scholarly journals Faktor Prediktor Terjadinya Depresi Postpartum di Rumah Sakit Panti Rapih Yogyakarta

2020 ◽  
Vol 1 (1) ◽  
pp. 61-70
Author(s):  
Agnes Mahayanti ◽  
Intansari Nurjannah ◽  
Widyawati

Background: The postpartum period was a physical and psychological adaptation process. Psychological disturbances could present in form of postpartum blues, postpartum depression, and postpartum psychosis. Objective: The objective of this research was to determine the incidence of postpartum depression, identify predictors of postpartum depression and identify the dominant predictors of postpartum depression. Methods: this research used a cross sectional design. Sample were pregnant women which were chosen by random sampling technique. Data was collected with questionnaire to measure the predictors of postpartum depression was carried out with the Revision Postpartum Depression Predictors Inventory (PDPI) questionnaire and to measure depression scores used with the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was done by univariate and bivariate analysis with with chi-square statistical tests and multivariate with logistic regression tests. Results: The results showed that the significant predictors were economic status, self-esteem, marital satisfaction, postpartum blues, and prenatal depression. The dominant predictor factor is satisfaction in marriage with a t value of 2.778 times. Conclusion: The results of the study show that marital satisfaction is a dominant predictor of postpartum depression, indicating that marital satisfaction or relationship quality is one of the important support systems because of the need for partner involvement in care actions during the pregnancy period until with the puerperium as efforts to prevent postpartum depression.     Keywords: postpartum depression, postpartum period, postpartum bues

2020 ◽  
Vol 7 (2) ◽  
pp. 203-212
Author(s):  
Dwi Ernawati ◽  
Wa Ode Merlin ◽  
Ismarwati Ismarwati

Postpartum blues dikategorikan sebagai sindroma gangguan mental ringan yang sering dialami oleh wanita pasca persalinan  sehingga sering tidak dipedulikan, tidak terdiagnosa dan tidak tertangani, apabila postpartum blues ini tidak sembuh selama 2 minggu maka akan berubah menjadi postpartum depression dan postpartum psycosis. Penelitian ini bertujuan untuk mengetahui gambaran kejadian postpartum blues pada ibu postpartum. Desain penelitian yang digunakan deskriptif kuantitatif dengan pendekatan waktu cross sectional. Tempat penelitian di RS PKU Muhammadiyah Yogyakarta. Jumlah sampel 30 responden dengan teknik pengambilan sampel quota sampling. Analisa data menggunakan analisis univariate. Hasil penelitian ini menunjukkan bahwa sebagian responden mengalami  postpartum blues (53,3%) dengan resiko sedang mengalami depresi postpartum (43,3%) dan resiko berat untuk mengalami depresi postpartum (10%). Pada penelitian ini didapatkan 53,3% dari seluruh ibu postpartum di RS PKU Muhammadiyah Yogyakarta mengalami postpartum blues. Rekomendasi dari penelitian ini adalah adanya skrining postpartum blues oleh tenaga kesehatan sebelum ibu nifas di perbolehkan pulang dan ada kunjungan nifas bagi ibu ibu yang terdeteksi postpartum blues saat di rumah sakit. Postpartum blues is categorized as a mild mental disorder syndrome that is often experienced by postpartum women so that it is often ignored, undiagnosed and untreated, if the postpartum blues is not healed for 2 weeks it will turn into postpartum depression and postpartum psycosis. This study aims to determine the description of the incidence of postpartum blues in postpartum mothers. The research design used is quantitative descriptive with cross sectional time approach. Research site at PKU Muhammadiyah Hospital Yogyakarta. The number of samples was 30 respondents with a quota sampling technique. Data analysis uses univariate analysis. The results of this study indicate that some respondents experienced postpartum blues (53.3%) with a moderate risk of experiencing postpartum depression (43.3%) and a severe risk for experiencing postpartum depression (10%). Conclusions and Recommendations from the results of the above study it can be concluded that 53.3% of all postpartum mothers in PKU Muhammadiyah Yogyakarta Hospital experienced postpartum blues. The recommendation of this study is that health workers related to postpartum mothers should pay more attention to psychological adaptation of postpartum mothers and to be able to overcome the problems of postpartum blues


2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Susan Elviyaningsih ◽  
Rafika Rafika ◽  
Putu Candriasih

Anemia in pregnant women is called a potential that endangers the mother and child, therefore anemia requires serious attention from parties involved in health services. The purpose of this study is to know the relationship of age and consumption of iron-containing foods with the incidence of anemia in pregnant women in Talise Palu Health Center in 2017. The type of research is descriptive comparative using a cross sectional approach. The population of all pregnant women in the Talise Health Center area. The sample in this study amounted to 55 respondents with the sampling technique using consecutive sampling technique. The data collection is done through direct interviews and direct Hb measurements. Data analysis using univariate frequency distribution and bivariate analysis with Fisher's Exact Test. The results of the study of 55 respondents there were 96.4% of pregnant women who had anemia, with the age of pregnant women not at risk of 85.5% and pregnant women who rarely consumed foods containing iron there were 78.2%. The results of statistical tests using Fisher's Exact Test showed that there was a relationship between consumption of iron-containing foods (p = 0.04) with the incidence of anemia in pregnant women at Talise Palu Health Center in 2017 and no age relationship (p = 0.728) with anemia in pregnant women . Conclusion that age has no relationship with the incidence of anemia in pregnant women. Consumption of iron-containing foods is associated with the incidence of anemia in pregnant women. Suggestions for midwives who work at the KIA-KB Poli to continue to provide services according to operational standards during pregnancy examinations so that anemia in pregnant women can be treated and even prevented during pregnancy.Keywords: Pregnant, Anemia, consumption of foods containing iron


2019 ◽  
Vol 17 (2) ◽  
pp. 200-205
Author(s):  
Anisha Chalise ◽  
Tulsi Ram Bhandari

Background: Postpartum depression is a type of mental disorder associated with childbirth during pregnancy or within the first postpartum year. It is reported as a common psychological health problem affecting 10-15% of women worldwide. The duration of postpartum depression frequently depends on its severity and the time of initiation of treatment. This study assessed depression and its associated factors among postpartum period women of Godavari municipality, Lalitpur, Nepal.Methods: A community-based cross-sectional study was conducted using Edinburg Postpartum Depression Scale among 195 mothers who were within six months of the postpartum period. The chi-square and logistic regression were applied to establish the association between postpartum depression and associated factors. Results: Out of the total 195 postpartum women, 37(19%) women suffered from depression and out of those women 2.1% had suicidal thoughts. Among the associated factors, education, occupation, the intent of pregnancy, family support and pregnancy-related problems/complications were found to be significantly associated with Postpartum depression (p<0.05). Conclusions: Nearly one-fifth postpartum women suffered from some type of depression. It is one of the public health concerns which directly or indirectly corresponds to the socio-economic condition of the women. The improved education and economic status of women, intention of pregnancy, family care and support during pregnancy and the postpartum period and early diagnosis and management of health problems could reduce the magnitude of the postpartum depression. Keywords: Associated factors of postpartum depression; edinburg postpartum depression scale; Nepal; postpartum depression.


2020 ◽  
Vol 8 (2) ◽  
pp. 125
Author(s):  
Rina Wahyu Andani

Background: Premenstrual syndrome (PMS) is a group of symptoms consisting of physical, psychological, and behavioral disorders that can occur in women before menstruation and can be triggered or aggravated by factors such as their degree of stress and physical activity. Purpose: This research aimed to analyze the relationship between degree of stress and physical activity and premenstrual syndrome occurrence in female students. Method: This study used analytical observational research with a cross-sectional research design. Female students of the S1 Public Health class of 2016-2019 were used as the sample (n = 93) in this research. Sampling was conducted via the simple random sampling technique. A bivariate analysis was conducted using chi-square testing. The research was conducted between August and September of 2019 at the Faculty of Public Health, Universitas Airlangga. Results: Severe to extreme symptoms felt most often by respondents were muscle and joint pain, abdominal pain, and irritability. The prevalence of premenstrual syndrome with moderate to severe symptoms in female students of the S1 Public Health class was 46.24% and the prevalence of stressed female students was 70.97%. Statistical test results showed a relationship between the degree of stress and premenstrual syndrome occurrence (p = 0.01) and a relationship between physical activity and premenstrual syndrome occurrence (p = 0.04). Statistical tests also showed no relationship between the age of menarche and premenstrual syndrome occurrence (p = 0.50). Conclusion: There was a significant relationship between degree of stress and physical activity and premenstrual syndrome occurrence.


Author(s):  
Ari Salis Saputri

Introduction: The coverage of MKJP were 6.99% (implants), 7.15% (IUD), 2.78% (MOW), and 0.53% (MOP) indicating the use of MKJP contraceptive methods in Indonesia decreased from the previous year (RI Ministry of Health, 2018). The low use of MKJP has been a cause of stagnation in birth rates over the past decade. The purpose of this study was to determine the relationship between service costs, husband support and fear of action against the use of long-term contraception methods at the Umi Rahma Clinic in Bekasi in 2019 Method: Using descriptive analytic design with Cross Sectional approach. The study population was all EFA women who performed family planning at the Umi Rahma Clinic in Bekasi in 2019, a sample of 50 respondents using the Accidental Sampling technique using a questionnaire. This study uses univariate and bivariate analysis with Chi-Square statistical tests Result: . Chi-Square statistical test results service costs for the use of MKJP obtained P-Value 0.002, support for the husband of the use of MKJP obtained P-Value 0.001, fear action against the use of MKJP obtained P-Value 0.001. Discussion: Long-Term Contraception Methods, because costs greatly affect all actions that will be taken by couples of childbearing age, one of which is in the selection or decision-making on the use of contraceptive methods. In conclusion there is a relationship between service costs , husband support and fear of action towards the use of MKJP.


2020 ◽  
Vol 6 (2) ◽  
pp. 119-124
Author(s):  
Nining Loura Sari Nining

KB Village is one of the KKBPK strengthening programs that is managed and managed from, by and for the community to empower and provide facilities for the community. This study aims to look at the relationship between the community and the existence of KB villages. Quantitative research methods with cross sectional methods. The data collection tool consisted of a questionnaire with a sample of 100 respondents. This research uses purposive sampling technique. Statistical tests using chi-square and fisher precisely in the univariate and bivariate analysis. The results of the study found that the effectiveness of the KB respondents' village formation was moderate (50%), the respondent's behavior (62%) was sufficient and the Spearman trial results obtained sig. (2-tailed) of 0.00 so ? <0.01 (?) there is a relationship between the effectiveness of the formation of the KB village with changes in society. KB Village on Jl. Muharto Gang 5B Rw 08 Kotalama Malang needs great appreciation and support from various needs that have been managed, so that it becomes an indicator of the KB village process that began in 2017 and ends in 2019 that can be adjusted to the needs of the community better.


2020 ◽  
Vol 58 (223) ◽  
pp. 137-140
Author(s):  
Priza Pradhananga ◽  
Prajita Mali ◽  
Lisasha Poudel ◽  
Minani Gurung

Introduction: Postpartum Depression is an important public health problem in developing country like Nepal. Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS version 20. Results: Out of total mothers, the prevalence of Postpartum Depression (PPD) was seen among 51 mothers (14.7%). Conclusions: Postpartum Depression being a common yet neglected area of maternal health in Nepal, should be detected in early stage. As, the study showed that about one sixth of mothers had postpartum depression, more focus should be given to maternal mental health.  


Author(s):  
Aspiyani Aspiyani ◽  
Putri Ronitawati ◽  
Prita Dhyani Swamilaksita ◽  
Rachmanida Nuzrina ◽  
Mertien Sa'pang

<p><strong><em>Background: </em></strong><em>The most important thing in giving food to the elderly is that the food served must meet the nutritional needs, the food served is given regularly in small portions but often, the food must be gradual and varied so as not to cause boredom, the food must be according to doctor's instructions for certain elderly and food must be soft. The elderly who live in the Werdha Nursing Home are faced with a different situation than before they lived in an orphanage. This causes the elderly to make adjustments so that their needs can be fulfilled. Health conditions in the elderly stage are largely determined by the quality and quantity of nutritional intake.<strong>Objective: </strong>This study aims to determine the analysis of menu planning, the relationship of energy consumption density and food waste to the nutritional status of the elderly at the Social Home<strong> Method: </strong>This study was an observational study of cross-sectional study design. Sampling was done by purposive sampling technique with a  total of 50 elderly respondents. Bivariate analysis using Chi-Square statistical tests. <strong>Results: </strong>Planning the menu at the Social Home is carried out once a year with a seven-day menu cycle compiled by a Puskesmas Nutritionist and has a menu structure consisting of the frequency of feeding 3 main meals and 2 interludes. The application in feeding has not been adjusted to the menu made by a Nutritionist. Most respondents were aged 60-74 years (elderly). Correlation test results showed that there was no relationship between energy consumption density with the nutritional status of the elderly     ( p = 0.589 ) (p&gt; 0.05) and there was a relationship between food waste and the nutritional status of the elderly (p = 0.010 ) (p &lt;0.05). <strong>Conclusion: </strong>Some menu planning at the Social Institution was carried out and some did not meet the factors that influenced menu planning at the institution. There is a relationship between food waste with the nutritional status of the elderly, the main factor affecting nutritional status is food intake. This is because not only because of the small amount of food left (&lt;20%) which causes the risk of malnutrition, but there are other factors based on the questions and the results of the MNA score.</em><em> </em></p>


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Nursazila Asikin MA ◽  
Siti Norhani S ◽  
Nur Arzuar AR ◽  
Eshaifol Azam O

Introduction: Edinburgh Postpartum Depression Scale (EPDS) is a tool used to assess the risk of postpartum depression (PPD). In this study we determined the reliability and validity of the Malay version of EPDS when administered at two different time points in the postpartum period. Materials and Methods: This cross-sectional study design was carried out between May and September 2017 at three government primary healthcare clinics located in Batang Padang district, a suburban area of Perak state in Peninsular Malaysia. We recruited a total of 89 women; 41 women were in the early postpartum period (1-30 days) and 48 women were in the late postpartum period (31-120 days). Cronbach's alpha coefficient, inter-item correlation, and corrected item-total correlation were used to assess the internal consistency. The concurrent validity was assessed using Spearman’s correlation. The data were analyzed using SPSS version 20 and R 3.4.2. Results: The Cronbach’s alpha for the first and second group was 0.78 and 0.62, respectively, which indicated satisfactory reliability. At both time periods, removing Item 2 from the scale resulted in a significant increase in Cronbach’s alpha (to 0.847 and 0.709, respectively). As expected, the EPDS scores correlated moderately with the BDI-II scores (1−30 days: Spearman's rho = 0.65, p < 0.01; 31−120 days: Spearman's rho = 0.73, p < 0.01). Conclusion: The Malay version of the EPDS is a reliable screening instrument for detecting postpartum depression. It showed reasonability and feasibility and can be used in postpartum clinical settings or for assessing intervention effects in research studies. Furthermore, as our results indicated, removing Item 2 from the Malay version would increase the internal consistency of the EPDS.


2020 ◽  
Vol 1 (1) ◽  
pp. 1-8
Author(s):  
Susan Elviyaningsih ◽  
Rafika ◽  
Putu Candriasih

Anemia in pregnant women is called a potential that endangers the mother and child, therefore anemia requires serious attention from parties involved in health services. The purpose of this study is to know the relationship of age and consumption of iron-containing foods with the incidence of anemia in pregnant women in Talise Palu Health Center in 2017. The type of research is descriptive comparative using a cross sectional approach. The population of all pregnant women in the Talise Health Center area. The sample in this study amounted to 55 respondents with the sampling technique using consecutive sampling technique. The data collection is done through direct interviews and direct Hb measurements. Data analysis using univariate frequency distribution and bivariate analysis with Fisher's Exact Test. The results of the study of 55 respondents there were 96.4% of pregnant women who had anemia, with the age of pregnant women not at risk of 85.5% and pregnant women who rarely consumed foods containing iron there were 78.2%. The results of statistical tests using Fisher's Exact Test showed that there was a relationship between consumption of iron-containing foods (p = 0.04) with the incidence of anemia in pregnant women at Talise Palu Health Center in 2017 and no age relationship (p = 0.728) with anemia in pregnant women . Conclusion that age has no relationship with the incidence of anemia in pregnant women. Consumption of iron-containing foods is associated with the incidence of anemia in pregnant women. Suggestions for midwives who work at the KIA-KB Poli to continue to provide services according to operational standards during pregnancy examinations so that anemia in pregnant women can be treated and even prevented during pregnancy.


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