potentially in other Spanish-speaking populations.


2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S289-S290
Author(s):  
Tracy Grossman ◽  
Jyoti S Mathad

Abstract Background In low- and middle-income countries, depression during pregnancy is three times more common than in the United States and is more common than postpartum depression. There have been few studies on the prevalence of antepartum and postpartum depression in India. The objective of this study was to describe the prevalence of antepartum and postpartum depression among HIV-infected and uninfected pregnant women in an urban slum in India, and to evaluate associated pregnancy and birth outcomes. Methods This study was a longitudinal cohort study of HIV-infected and HIV-uninfected pregnant women at Sassoon General Hospital in Pune, India. Enrolled women answer questions about sociodemographics and medical history, including obstetric history. The PHQ-9 depression scale is administered during pregnancy and at 6 months postpartum. Results Of the 189 pregnant women enrolled, 113 (60 %) exhibited at least one symptom of depression on the PHQ-9 scale with 23 (12%) women having moderate or severe depression. However, significantly fewer postpartum women had evidence of depression (60% antepartum vs. 26% postpartum, P &lt; 0.001). Of the 77 women who had a postpartum visit, 20 (26%) also had symptoms of depression prior to delivery, but only 2 (10%) had more severe depression scores while 18 (90%) had improved scores. Thirty (39%) women with antepartum depression had resolution of symptoms postpartum and no women developed incident depression in the postpartum period. There was a trend toward increased rates of antenatal depression among HIV-infected vs. uninfected women (69% vs. 57%, P = 0.13). Both depressed and nondepressed pregnant women experienced low rates of intrauterine fetal demise, intrapartum hypertension, and preterm delivery. However, women with depression had 3-fold higher incidence of intrauterine growth restriction on prenatal ultrasound (4.4% vs. 1.5%). Conclusion We found that the majority of pregnant women in our population experience some form of depression during pregnancy. Most women with antepartum depression experienced improvement in their mood postpartum, which contrasts with patterns of perinatal depression in developed countries. We are planning qualitative studies to understand the social contributors for antepartum depression in India, and to identify potential solutions. Disclosures All authors: No reported disclosures.


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