SYSTEMATIC REVIEW: FACTORS AFFECTING POSTPARTUM BLUES

Abstract

Women who experience postpartum or childbirth will experience various changes, both physiological, psychological and sociocultural changes. In the postpartum period, 85% of postpartum mothers can experience psychological disorders. The postpartum blues is postpartum sadness or moodiness, usually appearing about two days to two weeks from the birth of the baby. Mental health conditions that arise during the perinatal period, including depression, have the potential to negative impact not only women but also spouses, babies and their families. Objective: To determine the prevalence of postpartum blues in Indonesia and the world and the risk factors for postpartum blues. Methods: This study uses a database search approach (Pubmed, Science Direct, Garuda, Google Scholar) and gray literature. All studies reporting the prevalence and risk factors for postpartum blues were included in the inclusion criteria. Twenty-five associations were identified and assessed for their association with risk factors and prevalence of postpartum blues in postpartum women. Seventeen studies generally used the EPDS to rate anxiety scales in postpartum mothers with depression. Results: The prevalence of postpartum blues incidence ranged from 66.7% at the age of 20 or 35 years according to maternal age, 62.9% with low education, factors of non-working mothers, namely 52.2%, 54.8% with normal delivery, 62, 5% in primiparous parity, 58.1% there were complications / complications of childbirth, 68.8% with unplanned pregnancy, and 58% factors of physical fatigue. Conclusion: Postpartum depression (postpartum blues) in postpartum mothers has a high prevalence due to a lack of husband support and poor adjustment. Integrated action by midwives and related health workers and family support is needed to prevent and reduce these incidents.   Keyword: Postpartum Blues, Faktor Risiko, EDPS