scholarly journals Obstetrical Factors in Postpartum Depression: A Correlational Study at General Hospitals of Banjarmasin

Author(s):  
Winda Ayu Fazraningtyas ◽  
Anggrita Sari ◽  
Dini Rahmayani

Problematic health areas such as maternal and child health is one of the target areas to be addressed so that by 2030, reduction of maternal mortality by less than 70 per 100,000 live births will be attained. Mental illness that happens in postpartum women is significantly associated with morbidity and disability. There are about 10% of pregnant women and 13% of mothers who experience mental disorder, especially depression worldwide. This study aimed to determine and analyze the obstetrical factors associated with postpartum depression. This study used quantitative design with descriptive survey method. A total of 88 participants were included coming from the two General Hospital in Banjarmasin, South Kalimantan, Indonesia. EPDS, BDI-II, and PPDRF checklist were used. It was found out that there is no significant association between the level of depression and desire to be pregnant, complication in pregnancy, and history of abortion. However, there is a significant relationship between participants’ level of depression and their experience of menstrual problems. There are 15 or 17% mothers who suffered severe postpartum depression in both hospitals. This needs to be a concern for health workers because postpartum depression mothers could have a poor relationship with children, difficulty meeting their daily needs, caring for children, or even developing into postpartum psychosis.

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Rhonda C. Boyd ◽  
Marjie Mogul ◽  
Deena Newman ◽  
James C. Coyne

Postpartum depression is a serious and common psychiatric illness. Mothers living in poverty are more likely to be depressed and have greater barriers to accessing treatment than the general population. Mental health utilization is particularly limited for women with postpartum depression and low-income, minority women. As part of an academic-community partnership, focus groups were utilized to examine staff practices, barriers, and facilitators in mental health referrals for women with depression within a community nonprofit agency serving low-income pregnant and postpartum women. The focus groups were analyzed through content analyses and NVIVO-8. Three focus groups with 16 community health workers were conducted. Six themes were identified: (1) screening and referral, (2) facilitators to referral, (3) barriers to referral, (4) culture and language, (5) life events, and (6) support. The study identified several barriers and facilitators for referring postpartum women with depression to mental health services.


2012 ◽  
Vol 9 (1) ◽  
Author(s):  
Prose Ivy G. Yepes ◽  
Jude A. Duarte

Noticeably, stress has affected the performance of the university’s manpower which result to sagging morale in the workplace. Thus this study evaluated the factors associated with and notions concerning stress of the administration and academic personnel of SLSU. A descriptive-survey method was employed to gather data from the 125 respondents using a Stress Audit instrument adopted from Miller and Smith (1993). The data gathered were consolidated and statistically analyzed using percentages and Pearson-r. On the whole, the administrative and academic personnel of SLSU had manifested serious susceptibility to stress sources and stress symptoms which were significantly affected by the academic personnel’s age profile, and slightly affected by the length of service of both academic and administrative staff. The academic personnel’s number of office designations had affected both their perspective on stress sources and symptoms. It can be deduced that the SLSU administrative and academic personnel’s notions concerning stress sources and symptoms vary due to the nature and gravity of the tasks they perform. Therefore, it is recommended that a comprehensive “Welfare Administration Program” for the SLSU personnel be implemented to reduce health risks caused by stress and to promote the welfare and well-being of all SLSU employees.Keywords - Stress susceptibility, stress sources, stress symptoms, performance, academic staff, administrative personnel


2021 ◽  
Vol 9 (02) ◽  
pp. 115-120
Author(s):  
Andriana ◽  
Elvira Junita ◽  
Sri Mandalika ◽  
Suryani

Dysmenorrhea is a painful condition that occurs during menstruation that can interfere with activities, causing pain in the lower abdomen, which spreads to the lower back and legs. The incidence of dysmenorrhea is experienced by young women around the world on average. The cause of pain is due to an imbalance of the hormone progesterone in the blood. Several factors triggering the occurrence of dysmenorrhea include the first menstruation at an early age, endocrine factors, psychological disorders, allergic, long menstrual periods, heavy menstrual blood flow, smoking, a history of obesity and alcohol consumption. Efforts to overcome dysmenorrhea can be done by non-pharmacological and pharmacological methods. This study aims to describe the incidence of dysmenorrhea in adolescent girls. This study used a descriptive survey method with a questionnaire that was distributed via google form to 73 students of the Faculty of Health Sciences, Pasir Pengaraian University. The results showed that the average menarche at the age of 13-16 years was 39 people (53.43%), the most experienced dysmenorrhea was 52 people (71.23%), the efforts made to reduce dysmenorrhea with rest were 35 people. (47.95 %) and 38 people (52.05%) who tried to reduce the feeling of dysmenorrhea, respondents used drugs to reduce dysmenorrhea, namely 26 respondents (35.62%). The conclusion of this study is that the average age of menarche for adolescent girl is 13-16 years, the majority experience dysmenorrhea, most of the adolescent girl make efforts to reduce dysmenorrhea pain with non-pharmacological and pharmacological methods.


2020 ◽  
Vol 6 (3) ◽  
pp. 16-19
Author(s):  
Hira Bakhtiar ◽  
Maria Malik A. Khaliq ◽  
Asif Nawaz ◽  
Muhammad Asif ◽  
Siraj Jamil ◽  
...  

Introduction: Postpartum depression has become a common complication in women in their postpartum period, affecting not only the mother but her child and her family. Due to lack of awareness regarding the subject it has been widely neglected, especially in Pakistan.Objective: To determine and compare the frequency and risk factors associated with postpartum depression in a public and a private tertiary care hospital in Peshawar.Materials & Methods: A comparative cross-sectional study was conducted in the Gynecology and Pediatrics OPD and Pediatrics ward of Rehman Medical Institute (RMI) and Gynecology and Pediatrics OPD as well as the vaccination center of Hayatabad Medical Complex (HMC) over a period of 6 months (January to June 2016). The women were interviewed after obtaining informed consent during 1-12 months of their postpartum period using the Edinburgh Postnatal Depression Scale (EPDS) as well as a pretested self-structured questionnaire. Chi Square test and binary logistic regression were used to determine the relative significance of various risk factors for PPD.Results: A total of 280 women were interviewed, 140 in each hospital, their ages ranging from 16 to 45 years. The frequency of PPD calculated at RMI was 62.7% and at HMC it was 37.3% (p=0.001). Risk factors that showed a close association with PPD included the level of education of women (p=0.008), family support (p=0.022), and history of previous trauma (p= 0.055).Conclusion: Postpartum depression is twice as likely to occur in a private tertiary care hospital compared to a public one, and appears related to educational status, family help, and history of trauma.Keywords: Depression, Postpartum; Postpartum Period, Mothers; Child; Breast Feeding; Childbirth


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Yousef Veisani ◽  
Ali Delpisheh ◽  
Kourosh Sayehmiri ◽  
Shahab Rezaeian

Background. Postpartum depression (PPD) is a serious mental health disorder affecting 13% of women in developed communities. The present study reviews available epidemiological publications on PPD-related aspects in Iranian women to help policy makers and health workers to design preventative strategies and further researches.Materials and Methods. A systematic review was constructed based on the computerized literature valid database. The 95% confidence intervals were calculated by random effects models. Metaregression was introduced to explore and explain heterogeneity between studies. Data manipulation and statistical analyses were performed using Stata 11.Results. Overall, 41 studies met the inclusion criteria. The pooled prevalence of PPD in Iran was 25.3% (95% CI: 22.7%–27.9%). Amongst subgroups of unwanted delivery, illiterate, housewives, and having history of depression the prevalence was 43.4% (35.6–51.1), 31.6% (18.1–45.0), 30.7% (25.2–36.3), and 45.2% (35.4–53.1), respectively.Conclusions. Interventions that would specifically target women with a prior history of depression, illiterates, housewives, or women with unwanted pregnancies could be helpful to decrease the prevalence of postpartum depression in Iran.


2011 ◽  
Vol 6 (1) ◽  
pp. 9 ◽  
Author(s):  
Zahtamal Zahtamal ◽  
Tuti Restuastuti ◽  
Fifia Chandra

Masalah kesehatan yang dihadapi Indonesia kini adalah status kesehatan masyarakat yang rendah, antara lain ditandai dengan angka kematian ibu dan bayi yang tinggi serta masih banyak indikator pelayanan kesehatan ibu dan anak (KIA) yang belum ideal. Penelitian ini bertujuan untuk mengetahuifaktor-faktor yang berhubungan dengan permasalahan pelayanan KIA. Desain penelitian yang digunakan pada penelitian ini adalah cross sectional, data faktor predisposisi dikumpulkan dari 550 orang responden yang tersebar di 4 kabupaten/kota dengan menggunakan kuesioner. Selanjutnya,data faktor determinan yang lain dikumpulkan dengan wawancara pada informan antara lain kepala dinas kesehatan kabupaten/kota dan kepala subdinas kesehatan keluarga. Hasil penelitian menunjukkan faktor predisposisi yang berhubungan dengan pelayanan KIA yaitu sikap responden, pengaruh orang yang memutuskan pemilihan pelayanan kesehatan dalam keluarga, serta pengetahuan responden terkait pelayanan KIA. Diketahui juga bahwa masih banyak kepercayaan masyarakat terkait aspek KIA yang belumsesuai dengan nilai-nilai kesehatan. Faktor pemungkin yang berhubungan dengan pelayanan KIA antara lain distribusi tenaga kesehatan masih belum merata, kualitas ketenagaan pemberi pelayanan KIA belum ideal, dan sarana pendukung pelayanan belum memadai. Faktor pendorong yang berhubungan dengan pelayanan KIA antara lain belum ada kebijakan daerah sebagai acuan, dana pendukung pelayanan belum memadai serta kuantitas kegiatan yang seharusnya dilakukan secara lintas sektoral masih banyak yang belum terealisasi dan belum optimal.Kata kunci: Kesehatan ibu dan anak, permasalahan pelayanan, pelayanan kesehatanAbstractThe current issue of health in Indonesia is the low status of public health, among others, characterized by high rates of maternal and infant mortality and many indicators of maternal and child health (MCH) services that have not been ideal yet. This study aims to determine the factors associated with problems of MCH services. This design used in this research is cross sectional. Predisposing factor data were collected from 550 respondents who were scattered in four districts using a questionnaire. Furthermore, another determinant factor data were collected by interviewing the informants, among others, chief of district health department, Head of Sub Office ofFamily Health. The results showed that the predisposing factors associated with MCH services is the attitude of the respondent, the influence of people who make decisions in family health care, respondents’ knowledge related to MCH services. Please also note that there are still many aspects of MCH related public trust that has not been in accordance with the values ofhealth. Enabling factors associated with MCH services including the distribution of health workers is still not equitable, quality of MCH service workforce has not been ideal and service support facilities have been inadequate. Reinforcing factors associated with MCH services, among others, the lack of regional policy as a benchmark, the fund has not been adequate support services, the quantity of activities that should be done across sectors is still much that has not been realized and is still not optimal.Key words: Mother and child health, service problem, health care


Author(s):  
Yudiarsi Eppang

The aim of the study: To determine the risk factors associated with the incidence of placenta previa in mothers who gave birth at RSUD Daya Makassar City. Method: Quantitative Research, with a cross sectional approach. The design of this study was used with the goal to knowing the risk factors associated with the incidence of placenta previa in mothers who gave birth at RSUD Daya Kota Makassar in 2020. The population in this study were all mothers who experienced placenta previa recorded as data in the INC room at RSUD. Daya City of Makassar in 2020. The sample in this study were women who experienced placenta previa recorded in the INC room data at RSUD Daya Kota Makassar in 2020. Results: This study shows that 15 respondents studied showed that there was a relationship between age, parity, history of curettage, and the distance between pregnancies to the incidence of placenta previa. Based on the results of the chi square test, the results obtained were age (p = 0.019), parity (p = 0.005), history of curettage (p = 0.020) and pregnancy distance (p = 0.020). Conclusion: in this study there is a significant relationship between age, parity, history of curettage, and the distance between pregnancies to the incidence of placenta previa at RSUD Daya Kota Makassar. Suggestion: Suggestions for health workers need to increase antenatal supervision of pregnant women who have a history of obstetrics, so that risky pregnant women can be managed properly


2018 ◽  
Vol 14 (1) ◽  
pp. 196-206 ◽  
Author(s):  
Addishiwet Fantahun ◽  
Amsale Cherie ◽  
Leul Deribe

Objectives:Postpartum Depression (PPD) is a serious public health problem that leads to high maternal morbidity and mortality, enormously affecting the infant, family and society. Thus, the aim of this study was to assess the prevalence and factors associated with postpartum depression among postpartum mothers attending public health centers in Addis Ababa, Ethiopia, 2016.Methods:Facility-based cross-sectional study was conducted from March 2016-April 2016 among 633 postpartum women. Four sub cities were identified through simple random sampling technique among 10 sub cities in Addis Ababa, Ethiopia. Furthermore, the study participants were determined by systematic random sampling after 10 health centers were selected by lottery method and the number of participants in each health center was proportionally allocated. In order to determine postpartum depression, participants were rated using the Edinburgh Postnatal Depression Scale (EPDS) and the findings were analyzed using bivariate and multivariate logistic regression. P-value less than 0.05 with 95% confidence interval was used to state the association.Results:The study revealed prevalence of postpartum depression among mothers was 23.3%. Moreover, women who were unmarried, had unplanned pregnancy, delivered without presence of any relatives in health institutions, had previous history of child health, had history of substance use and had low income were found to more often display postpartum depression.Conclusion:For optimal maternal health care provision in regards to postpartum depression, integration of mental health service in addition to inter sectoral collaboration of women’s affair with health institutions is crucial.


2018 ◽  
Vol 28 (3) ◽  
pp. 167-174
Author(s):  
Varry Lobo ◽  
Anderias Karniawan Bulu ◽  
Monika Noshirma

AbstractFilariasis program in Indonesia is carried out through two main strategies, namely breaking the chain of transmission with mass drug administration in endemic areas and clinical case management. This research was aimed to assess the implementation of administration of filariasis preventive drugs in Mbilur Pangadu village, Central Sumba Regency. Mass drug administration in Central Sumba is the first program that has been carried out and has not been evaluated yet. The study was conducted with a descriptive survey method of Mbilur Pangadu Village population aged ≥ 13 years. The results showed that the majority of respondents who did not receive the drug were in all age groups (> 50%), sex male (64.7%), lack of knowledge about filariasis (85.8%) and distance of treatment posts difficult to reach (65.4%). Most respondents with high or low knowledge did not receive drugs (>50%), but they received the program well. Health activities have an impact of drug acceptance, which is 95.6%. The method of distribution and side effects of treatment does not affect the behavior of taking medication. Guidelines for the implementation of mass treatment must be known and can be carried out by all health workers to achieve the expected target. AbstrakProgram filariasis di Indonesia dilakukan melalui dua strategi utama, yaitu memutuskan rantai penularan dengan pemberian obat massal di daerah endemis dan penatalaksanaan kasus klinis. Tujuan penelitian ini adalah untuk menilai pelaksanaan pemberian obat massal pencegah filariasis di Desa Mbilur Pangadu Kabupaten Sumba Tengah. Pemberian obat massal di Sumba Tengah adalah program yang pertama kali dilakukan dan belum pernah dievaluasi. Penelitian dilakukan dengan metode survei deskriptif pada seluruh penduduk Desa Mbilur Pangadu yang berumur ≥13 tahun. Hasil penelitian menunjukkan bahwa sebagian besar responden yang tidak menerima obat berada pada semua kelompok umur (> 50%), berjenis kelamin laki-laki (64,7%), pengetahuan kurang tentang filariasis (85,8%) dan jarak pos pengobatan sulit dijangkau (65,4%). Sebagian besar responden dengan pengetahuan tinggi maupun rendah tidak menerima obat (>50%), namun mereka menerima program dengan baik. Keaktifan petugas kesehatan sangat berdampak terhadap penerimaan obat yaitu 95,6%. Cara pendistribusian dan efek samping pengobatan tidak berdampak pada perilaku minum obat. Pedoman pelaksanaan pengobatan massal harus diketahui dan bisa dilaksanakan oleh seluruh petugas kesehatan agar mencapai terget yang diharapkan.


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