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Abstrak :
Perbaikan kesehatan ibu dan bayi menjadi prioritas pembangunan kesehatan di Indonesia. Perbaikan tersebut diarahkan kepada kesehatan fisik dan psikologis. Masalah psikologis ibu postpartum primipara diantaranya kejadian postpartum blues yang merupakan salah satu faktor yang berkontribusi terhadap kesehatan ibu secara tidak langsung. Dari hasil penelitian sebelumnya kejadian postpartum blues sangat tinggi sekitar 75% - 80%. Penelitian ini bertujuan untuk mengetahui efektifitas terapi musik dalam mencegah postpartum blues pada ibu postpartum primipara. Penelitian ini menggunakan desain Quasi experiment, pretest-postest dengan kelompok kontrol dan kelompok intervensi. Kelompok intervensi diberi terapi musik instrumental yakni musik klasik tipe Mozart: Eine Kleine Nachtmusik dengan frekuensi 20-40 cps hertz lamanya 15-20 menit, dilakukan 2 kali sehari yakni pukul 8.00 dan pukul 14.00 selama 3 hari. Sampel dalam penelitian ini adalah ibu postpartum primipara yang dirawat di ruang kebidanan RSCM Jakarta Pusat, dengan jumlah masing-masing kelompok kontrol dan kelompok intervensi 18 orang. Hasil uji regresi logistik dan regresi linear ganda membuktikan ada pengaruh terapi musik terhadap pencegahan postpartum blues. Pada ibu yang diberi terapi musik terjadi penurunan skor kejadian postpartum blues sebesar 1,80. Ibu yang tidak diberi terapi musik memiliki peluang untuk mengalami postpartum blues sebesar 5,60 kali dibanding dengan ibu yang diberi terapi musik. Kesimpulan dari penelitian ini bahwa pemberian terapi musik sangat efektif dalam pencegahan postpartum blues. Sebagai rekomendasi hasil studi ini perlu diberikan terapi musik bagi semua ibu postpartum sebagai salah satu intervensi terapi relaksasi di pelayanan kesehatan yakni rumah sakit, puskesmas maupun klinik betsalin......Rehabilitative the mother and baby health becomes priority to health development at Indonesian. The rehabilitative implementation was concern to physical health and psychological. The psychological problem of mothers postpartum primipara there are the postpartum blues evidence which becomes a factor indirectly contribute to mother health. The research result before the postpartum blues evidence very high almost 75%-80%. This research purposed to know music therapy effectiveness in prevents postpartum blues on postpartum prim Para?s mother. This research utilize quasi experiment's design, pretest - posttest with control group and intervention group. Intervention group listened to instrumental music which is Mozart classical music type: Eine Kleine Nachtmusik with frequency 20-40 cps hertz?s in 15-20 minutes duration, sounding off in 2 times a day, on 8.00 WIB a.m and on 14.00 WIB p.m along 3 days. The sample in this observational is postpartum primipara's mother which was nursed at midwifery room RSCM Jakarta Pusat, with total each controls group and intervention group are 18 person. The tests result of logistics regression and double linear regression prove there are available influence music therapy to postpartum blues? prevention. On mother which sounding off musical therapy decreased postpartum blues evidence score as 1, 80. Meanwhile mother that doesn't listened to musical therapy have opportunity to get postpartum blues evidence as 5, 60 times against mother was sounding off by music therapies. The research conclusion is the implementation of listened in musical therapy so effective in postpartum blues? prevention. This result study recommendate it is needs to sound off musical therapy to all post partum?s mother as intervention relaxation therapy at health service center such as hospital, puskesmas and also the maternity clinic.

Abstrak :
Latar Belakang,Tingginya kejadian depresi yang dialami ibu dilaporkan oleh WHO (2018) 15,6% pada masa hamil, 19,8% pada postpartum. Hal ini akan mempengaruhi emosional dan mood ibu dalam berinteraksi dengan bayi dan resiko mencederai dirinya. Tujuan penelitian, mengembangkan dan mengevaluasi skala maternal blues model Suryani (MBS) periode antepartum, postpartum melalui bonding attachment dalam memprediksi postpartum blues. Metode penelitian, desain penelitian adalah research and development dengan proses tiga tahap. Tahap pertama mengidentifikasi item pernyataan dengan studi kualitatif terhadap 18 partisipan ibu antepartum dan postpartum. Tahap dua validasi skala MBS terhadap ibu antepartum sebanyak 450 responden, postpartum 501 responden. Tahap tiga penerapan skala MBS pada 60 ibu antepartum dan postpartum. Draft skala MBS diuji validasinya terhadap skala maternity blues Kennerley. Pengumpulan data menggunakan Puskesmas Jakarta Selatan. Analisis data kualitatif dengan konten analisis, analisis faktor, uji korelasi, uji diagnostik dan uji general linear model (GLM). Hasil penelitian, skala MBS antepartum dihasilkan 24 item pernyataan terdiri dari delapan faktor internal (menggambarkan resiko postpartum blues), 16 faktor eksternal (menggambarkan sumber pendukung). Skala MBS periode postpartum ada 32 item yang terdiri dari 24 faktor internal dan delapan faktor eksternal. Tahap uji coba terhadap ibu antepartum sejak 35 minggu sampai postpartum diperoleh bahwa skala MBS dapat memprediksi resiko postpartum blues (RR faktor internal .85, RR faktor eksternal .25). Kesimpulan, skala MBS periode antepartum dan postpartum dapat memprediksi kejadian postpartum blues. Skala direkomendasikan untuk digunakan oleh perawat/bidan dalam pengkajian antepartum dan postpartum sehingga resiko postpartum blues dapat dicegah sejak dini.

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Background, Increasing the evident of mentally deprivation among women were reported by WHO (2018) that 15.6% happened since pregnancy and 19.8% happened after delivered their baby. This will in turn affect the emotional and mood of women wheninteracting with baby and danger the life of the baby and theirselves. The purpose of research, development and evaluation of maternal blues scale model of the Suryani (MBS) in the period antepartum, postpartum through bonding attachment in predicting postpartum blues. Methods, The research design is research and development with a three-stage process. The first stage identified statement items with qualitative studies of 18 antepartum and postpartum maternal participants. The second stage is MBS scale validation that participant by 450 pregnant women and 501 postpartum women. The draft of MBS scale has been tested of its validation toward the excity scale by Kennerley's. Phase three applies the MBS scale for 60 antepartum and postpartum mothers that observed pregnant women from 35 weeks until they delivered their babies. This study conducted at in the South Jakarta community Health Center in 2017Year. Data analysis used thematic content analysis, factor analysis, correlation tests, diagnostic tests and GLM Results of the study, antepartum MBS scale, produced 24 items statement consists of eight internal factors (describing the risk of postpartum blues) and 16 external factors (describing sources of support). Postpartum MBS scale, produced 32 items statement consists of 24 internal factors and eight external factors.. Both scales produced NFI > .80 and goodness of fit > .5. That showed good validity and reliability. The third phase showed that the scale of MBS can predict the risk of postpartum blues. Conclusions, MBS antepartum and postpartum scale period can predict the incidence of postpartum blues. Scale is recommended to be use by nurses / midwives in antepartum and postpartum assessment.