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"Persalinan dengan komplikasi merupakan salah satu faktor penyebab kemungkinan terjadinya postpartum blues. Penelitian ini bertujuan untuk mengidentifikasi ?pengaruh persalinan dengan komplikasi terhadap kemungkinan terjadinya postpartum blues?. Penelitian dilakukan di RS wilayah kota Semarang. Metode yang digunakan adalah case control study. Analisis data menggunakan uji Chi Square dan uji Fisher. Hasil penelitian menunjukkan tidak ada pengaruh antara persalinan dengan komplikasi terhadap kemungkinan terjadinya postpartum blues. Ada faktor lain yang berperan yaitu paritas dan dukungan sosial. Hasil penelitian ini menyarankan untuk meningkatkan dukungan sosial dengan menerapkan prinsip Family Centered Maternity care sepanjang periode perinatal.

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The labor with complication is one of causal factors of postpartum blues happening possibilities. This study aim is to identify the labor?s complication impact to possibility of postpartum blues happening. Design of this research is case control study. This research had done at some hospitals in Semarang with purposive sampling. Data were collected by questionare and analyzed using Chi square and Fisher test. The conclusions of this research is no impact of labor?s complication to postpartum blues possibilities. There are another contribute factors, including: the parity and social support. The results suggest to improve the social support through application of Family Centered Maternity Care during perinatal period."

"ABSTRAKIbu dengan riwayat komplikasi persalinan dapat mengalami depresi postpartum yang ditandai dengan cemas, anhedonia, insomnia, merasa lelah, bersalah, dan muncul keinginan untuk menyakiti diri-sendiri atau bayinya. Penelitian ini bertujuan utamanya untuk mengidentifikasi kejadian depresi postpartum pada ibu dengan riwayat komplikasi persalinan. Desain pada penelitian ini adalah cross sectional dengan jumlah responden 107 ibu beriwayat komplikasi persalinan yang dipilih secara consecutive sampling, kemudian dianalisis secara univariat. Instrumen pada penelitian ini ialah Edinburgh Postpartum Depression Scale. Persentase terbanyak kejadian depresi postpartum dialami oleh ibu dengan riwayat komplikasi perdarahan saat persalinan (75%). Kemudian sebanyak 71,4% ibu dengan riwayat komplikasi persalinan muntah mengalami depresi postpartum, dan sebanyak 66,7% untuk masing-masing komplikasi durasi persalinan lama dan anemia. Sedangkan kejadian depresi postpartum pada ibu dengan riwayat komplikasi persalinan sesarea sebanyak 53,3%. Berdasarkan hal tersebut, diharapkan tenaga kesehatan dapat mengenali tanda dan gejala depresi postpartum sejak dini, sehingga dapat dilakukan penanganan segera agar tidak menjadi masalah yang lebih kompleks.

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ABSTRACTMothers with a history of birth complications may experience postpartum depression, is characterized by anxiety, anhedonia, insomnia, feeling tired, guilty, and the willingness to harm themselves or their babies. The main aim of this study is to identify the incidence of postpartum depression in women with a history of childbirth complications. The design used was cross sectional with the number of respondents 107 women with history of birth complications were selected by consecutive sampling, then analyzed by univariate. The instrument is Edinburgh Postpartum Depression Scale. Highest percentage incidence of postpartum depression experienced by the mother with history of bleeding complications during childbirth (75%). Then as much as 71,4% of women with a history of vomiting during labor experienced postpartum depression, and as much as 66,7% for each of the complications of prolonged labor and anemia. While the incidence of postpartum depression in women with a history of cesarean delivery complications 53,3%. Accordingly, the expected health providers can recognize the signs and symptoms of postpartum depression early, so that immediate action can be done so as not to become a more complex problem."

"Ibu mengalami perubahan suasana hati selama periode postpartum. Perubahan suasana hati seperti sering menangis, sedih, marah, lelah dan sulit tidur disebut postpartum blues. Postpartum blues dapat terjadi pada ibu persalinan pervaginam dan sectio caecaria (SC). Penelitian ini menggunakan desain penelitian deskriptif yang bertujuan untuk mengidentifikasi karakteristik dan kejadian postpartum blues pada ibu persalinan pervaginam dan SC. Sampel pada penelitian ini berjumlah 91 orang. Teknik sampel yang digunakan yaitu consecutive sampling. Hasil menunjukkan kejadian postpartum blues pada persalinan SC sebesar 88,1% dan pervaginam sebesar 71,9%. Oleh karena itu, petugas kesehatan sebaiknya lebih memperhatikan kondisi ibu postpartum khususnya pada ibu persalinan SC.

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Women experience mood swings during the postpartum period. Mood swings such as frequent crying, sadness, anger, fatigue and difficulty sleeping are called postpartum blues. Postpartum blues can occur in vaginal delivery and caecarean section (SC). This research used descriptive design to identify characteristics and the incidence of postpartum blues at vaginal delivery and caecarean section. The participants of this research were 91 postpartum. Sampling technique used in this research was consecutive sampling. The result of this research showed the percentage postpartum blues at caesarean section 88,1% and vaginal delivery 71,9%. Therefore, medical team needs to observe the condition of postpartum, in particular postpartum at caesarean section."

"ABSTRAKIbu postpartum dengan bayi prematur beresiko mengalami postpartum blues dan ansietas, hal inidisebabkan karena banyaknya permasalahan yang dihadapi oleh ibu postpartum dengan bayiprematur. Tujuan penelitian ini mengidentifikasi pengaruh terapi thought stopping dan terapisuportif terhadap postpartum blues dan ansietas ibu postpartum dengan bayi prematur. Metodepenelitian yang digunakan quasi-experiment with control group pretest-post test design denganmetode consecutive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan bayiprematur yang dirawat diruang Perina ? Nicu sebanyak 62 responden. Hasil penelitianmenunjukkan ada penurunan postpartum blues dan ansietas secara bermakna (p-value= 0,000)pada kelompok yang mendapat tindakan keperawatan Ners, terapi thought stopping dan terapisuportif, dan lebih besar penurunan secara bermakna dibandingkan dengan kelompok yang hanyamendapat tindakan keperawatan Ners.. Terapi thought stopping dan terapi suportif mampumenurunkan postpartum blues dan ansietas ibu postpartum dengan bayi prematur

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ABSTRACTPostpartum mothers with premature infants at risk for postpartum blues and anxiety, it is due to themany problems faced by postpartum mothers with premature infants. The purpose of this studyidentified the influence of thought stopping therapy and supportive therapy against postpartumblues and anxiety postpartum mothers with premature infants. The method used a quasiexperimentalcontrol group pretest-posttest design with consecutive sampling method. The samplein this study is postpartum mothers with premature infants who were treated in the Perinatology -Nicu were 62 respondents. The results showed differences in postpartum blues and anxiety levelspostpartum mothers with premature infants significant (p-value = 0.000) between the groupsthought stopping therapy and supportive therapy with groups that receive Ners nursing actions.Thought stopping therapy and supportive therapy can lower postpartum blues and anxiety levelsfor postpartum mothers with premature infants"

"Background: Postpartum blues is a mild mental disorder in postpartum mothers. infant feeding methods may affect the reciprocal of the postpartum blues or postpartum maternal mental health, and these symptoms can lead to successful breast-feeders (breast milk) exclusively Results in 2010 in lndonesia RISKESDES feeding patterns in infants < 1 month was 55.1% partially, and in the province of Bengkulu in 2010 52.9% prelakteal feeding. Prevalence of postpartum blues in several countries between 40-60% while the incidence of postpartum blues in Bengkulu not yet been reported. Research Goals: to determine the relationship breast-feeders pad infants aged < 10 days with symptoms of postpartum blues. Methods: This research is a type of observational research with cross sectional design studt. Large sampIe of 97 postpartum women with accidental sampling technique. Analysis of the data used is univariabIe, bivariable, and multivariable. Results: univariable analysis found that breast-feeders in infants less than 10 days almost all partial breastfeeding (48.45%) and only a fraction of full breastfeeding (19.59%), and almost half mothers experience symptoms of postpartum blues (29.90%). Bivariable analysis showed that there is a significant association between breast-feeders in infants age < 10 days, parity and social support to the symptoms of postpartum blues. But there is no relationship between type of labor with symptoms of postpartum blues. Results: Results of logistic regression analysis showed a significant association between early feeding patterns in infants with symptoms of postpartum blues (OR = 4.47, 95% CI: 1.03 to 10.43), which means non-breastfeeding mothers who have a risk 4.47 times more likely to experience postpartum blues than women full breastfeeding. Conclusion: non breastfeeding mothers who have a risk 4.47 times more likelyto have symptoms than women postpartum full breastfeeding blues. So need to improve the delivery of information, education and communication (IEC) on the importance of breast­feeders alone since the first hour of birth to age 6 months in the mother on an ongoing basis from now on antenatal care, delivery, and postpartum by involving her husband and close family"

"Angka Kematian Ibu (AKI) di Indonesia masih tergolong tinggi yakni 228/100.000 kelahiran hidup. Sebagian besar kematian ibu disebabkan karena komplikasi yang terjadi selama kehamilan dan persalinan. Penelitian ini bertujuan untuk mengetahui faktor - faktor yang berhubungan dengan kejadian komplikasi kehamilan dan persalinan di RSUD Kota Depok tahun 2012. Penelitian ini dilakukan dengan desain kros seksional. Sampel penelitian ini adalah ibu - ibu yang melakukan persalinan di RSUD Kota Depok pada tahun 2012 sebanyak 330 orang.Hasil penelitian menunjukkan bahwa proporsi ibu yang mengalami komplikasi kehamilan dan persalinan adalah sebesar 32,4%. Faktor ? faktor yang berhubungan dengan kejadian komplikasi kehamilan dan persalinan dalam penelitian ini adalah gravida = 1 (PR: 1,56, CI: 1,100-2,234), paritas = 1 (PR:1,46, CI: 1,034-2,057), jarak kelahiran 4-5 tahun (PR: 2,85, CI: 1,330-6,111), jarak kelahiran ≥6 tahun (PR: 3,29, CI: 1,651-6,559), cara bersalin (PR: 1,69, CI:1,237-2,034), riwayat komplikasi (PR: 2,08, CI: 1,393-3,092), riwayat penyakit non-obstetri (PR: 1,58, CI:1,137-2,183), jumlah kunjungan ANC (PR: 1,53, CI:1,112-2,089).

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Maternal mortality ratio in Indonesia is still high within the number 228 per100.000 live births. Most of maternal death is caused by pregnancy and delivery complications. This study aims to know the factors that related to pregnancy and delivery complication in General Hospital (RSUD) Depok 2012. This research used a cross-sectional study, which number of samples were 330 delivered mothers in RSUD Depok 2012.

The result shows that there are 32,4% mothers got pregnancy and delivery complication. Factors which related to pregnancy and delivery complication are gravida = 1(PR: 1,56, CI: 1,100-2,234), parity = 1(PR:1,46, CI: 1,034-2,057), birth spacing 4-5 years (PR: 2,85, CI:1,330-6,111), birth spacing ≥6 years (PR: 3,29, CI: 1,651-6,559), method of delivery (PR: 1,69, CI:1,237-2,034), complication history (PR: 2,08, CI: 1,393-3,092), non-obstetric disease (PR: 1,58, CI:1,137-2,183), and frequency of antenatal care (ANC) (PR:1,53, CI: 1,112-2,089)."

"ABSTRAKMortalitas dan morbiditas pada wanita hamil dan bersalin adalah masalah besar di negara berkembang.Sebagian besar penyebab utama kematian ibu di Indonesia (60-90%) adalah akibat komplikasi persalinan (persalinan lama, diikuti oleh ketuban pecah dini, perdarahan dan demam). Kualitas pelayanan antenatal diduga sebagai faktor risiko kejadian komplikasi persalinan.Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan antenatal terhadap kejadian komplikasi persalinan di delapan propinsi di Indonesia setelah dikendalikan seluruh confounding. Desain studi yang digunakan dalam penelitian ini adalah cross sectional. Sampel pada penelitian ini adalah ibu yang mempunyai bayi/balita di delapan propinsi di Indonesia dengan jumlah sampel 2823 . Teknik pengambilan sampel pada penelitian ini adalah multistage sampling. Analisis multivariat yang digunakan adalah cox regression.Hasil analisis multivariat menunjukkan tidak ada pengaruh kualitas pelayanan antenatal terhadap kejadian komplikasi persalinan setelah dikendalikan variabel penolong persalinan dan cara/metode persalinan dengan prevalence ratio (PR) sebesar 0,89 (CI 95% : 0,59- 1,34). Perlunya peningkatan kualitas pelayanan antenatal terpadu dan terintegrasi agar dapat mencegah, mendeteksi dini dan menanggulangi kejadian komplikasi persalinan serta diharapkan adanya penelitian selanjutnya yang meneliti spesifik jenis ANC yang dapat menurunkan komplikasi persalinan.

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ABSTRACT

Mortality and morbidity on pregnant women and maternity is still big problem in developing countries. Mostly caused of maternal mortality in Indonesia are delivery complication (prolonged labor, water broke, vaginal bleeding, and fever). Quality of antenatal care may be a risk factor of delivery complications.

The purpose of this study to know how much effect quality of antenatal care to delivery complications after adjusted all confounding. This study used the cross sectional design. Respondent of this study are mother who had infant/children under five years at eight provinces in Indonesia and number of respondent were 2823 took with multistage sampling.

The multivariate analysis used cox regression. There was not effect of antenatal care to delivery complications after adjusted delivery helper and methods of delivery with prevalence ratio (PR) sebesar 0,89 (CI 95% : 0,59-1,34). Needed to increasing the comprehensive and integrated quality of antenatal care to prevent, early detection, and to controlled of delivery complication and another similar studies was still needed that examined specific of ANC which can reduced delivery complications."

"Analisi data sekunder Riskesdas 2010 mengidentifikasi kejadian komplikasi pasca persalinan di Indonesia. Sampel 9665 wanita yang berumur 10 – 59 tahun pernah kawin, hamil dan melahirkan anak terakhir dalam kurun waktu 5 tahun terkahir sebelum survai dan memiliki data lengkap sesuai dengan variabel yang akan diteliti. Variabel dependen komplikasi pasca persalinan. Hasil penelitian faktor yang berhubungan dengan komplikasi pasca persalinan, riwayat komplikasi kehamilan (OR = 2,18; 95% CI : 1,18-2,63; P value : 0,0001); riwayat komplikasi persalinan (OR = 3,01; 95% CI : 2,66–3,40; P value : 0,000) dan penolong persalinan (OR = 1,32; 95% CI : 1,14–1,52; P value : 0,0001). Riwayat komplikasi persalinan merupakan faktor yang paling berhubungan, dengan nilai p 0,0001 dan OR 3,01. Memberikan perhatian khusus pada ibu hamil yang memiliki riwayat komplikasi baik kehamilan maupun persalinan, sehingga dapat dilakukan penanganan secara dini terhadap komplikasi pasca persalinan.

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In depth analysis of the Riskesdas data 2010 identifity determinants of postpartum complication in Indonnesia. The sampel was taken 9.665 women aged 10-59 years old have been married, pregnant and gave birth to the last child in the last 5 years prior to the survey and had complete data in accordance with the variables to be studied. Dependent variable postpartum complications. The results of factors associated with postpartum complications, history of pregnancy complications (OR = 2.18, 95% CI: 1.18 to 2.63, P value: 0.000), a history of birth complications (OR = 3.01, 95% CI: 2.66 to 3.40, P value: 0.000) and birth attendants (OR = 1.32, 95% CI: 1.14 to 1.52, P value: 0.000). It was found that history of childbirth complications was the main factor in postpartum complication with p 0.0001 and OR 3.01. Giving special attention to pregnant women who have a history of either pregnancy or childbirth complications, so it can be done early treatment of complications after delivery."

"Kehamilan mengharuskan adaptasi yang berbeda yang dapat menyebabkan kecemasan. Kecemasan pada kehamilan dapat berakibat pada ibu serta kelahiran bayinya. Kecemasan selama kehamilan meningkatkan resiko terjadinya postpartum blues. Postpartum blues ialah periode gangguan emosional setelah melahirkan. Tujuan penelitian ini adalah mengidentifikasi hubungan antara cemas pada kehamilan dengan terjadinya postpartum blues. Penelitian ini menggunakan desain cross sectional dengan metode consecutive sampling. Jumlah sampel penelitian 107 responden ibu postpartum. Instrumen yang digunakan yaitu Blues Questionnaire versi Bahasa Indonesia dan Perinatal Anxiety Screening Scale versi Bahasa Indonesia. Ibu nifas memiliki tingkat kecemasan ringan-sedang 36,4 dan mengalami postpartum blues 48,6. Hasil penelitian dianalisis dengan Chi-square menunjukkan terdapat hubungan antara kecemasan ringan-sedang dengan postpartum blues p=0,000 Penelitian ini merekomendasikan pentingnya memperhatikan psikologis ibu hamil maupun ibu postpartum, mengoptimalkan promosi kesehatan untuk menurunkan kecemasan, mengidentifikasi faktor-faktor lain yang mempengaruhi adaptasi postpartum.

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Pregnancy requires different adaptation which may cause anxiety. Anxiety during pregnancy may affect mother and baby. Anxiety during pregnancy increases risk of postpartum blues. Postpartum blues is a period of emotional disorder after childbirth. The purpose of this study was identifying the relation between anxiety during pregnancy and postpartum blues.

This study used cross sectional design with consecutive sampling method. Total research sample was 107 postpartum women. The instruments were Bahasa Indonesia version of Blues Questionnaire and Bahasa Indonesia version of Perinatal Anxiety Screening Scale. Puerperal women had mild moderate level of anxiety 36,4 and had postpartum blues 48,6.

The research result was analyzed by Chi square, showing relation between mild moderate anxiety and postpartum blues p 0,000. This study recommended the importance of paying attention of the psychology of pregnant women and postpartum women, optimizing health promotion to reduce anxiety, identifying other factors influencing postpartum adaptation."

"ABSTRAKIbu pasca bedah sesar dapat mengalami postpartum blues karena tidak mampu mengontrol terhadap perubahan fisik maupun psikologis selama masa nifas. Penelitian ini bertujuan untuk mengetahui efektifitas paket pendidikan kesehatan dan teknik relaksasi terhadap kejadian postpartum blues pada ibu pasca bedah sesar. Penelitian ini menggunakan desain quasi eksperimen. Teknik pengambilan sampel menggunakan konsekutif pada 60 responden yang terbagi dalam kelompok kontrol dan intervensi. Instrumen yang digunakan berupa kuesioner postpartum blues.Hasil penelitian menunjukkan ada perbedaan yang signifikan kejadian postpartum blues sebelum dan setelah intervensi pada kelompok intervensi p 0 000 paket efektif 16 kali menurunkan kejadian postpartum blues setelah dikontrol oleh faktor pendidikan OR 16 2 CI 95 3 212 81 698. Paket pendidikan kesehatan dan teknik relaksasi efektif menurunkan kejadian postpartum blues dan direkomendasikan di pelayanan kesehatan untuk meningkatkan kesehatan ibu pasca bedah sesar.

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ABSTRACT

Post caesarean mothers may experience postpartum blues because they are unable to control their physical and psychological changes during postpartum period. This study aimed to measure the effectiveness of the health education package and the relaxation techniques against the incidence of postpartum blues in post caesarean mothers. This study applied a quasi experimental design. The samples were 60 respondents divided into a control and an intervention groups selected by consecutive sampling. The instrument was the postpartum blues questionnaire.

The results showed that there was a significant difference between the incidence of postpartum blues before and after the intervention in the intervention group p 0 000. The intervention package was 16 times more effective to decrease the incidence of postpartum blues after being controlled by the education factor OR 16 2 95 CI 3 212 81 698. The health education package and the relaxation techniques were effectively reduced the incidence of postpartum blues and recommended in health care to improve the health of post caesarean mothers."