Hubungan kecemasan, cara persalinan dan onset laktasi dengan kejadian postpartum blues

Greiny Arisani(1*), Noordiati Noordiati(2)


(1) Prodi D.III Kebidanan Jurusan Kebidanan Poltekkes Kemenkes Palangka Raya
(2) Prodi D.III Kebidanan Jurusan Kebidanan Poltekkes Kemenkes Palangka Raya
(*) Corresponding Author

Abstract


Masa Nifas rentan terhadap masalah kesehatan mental. Salah satu gangguan kesehatan mental yang terjadi pada masa nifas adalah postpartum blues. Postpartum blues merupakan manifestasi pasikopatologis paling ringan dan paling umum terjadi segera setelah melahirkan pada minggu pertama sampai 10 hari setelah melahirkan puncaknya antara 3 sampai 5 hari postpartum dan menurun pada 10 sampai 12 hari sesudahnya. Postpartum blues berpotensi menjadi prediktor depresi postpartum dan jika kondisi ini berlanjut dapat menyebabkan gangguan mental yang lebih parah. Penelitian ini bertujuan untuk menganalisis hubungan kecemasan, cara persalinan dan onset laktasi dengan kejadian postpartum blues. Jenis penelitian ini adalah analitik observasional dengan desain cross sectional dengan alat pengumpul data berupa kuesioner. Analisis data menggunakan analisis univariat dan bivariat menggunakan uji chi square terhadap 122 responden ibu nifas yang mendapatkan perawatan di BLUD RSUD dr. Doris Sylvanus Palangka Raya. Hasil penelitian menunjukkan sebesar 37,7% responden mengalami postpartum blues dengan skor EPDS≥10.  Terdapat hubungan yang signifikan antara kecemasan (OR=6,28 CI 95% 2,31-16,72; p=0,000), cara persalinan (OR=8,78 CI 95% 3,20-24,09; p=0,000) dan onset laktasi (OR=6,42 CI 95% 2,09-19,74; p=0,001 dengan kejadian postpartum blues. Dapat disimpulkan terdapat hubungan yang signifikan kecemasan, cara persalinan dan onset laktasi dengan postpartum Blues di BLUD RSUD dr. Doris Sylvanus Palangka Raya


Keywords


Postpartum blues; kecemasan; cara persalinan; onset laktasi

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DOI: https://doi.org/10.26714/jk.10.2.2021.149-160

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