Determinants of Postpartum Depression in Karanganyar, Central Java


Ahadyah Miftahul Jannah1), Uki Retno Budihastuti2), Bhisma Murti3)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2) Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta

 

ABSTRACT

Background: Depression is one of the most common and specific problems during pregnancy and after it. Maternal postpartum depression compromises mother’s health and affects social relationship, and has negative effect on infant development. This stu­dy aimed to examine determinants of postpartum depression in Karanganyar, Central Java.

Subjects and Method: This was a cross sectional study conducted in Karanganyar, Cen­tral Java, from November to December 2018. A sample of 200 postpartum mothers was selected by random sampling. The dependent variable was postpartum depression. The independent variables were stress level, work, income, education, pregnancy sta­tus, parity, coping strategy, and labor compli­cation, husband support. Data on dep­ression were measured by the Edinburgh Postnatal Depression Scale (EPDS). Data on stress were measured by Depression Anxiety Stress Scale 42 (DASS 42). Data on coping mecha­nism were measured by Brief Cope (Coping Orientation for Problem Expe­rien­ces). The other data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: Post partum depression increased with complication during birth delivery (b=2.91; 95% CI= 0.99 to 4.83; p=0.003) and high stress (b=2.70; 95% CI= o.48 to 4.91; p= 0.017). Post partum depression decreased with strong husband support (b=-2.15; 95% CI= -4.01 to -0.28; p= 0.024), employed (b=-3.16; 95% CI= -4.81 to 1-1.51; p<0.001), high income (b= -2.93; 95% CI= -5.21 to -0.66; p= 0.011), high education (b=-2.45; 95% CI= -4.18 to -0.71; p= 0.006), pregnancy status (b= -2.78; 95% CI= -4.96 to -0.60; p= 0.012), parity (b= -2.62; 95% CI= -4.43 to -0.81; p= 0.005), and good co­ping strategy (b= -2.12; 95% CI= -3.96 to -0.28; p=0.024).

Conclusion: Post partum depression increases with complication during birth deli­very and high stress. Post partum depression decreased with strong husband support, em­ployed, high income, high education, pregnancy status, parity, and good coping stra­tegy.

Keywords: postpartum mother, depression, stress, coping strategy

Correspondence: Ahadyah Miftahul Jannah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Surakarta, Central Java.Email: ahadyah­mj@gmail.com. Mobile: +6281228349874.

DOI: https://doi.org/10.26911/theicph.2019.03.19

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