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Articles
Published: 2022-12-15

Postpartum blues reviewed by the risk factors in Indonesia

Public Health Faculty, Universitas Ahmad Dahlan, Indonesia
Public Health Faculty, Universitas Ahmad Dahlan, Indonesia

Abstract

Background: Postpartum blues are known as postpartum sadness that could initiate a more serious mental disorder. It causes a decrease in the mother's interest in her baby, failure to breastfeed, to acts of hurting the baby and themself. Knowing the determinant factors of postpartum blues as a prevention effort is necessary. Therefore, this review aims to assess the factors contributing to postpartum blues, especially in Indonesian mothers. 

Methods: A review of all peer-reviewed journal-published studies on postpartum blues and its risk factors among Indonesian mothers from 2012 - 2022. The following databases were searched; Google scholars; SpringerLink; and science direct on September 2022 using the keywords "postpartum blues", "maternal blues", "baby blues", "risk factors”, and “Indonesia”.

Results: Fifteen studies were included in this review. Risk factors that contribute to the occurrence of postpartum blues are age, salary, education, employment, breastfeeding process, health education after labor, type of labor, labor induction and labor complications, parity, pregnancy status, mother readiness, labor readiness, marriage satisfaction, husband support, and social support.

Conclusion: Women with low socioeconomic Status (SES) and primiparous births have a greater risk of suffering from postpartum blues. Therefore, it is necessary to provide psychological assistance to health workers to the mother after giving birth.



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References

  1. Sari RA. Literature Review: Depresi Postpartum. J Kesehat. 2020 May 27;11(1):167. https://doi.org/10.26630/jk.v11i1.1586
  2. Restarina D. Gambaran Tingkat Depresi Ibu Postpartum Di Wilayah Kerja Puskesmas Ciputat Timur Kota Tangerang Selatan Tahun 2017. Universitas Islam Negeri Syarif Hidayatullah; 2017. https://repository.uinjkt.ac.id/dspace/bitstream/123456789/37290/1/DWI RESTARINA-FKIK.pdf
  3. Tarisa N, Octarianingsih F, Ladyani F, Pramesti W. Distribusi Frekuensi Kejadian Postpartum Blues Pada Ibu Pascamelahirkan. J Ilm Kesehat Sandi Husada. 2020;12(2):1057–62. https://doi.org/10.35816/jiskh.v12i2.430
  4. Hapgood CC, Elkind GS, Wright JJ. Maternity Blues: Phenomena and Relationship to Later Post Partum Depression. Aust N Z J Psychiatry. 1988; 22:299–306. https://doi.org/10.3109/00048678809161211
  5. Varney H, Kriebs JM, Gegor CL. Varney’s Midwifery. Jones and Bartlett Publishers. Massachusetts; 2004. 1433 p. https://eprints.triatmamulya.ac.id/1336/1/%28Midwifery%20and%20Maternity%20Care%29%20Helen%20Varney%2C%20Jan%20M.%20Kriebs%2C%20Carolyn%20L.%20Gegor%20-%20Varney%E2%80%99s%20Midwifery-Jones%20_%20Bartlett%20Learning%20%282003%29.pdf
  6. Muhida V, Qonita, Umalilhayati. Analisis Faktor Risiko Terjadinya Postpartum Blues Di Ruang Wijaya Kusuma. J Appl Heal Res Dev. 2021;3(1):1–16. https://jurnal.poltekkes-aisyiyahbanten.ac.id/index.php/path/article/view/95/56
  7. Idaiani S, Basuki B. Postpartum depression in Indonesia women: a national study. Heal Sci J Indones. 2012;3(1):3–8. https://media.neliti.com/media/publications-test/56266-postpartum-depression-in-indonesia-women-8da1fa92.pdf
  8. Tolongan C, Korompis GE., Hutauruk M. Dukungan Suami Dengan Kejadian Depresi Pasca Melahirkan. J Keperawatan. 2019;7(2). https://doi.org/10.35790/jkp.v7i2.24453
  9. Silva CS, Lima MC, Sequeira-de-Andrade LAS, Oliveira JS, Monteiro JS, Lima NMS, et al. Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. J Pediatr (Rio J). 2017;93(4):356–64. https://doi.org/10.1016/j.jped.2016.08.005
  10. Greenhalgh T. How to Read a Paper, the basics of evidence based medicine. Second Edi. BMJ books. London: BMJ Publishing Group; 2001. 222 p. https://www.ebcp.com.br/simple/upfiles/livros/001HTRP.pdf
  11. Mirza I, Jenkins R. disorders in Pakistan: systematic review. Br Med J. 2004;328(April):1–5. https://doi.org/10.1136/bmj.328.7443.794
  12. Fisher J, de Mello MC, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: A systematic review. Bull World Health Organ. 2012;90(2):139–49. https://doi.org/10.2471/BLT.11.091850
  13. Ayoub K, Shaheen A, Hajat S. Postpartum Depression in The Arab Region: A Systematic Literature Review. Clin Pract Epidemiol Ment Heal. 2020;16(1):142–55. https://doi.org/10.2174/1745017902016010142
  14. Suparwati I, Murwati M, Suwanti E. Hubungan Antara Kelancaran Pengeluaran Asi Dengan Kejadian Postpartum Blues Di Wilayah Puskesmas Trucuk Ii 8 Klaten. J Kebidanan dan Kesehat Tradis. 2018;3(1):8–13. https://doi.org/10.37341/jkkt.v3i1.58
  15. Fitrah AK, Helina S. Hubungan Dukungan Suami terhadap Kejadian Postpartum Blues di Wilayah Kerja Puskesmas Payung Sekaki Kota Pekanbaru Tahun 2017. J Ibu dan Anak. 2017;33(December):17–25. https://media.neliti.com/media/publications/432788-none-68cb234d.pdf
  16. Fatmawati DA. Faktor Risiko yang Berpengaruh terhadap Kejadian Postpartum Blues. J EduHealth. 2015;5(2). https://doi.org/10.15294/ujph.v5i4.11372
  17. Oktaputrining D, C. S, Suroso S. Post Partum Blues: Pentingnya Dukungan Sosial Dan Kepuasan Pernikahan Pada Ibu Primipara. Psikodimensia. 2018;16(2):151. https://doi.org/10.24167/psiko.v16i2.1217
  18. Harianis S, Sari NI. Analisis Faktor Yang Mempengaruhi Kejadian Post Partum Blues. JOMIS (Journal Midwifery Sci. 2022;6(1):85–94. https://doi.org/10.36341/jomis.v6i1.2141
  19. Kurniawati D, Septiyono EA. Determinants of Postpartum Blues in Indonesia. Pediomaternal Nurs J. 2022;8(1):1–8. https://doi.org/10.20473/pmnj.v8i1.27649
  20. Susanti LW, Sulistiyanti A. Analisis Faktor-Faktor Penyebab Terjadinya Baby Blues Syndrom Pada Ibu Nifas. J Ilm Rekam Medis Dan Inform Kesehat. 2017;7(2):12–20. https://www.apikescm.ac.id/ejurnalinfokes/index.php/infokes/article/view/178/158
  21. Yuni Kusmiyati, Herlina Tri Nugraheni, Waryana YEP. Young age pregnancy and postpartum blues incidences. Int J Sci Res Educ. 2018;6(2):7812–9. https://doi.org/10.18535/ijsre/v6i2.02
  22. Marwiyah N, Suwardiman D, Kurnia Mutia H, Ayu Alkarimah N, Rahayu R, Uzzakiyyah I. Faktor Determinan yang Mempengaruhi terjadinya Postpartum Blues pada Ibu Nifas. Faletehan Heal J. 2022;9(1):89–99. https://doi.org/10.33746/fhj.v9i01.298
  23. Pramudianti DN. Hubungan Antara Usia Ibu Nifas Dengan Kejadian Postpartum. J Midwifery Reprod. 2018;2(1):13–8. https://doi.org/10.35747/jmr.v2i1.320
  24. Susilawati B, Dewayani ER, Oktaviani W, Subekti AR. Faktor-Faktor yang mempengaruhi Kejadian Post Partum Blues di RS Akademik Universitas Gadjah Mada. J Nurs Care Biomol. 2020;5(1):77–86. https://doi.org/10.32700/jnc.v5i1
  25. Rosalinna, Siswiyanti. Impact of Delivery Complications on Prellactal Feeding , Postpartum Blues and Postpartum Depression. J Matern Child Heal Sci. 2022;2(1):139–46. https://doi.org/10.36086/maternalandchild.v2i1.1286
  26. SARI RP, DENSY A, KERAMAN B. Analisis Faktor Risiko Kejadian Postpartum Blues Di Puskesmas Perumnas Kabupaten Rejang Lebong. J Midwifery. 2020;8(1):29–36. https://doi.org/10.37676/jm.v8i1.1031
  27. Vidayati LA, Zainiyah H. Determinant Factors that has Associated with Incidence of Postpartum Blues in the one of Primary General and Maternity Clinic in East Java, Indonesia. J Int Dent Med Res. 2021;14(2):845–8. http://www.jidmr.com/journal/wp-content/uploads/2021/07/66-M21_1468_Lelly_Aprilia_Vidayati_Indonesia-1.pdf
  28. Fatmawati A, Wahyuni RJ, Imansari B. Pengaruh Psikoedukasi Terhadap Penurunan Tingkat Postpartum Blues: Literature Review. J Ilmu Keperawatan dan Kebidanan. 2022;13(1):35. https://doi.org/10.26751/jikk.v13i1.1180
  29. Pitoyo AJ, Triwahyudi H. Dinamika Perkembangan Etnis di Indonesia dalam Konteks Persatuan Negara. Populasi. 2018;25(1):64. https://doi.org/10.22146/jp.32416
  30. Goldstein MA. Adolescent pregnancy. MassGeneral Hosp Child Adolesc Med Handb. 2011;111–3. https://doi.org/10.1007/978-1-4419-6845-6_15
  31. UNFPA. Fact Sheet : Teenage Pregnancy. United Nations Popul Funds. 2016;1–4. https://tanzania.unfpa.org/sites/default/files/pub-pdf/factsheet_teenage%20pregnancy_UNFPA_14oct.pdf
  32. Ladores S, Corcoran J. Investigating Postpartum Depression in the Adolescent Mother Using 3 Potential Qualitative Approaches. Clin Med Insights Pediatr. 2019;13:117955651988404. https://doi.org/10.1177/1179556519884042
  33. Castañeda J, SantaCruz H. Factores de riesgo asociados al embarazo en adolescentes. Enfermería Glob. 2021;20(2):109–28. https://doi.org/10.6018/eglobal.438711
  34. Goyal D. Prenatal and Postpartum Depressive Symptoms in First Time. Women Heal Issues. 2010;20(2):96–104. https://doi.org/10.1016/j.whi.2009.11.003
  35. Verbeek T, Bockting CLH, Beijers C, Meijer JL, van Pampus MG, Burger H. Low socioeconomic status increases effects of negative life events on antenatal anxiety and depression. Women and Birth. 2019;32(1):e138–43. https://doi.org/10.1016/j.wombi.2018.05.005
  36. Lewis BA, Billing L, Schuver K, Gjerdingen D, Avery M, Marcus BH. The relationship between employment status and depression symptomatology among women at risk for postpartum depression. Women’s Heal. 2017;13(1):3–9. https://doi.org/10.1177/1745505717708475
  37. Kurtz Landy C, Sword W, Ciliska D. Urban women’s socioeconomic status, health service needs and utilization in the four weeks after postpartum hospital discharge: Findings of a Canadian cross-sectional survey. BMC Health Serv Res. 2008;8:1–9. https://doi.org/10.1186/1472-6963-8-203
  38. Urbanová E, Škodová Z, Bašková M. The association between birth satisfaction and the risk of postpartum depression. Int J Environ Res Public Health. 2021;18(19). https://doi.org/10.3390/ijerph181910458
  39. Pamogsa Daniyar, Riski D, Rofi’ah S. Systematic Review: Factors Affecting Postpartum Blues. MIKIA Mimb Ilm Kesehat Ibu dan Anak (Maternal Neonatal Heal Journal). 2020;0825:29–39. https://doi.org/10.36696/mikia.v5i2.78
  40. Handerson C, Jones. Buku Ajar Konsep Kebidanan. Jakarta: EGC: Penerbit Buku Kedokteran; 2006. https://www.poltekkesbdg.info/perpustakaan/opac/index.php?p=show_detail&id=30446
  41. Andarini A, Ulya Z. Coping Strategy in Mother With Post Partum Blues Experience in Kediri : a Case Report. J Psychiatry Psychol Behav Res. 2022;3(1):16–9. https://doi.org/10.21776/ub.jppbr.2022.003.01.5
  42. Shimao M, Matsumura K, Tsuchida A, Kasamatsu H, Hamazaki K, Inadera H, et al. Influence of infants’ feeding patterns and duration on mothers’ postpartum depression: A nationwide birth cohort ―The Japan Environment and Children’s Study (JECS). J Affect Disord. 2021;285(September 2020):152–9. https://doi.org/10.1016/j.jad.2021.02.011
  43. Beyene GM, Azale T, Gelaye KA, Ayele TA. Effect of antenatal depression on the initiation of breastfeeding in South Gondar zone, Northwest Ethiopia: A population-based prospective cohort study. Heliyon. 2022;8(1):e08759. https://doi.org/10.1016/j.heliyon.2022.e08759
  44. Ahmad Zadeh Beheshti M, Alimoradi Z, Bahrami N, Allen KA, Lissack K. Predictors of breastfeeding self-efficacy during the covid-19 pandemic. J Neonatal Nurs. 2021;(July). https://doi.org/10.21203/rs.3.rs-246918/v1
  45. Figueiredo B, Dias CC, Brandão S, Canário C, Nunes-Costa R. Breastfeeding and postpartum depression: State of the art review. J Pediatr (Rio J). 2013;89(4):332–8. https://doi.org/10.1016/j.jped.2012.12.002
  46. Ambarwati ER, Listiyani R. Parity Early Stage of Marriage with Incidence of Postpartum Depression. Int J Public Heal Sci. 2014;3(3):158. https://doi.org/10.11591/ijphs.v3i3.4687
  47. Anggasari Y. The Event of Maternity Blues Been Reviewed From Paritas Ibu Nifas in BPM Nanik Cholid Sidoarjo. In: Proceeding of Surabaya International Health Conference. 2017. p. 490–6. http://repository.unusa.ac.id/6600/3/The%20Event%20Of%20Maternity%20Blues%20Been%20Reviewed%20From%20Parity%20Of%20Postpartum%20Mothers%20In%20Bpm%20Nanik%20Cholid%20Sidoarjo.pdf
  48. Lindblad V, Melgaard D, Jensen KL, Eidhammer A, Westmark S, Kragholm KH, et al. Primiparous women differ from multiparous women after early discharge regarding breastfeeding, anxiety, and insecurity: A prospective cohort study. Eur J Midwifery. 2022;6(March):1–11. https://doi.org/10.18332/ejm/146897
  49. Kaur J, Kaur K. Obstetric complications: Primiparity Vs. Multiparity. Eur J Exp Biol. 2012;2(5):1462–8. https://www.primescholars.com/articles/obstetric-complications-primiparity-vs-multiparity-91604.html
  50. Smithson S, Mirocha J, Kilpatrick S, Horgan R, Graebe R, Massaro R, et al. 1225: Grand multiparity is protective against risk for postpartum depression. Am J Obstet Gynecol. 2020;222(1):S753. https://doi.org/10.1016/j.ajog.2019.11.1236
  51. Muskens L, Boekhorst MGBM, Kop WJ, van den Heuvel MI, Pop VJM, Beerthuizen A. The association of unplanned pregnancy with perinatal depression: a longitudinal cohort study. Arch Womens Ment Health. 2022;25(3):611–20. https://doi.org/10.1007/s00737-022-01225-9
  52. Abbasi S, Chuang CH, Dagher R, Zhu J, Kjerulff K. Unintended pregnancy and postpartum depression among first-time mothers. J Women’s Heal. 2013;22(5):412–6. https://doi.org/10.1089/jwh.2012.3926
  53. Salsabilla DA, Prasetya H, Murti B. The Effect of Unplanned Pregnancy on Postpartum Depression: A Meta-Analysis. J Matern Child Heal. 2020;5(5):500–13. https://doi.org/10.26911/thejmch.2020.05.05.05.
  54. Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: A cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy Childbirth. 2017;17(1):1–9. https://doi.org/10.1186/s12884-017-1223-x
  55. Rahayu CD, Mulyani S. Pengaruh Dukungan Sosial Orang Terdekat dalam Meminimalisir Peristiwa dan Dampak Postpartum pada Ibu Usia Muda. J Ilm Kesehat. 2020;19(Mei):33–42. https://ojs.unsiq.ac.id/index.php/jik/article/view/1314
  56. Dinarum, Rosyidah H. Literatur Review : Pengaruh Dukungan Suami Terhadap Kejadian Postpartum Blues. Call Pap Semin Nas Kebidanan. 2020;2(2):90–5. http://jurnal.unw.ac.id/index.php/semnasbidan/article/view/825/590.


How to Cite

1.
Utami FP, Nurfita D. Postpartum blues reviewed by the risk factors in Indonesia . jidhealth [Internet]. 2022 Dec. 15 [cited 2023 Feb. 9];5(4). Available from: https://jidhealth.com/index.php/jidhealth/article/view/258