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Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java

Ryanawati Putriarsih, Uki Retno Budihastuti, Bhisma Murti

Abstract

Background: After delivery psychological disorder otherwise appropriately and immediately handled  may lead to postpartum depression (PPD). PPD has serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not well-understood. This study seek to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java.

Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December, 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis.

Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). Unwanted pregnancy increased with younger age (b= -0.02, SE= 0.01, p= <0.001), parity (b= 0.27, SE= 0.04, p<0.001), weaker family support (b= -0.05, SE= 0.02, p= 0.044), and lower family income (b= -0.01, SE= <0.01, p= 0.003). The risk of labor complication decreased with increasing age (b= -0.03, SE= 0.01, p<0.001) and higher family income (b= -0.01, SE= <0.01, p<0.001), but increased with parity (b= 0.27, SE= 0.05, p<0.001). Coping strategy improved with increasing age (b= 0.17, SE= 0.07, p= 0.015) and higher maternal education (b= 1.94, SE= 0.48, p<0.001). Self-efficacy increased with higher family income (b= 0.04, SE= 0.01, p<0.001) and stronger family support (b= 0.03, SE= 0.12, p= 0.016).

Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.

Keyword: prevalence, postpartum depression, determinant, path analysis

Correspondence: Ryanwati Putriarsih. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: puuputriana@gmail.com. Mobile: +6281393085790

Journal of Maternal and Child Health (2018), 3(1): 395-408
https://doi.org/10.26911/thejmch.2017.03.01.02 

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References

Apriliana KA, Maftuchah, Nurhudhariani R (2014). Hubungan pendidikan dan paritas dengan kejadian kehamilan tidak diinginkan pada akseptor KB di PKBI as Sakinah Kabupaten Pemalang tahun 2014. SMART Jurnal Kebidanan. 3(2): 36–45.

Azmoude E, Jafarnejade F, Mazlom SR (2015). The predictors for maternal selfefficacy in early parenthood. Journal of Midwifery & Reproductive Health. 3(2): 368–376.

Barton K, Redshaw M, Quigley MA, Carson C (2017). Unplanned pregnancy and subsequent psychological distress in partnered women: A crosssectional study of the role of relationship quality and wider social support. BMC Pregnancy and Childbirth. 17(1): 1–9.

Borra C, Iacovou M, Sevilla A (2015). New evidence on breastfeeding and postpartum depression: the importance of understanding women’s intentions. Maternal and Child Health Journal. 19(4): 897–907.

Cirik DA, Yerebasmaz N, Kotan VO, Salihoglu KN, Akpinar F, Yalvac S, Kandemir O (2016). The impact of prenatal psychologic and obstetric parameters on postpartum depression in lateterm pregnancies: A preliminary study. Taiwanese Journal of Obstetrics and Gynecology. 55(3): 374–378.

Dinas Kesehatan Provinsi Jawa Tengah (2016). Profil Kesehatan Provinsi Jawa Tengah Tahun 2016. Semarang: Dinas Kesehatan Provinsi Jawa Tengah

Fairus M, Widiyanti S (2014). Hubungan dukungan suami dengan kejadian depresi postpartum pada ibu nifas. Jurnal Kesehatan Metro Sai Wawai. 7(1): 11–18.

FaisalCury A, Menezes PR, Quayle J, Matijasevich A (2016). Unplanned pregnancy and risk of maternal depression: secondary data analysis from a prospective pregnancy cohort. Psychology, health & medicine. 8506: 1–10.

Fatmawati DA (2015). Faktor risiko yang berpengaruh terhadap kejadian postpartum blues. Jurnal Edu Health. 5(2): 94–101.

Gjerdingen D, McGovern P, Attanasio L, Johnson PJ, Kozhimannil KB (2014). Maternal depressive symptoms, employment, and social support. The Journal of the American Board of Family Medicine. 27(1): 87–96.

Gutiérrez Zotes, A. Labad J, Martin Santos R, Garcia Esteve L, Gelabert E, Jover M, Guillamat R, Mayoral F, Gornemann I, Canellas F, Gratacos M, Guitart R, Roca M, Costas J, Ivorra JL, Navines R, Diego Otero Y, Vilella E, Sanjuan J (2016). Coping strategies for postpartum depression: a multicentric study of 1626 women. Archives of Women’s Mental Health. 19(3): 455–461.

Habel C, Feeley N, Hayton B, Bell L, Zelkowitz P (2015). Causes of women’s postpartum depression symptoms: Men’s and women’s perceptions. Midwifery. 31(7): 728–734.

Haffejee F, O’Connor L, Govender N, Reddy P, Sibiya MN, Ghuman S, Ngxongo T, Borg D (2017). Factors associated with unintended pregnancy among women attending a public health facility in KwaZulu Natal, South Africa. South African Family Practice. 6190: 1–5.

Holland ML, Kwang Yoo B, Kitzman H, Chaudron L, Szilagyi PG, Temkin Greener H (2011). Selfefficacy as a mediator between maternal depression and child hospitalizations in low income urban families. Maternal and Child Health Journal. 15(7): 1011–1019.

Indriasari S (2017). Tingkat depresi pada ibu postpartum di Puskesmas Morokrembangan Surabaya. Dunia keperawatan. 5(1): 43–49.

Irawati D, Yuliani F (2014). Pengaruh faktor psikososial dan cara persalinan terhadap terjadinya postpartum blues pada ibu nifas (studi di ruang nifas RSUD R.A Bosoeni Mojokerto). Hospital Majapahit. 6(1): 1–14.

Kemenkes RI (2013). Riset Kesehatan Dasar 2013. Ministry of Health Republic of Indonesia 1: 1–303.

Kettunen P, Koistinen E, Hintikka J (2014). Is postpartum depression a homogenous disorder: Time of onset, severity, symptoms and hopelessness in relation to the course of depression. BMC Pregnancy and Childbirth. 14(1): 1–9.

Kurniasari D, Astuti YA (2015). Hubungan antara karakteristik ibu, kondisi bayi dan dukungan sosial suami dengan postpartum blues pada ibu dengan persalinan SC di Rumah Sakit Umum Ahmad Yani Metro Tahun 2014. Jurnal Kesehatan Holistik. 9(3): 115–125.

Kusumastuti, Astuti DP, Hendriyati S (2015). Hubungan karakteristik individu dengan depresi postpartum pada ibu postpartum di Rumah Sakit Umum Daerah Kabupaten Kebumen. Jurnal Involusi Kebidanan. 5(9): 1–17.

Leahy Warren P, McCarthy G, Corcoran P (2011). Postnatal depression in firsttime mothers: prevalence and relationships between functional and structural social support at 6 and 12 weeks postpartum. Archives of Psychiatric Nursing. 25(3): 174–184.

Manurung S, Lestari TR, Suryati B, Mitadwiyana B, Karma A, Paulina K (2011). Efektivitas terapi musik terhadap pencegahan postpartum blues pada ibu primipara di Ruang Kebidanan RSUP Cipto Mangunkusumo Jakarta Pusat. Buletin Penelitian Sistem Kesehatan. 14(1): 17–23.

Mathisen SE, Glavin K, Lien L, Lagerlov P (2013). Prevalence and risk factors for postpartum depressive symptoms in Argentina: a cross sectional study. International Journal of Women’s Health. 21(5): 787–793.

Mercier RJ, Garret J, Thorp J, Siega Riz A (2013). Pregnancy intention and postpartum depression: Secondary data analysis from a prospective cohort. BJOG: An International Journal of Obstetrics and Gynaecology. 120(9): 1116–1122.

Yusuff ASM, Tang L, Binns CW, Lee, AH (2015). Prevalence and risk factors for postnatal depression in Sabah, Malaysia: A cohort study. Women and Birth. 28(1): 25–29.

Monzani D, Steca P, Greco A, D’Addario M, Cappelletti E, Pancani L (2015). The situational version of the brief COPE: Dimensionality and relationships with goalrelated variables. Europe’s Journal of Psychology. 11(2): 295–310.

Motzfeldt I, Andreasen S, Pedersen AL, Pedersen ML (2013). Prevalence of postpartum depression in Nuuk, Greenland A crosssectional study using Edinburgh Postnatal Depression Scale. International Journal of Circumpolar Health, 72: 1–6.

Muchanga SMJ, Yasumitsu Lovell K, Eitoku M, Mbelambela EP, Ninomiya H, Komori K, Tozin R, Maeda N, Fujieda M, Suganuma N, Japan Environment and Children’s Study Group (2017). Preconception gynecological risk factors of postpartum depression among Japanese women: The Japan Environment and Children’s Study (JECS). Journal of Affective Disorders. 217: 34–41.

Negron R, Martin A, Almog M, Balbierz A, Howell EA (2013). Social support during the postpartum period: Mothers’ views on needs, expectations, and mobilization of support. Maternal and Child Health Journal. 17(4): 616–623.

Norliza J, Siti KAS, Emad AS, Norimah S (2014). Depression and coping strategies used by postnatal mothers during the postpartum period. Malaysian Journal of Psychiatry Ejournal. 11(2).

Qobadi M, Collier C, Zhang L (2016). The effect of stressful life events on postpartum depression: findings from the 2009–2011 Mississippi pregnancy risk assessment monitoring system. Maternal and Child Health Journal. 20(1): 164–172.

Rahmandani A, Karyono, Dewi EK (2010). Strategi penanggulangan (coping) pada ibu yang mengalami postpartum blues di Rumah Sakit Umum Daerah Kota Semarang. Jurnal Psikologi Undip. 5(1).

Reck C, Noe D, Gerstenlauer J, Stehle E (2012). Effects of postpartum anxiety disorders and depression on maternal selfconfidence. Infant Behavior and Development. 35(2): 264–272.

Rockhill KM, Ko JY, Tong VT, Morrow B, Farr SL (2017). Trends in postpartum depressive symptoms 27 states, 2004, 2008, and 2012. MMWR: Morbidity & Mortality Weekly Report. 66(6): 153–158.

Saptarini I, Suparmi S. (2016). determinan kehamilan tidak diinginkan di Indonesia (analisis data sekunder riskesdas 2013). Jurnal Kesehatan Reproduksi. 7(1): 15–24.

Shahry P, Kalhori SRN, Esfandiyari A, Zamani Alavijeh F (2016). A comparative study of perceived social support and selfefficacy among women with wanted and unwanted pregnancy. International journal of community based nursing and midwifery. 4(2): 176–85.

Stepanikova I, Kukla L (2017). Is perceived discrimination in pregnancy prospectively linked to postpartum depression? exploring the role of education. Maternal and Child Health Journal. 21(8): 1669–1677.

Sylvén, SM, Thomopoulos TP, Kollia N, Jonsson M, Skalkidou A (2017). Correlates of postpartum depression in first time mothers without previous psychiatric contact. European Psychiatry. 40: 4–12.

Taherifard P, Delpisheh A, Shirali R, Afkhamzadeh A, Veisani Y (2013). Socioeconomic, psychiatric and materiality determinants and risk of postpartum depression in border city of Ilam, western Iran. Depression Research and Treatment. 1-7.

Tikmani SS, Soomro T, Tikmani P (2016). Prevalence and determinants of postpartum depression in a tertiary care hospital. Austin J Obstet Gynecol. 3(2): 0–4.

World Health Organization (2017). Depression and other common mental disorders: global health estimates. World Health Organization. 1–24.

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