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"Metode: Pasien HIV yang melahirkan di RSUPNCM dan RSPI Sulianti Saroso periode Oktober 2012 hingga Maret 2013 masuk sebagai subyek penelitian. Subyek dilakukan skrining depresi dengan EPDS dan untuk mengukur dukungan sosial yang diberikan dengan KDS. Analisis statistik menggunakan uji Fisher, Chi-Square dan uji T tidak berpasangan.Hasil: Sebanyak 34,1% subyek yang mengalami depresi pascapersalinan. Dimana didapatkan bahwa 40% yang mengalami depresi pascapersalinan tersebut tidak mendapatkan dukungan sosial yang baik. Dari karakteristik subyek yang mengalami depresi tersebut, 70% dari kelompok umur 20-35 tahun. Berdasarkan tingkat pendidikan, 56.7% subyek yang mengalami depresi pendidikannya rendah. Dari status paritas didapatkan 70% yang mengalami depresi pascapersalinan yaitu primipara.Kesimpulan: Dukungan sosial merupakan efek protektif terhadap terjadinya depresi pascapersalinan pada pasien HIV

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Objective : this study aim to evaluate the relation between social support given to HIV patients with the incidence rate of postpartum depression among them.

Methods : All HIV patients who was having delivery in RSUPNCM and Sulianti Saroso the period October 2012 to March 2013 entered as research subjects. We performed depression screening with the EPDS and to measure the social support provided by KDS. Statistical analysis was using Fisher's exact test, Chi-square and unpaired t test.

Results : We found total of 34.1% of subjects experienced postpartum depression, in which 40% did not received proper social support. By demographics characteristics of the subjects who experienced depression, 70% was in group of age 20-35 years, 56.7% of subjects with low education level and 70% was primiparous patients."

"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."

"Pembengkakan payudara menjadi salah satu manifestasi klinis ibu postpartum yang sering muncul. Di Indonesia rata-rata 5% ibu postpartum mengalami masalah ini. Penelitian ini dilakukan untuk menganalisis asuhan keperawatan pada Ibu R (20 tahun) status paritas P1A0, postpartum hari ke-9 dengan masalah pembengkakan payudara. Intervensi yang dilakukan yaitu pemberian kompres kol sehari 2 kali selama 4 hari. Hasil observasi didapatkan adanya penurunan nyeri dari skala VAS 8 menjadi skala VAS 1 dan perubahan kondisi payudara dengan menggunakan instrumen Six Poin Engorgement Self-rated (SPES), dari skala 5 menjadi skala 1. Berdasarkan hasil penelitian ini, kol (Brassica oleracea var capitata) memiliki efektivitas untuk mengatasi masalah pembengkakan payudara. Selain kol terdapat berbagai cara yang dapat digunakan, dari hasil penelitian ini diharapkan akan muncul penelitian lain yang lebih bervariasi. Kata kunci: Bendungan ASI, kompres kol, pembengkakan payudara.

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Breast engorgement is one of the most common clinical manifestations of postpartum mothers. In Indonesia, an average of 5% of postpartum mothers experience this problem. This study was conducted to analyze nursing care in NY. R (20 years) with P1A0, 9th day postpartum with breastfeeding problems. The intervention was giving cabbage compresses 2 times a day for 4 days. The results of observations showed a decrease in pain from the VAS 8 scale to the VAS 1 scale and changes in breast condition using the Six Points Engorgement Self-rated (SPES) instrument, from a scale of 5 to a scale of 1. Based on the results of this study, cabbage (Brassica oleracea var capitata) has effectiveness in overcoming the problem of breast milk accumulation. Apart from cabbage, various ways can be used. From the results of this study, it is hoped that other, more varied studies will emerge. Keywords: Breast engorgement, breast milk, cabbage leaf."

"Dukungan sosial yang dipersepsikan ibu dan paritas merupakan salah satu faktor yang dapat menyebabkan depresi pasca persalinan pada perempuan pasca melahirkan. Oleh karena itu penelitian ini bertujuan mengidentifikasi hubungan antara dukungan sosial yang dipersepsikan oleh ibu dengan risiko depresi pasca persalinan khususnya pada ibu primipara di provinsi DKI Jakarta. Penelitian ini menggunakan desain cross-sectional dengan metode consecutive sampling untuk mengambil 111 sampel ibu primipara. Kuesioner yang digunakan terdiri dari karakteristik responden dan versi bahasa Indonesia dari Edinburgh Postpartum Depression Scale (EPDS) serta Multidimensional Scale of Perceived Social Support (MSPSS). Berdasarkan data hasil penelitian diketahui sebanyak 67.6% ibu primipara di DKI Jakarta mempersepsikan dukungan sosial yang tinggi (dari keluarga 90,1%; suami 88,2%; dan peer/teman 46,8%) dan sebanyak 34.2% ibu primipara cenderung mengalami depresi pasca persalinan di DKI Jakarta. Hasil uji bivariat menggunakan uji Chi Square ditemukan adanya hubungan yang signifikan antara dukungan sosial yang dipersepsikan ibu dengan risiko depresi pasca persalinan pada ibu primipara (nilai p = 0,001; α < 0,05). Berdasarkan hasil penelitian, direkomendasikan kepada perawat, suami, dan/atau keluarga untuk selalu memberikan dukungan sosial kepada ibu pasca kelahiran bayi.

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Social support perceived by the mother and parity is one of the factors that can cause postpartum depression in postpartum women. Therefore this study aims to identify the relationship between social support perceived by the mother and the risk of postpartum depression, especially among primiparous mothers in the province of DKI Jakarta. This study used a cross-sectional design with consecutive sampling methods to take 111 samples of primiparous women. The questionnaire used consisted of the characteristics of the respondents and the Indonesian version of the Edinburgh Postpartum Depression Scale (EPDS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Based on research data, it is known that 67.6% of primiparous mothers in DKI Jakarta perceive high social support (90.1% from family; 88.2% of husbands; and 46.8% of peers/friends) and as many as 34.2% of primiparous mothers tend to experience depression postpartum in DKI Jakarta. The results of the bivariate test using the Chi Square test found a significant relationship between social support perceived by the mother and the risk of postpartum depression in primiparous women (p value = 0.001; α <0.05). Based on the research results, it is recommended that nurses, husbands, and/or families always provide social support to mothers after the birth of a baby."

"Pelayanan nifas sangat bermanfaat untuk mengetahui kondisi ibu, sehingga bila tejadi morbiditas postpartum segera dapat ditangani dan kematian ibu dapat dicegah. Namun pemanfaatan pelayanan nifas di Indonesia masih sangat rendah dan dibawah target, kunjungan nifas lengkap sekitar 32 persen, angka ini masih jauh dari yang ditargetkan yaitu sebesar 90 persen pada tahun 2015. Penelitian ini menggunakan metode cross sectional dengan data sekunder Riskesdas 2013. Populasi dalam penelitian ini adalah 497 kabupaten/kota, dan sampel penelitian ini sebanyak 192 kabupaten/kota. Analisis dilakukan dengan uji regresi logistic ganda. Hasil penelitian didapatkan faktor yang paling dominan menentukan status Kunjungan Nifas lengkap adalah persentase K4 antenatalcare (B=-0,056). Penelitian ini menyarankan untuk pengkajian ulang standar pelayanan minimal di kabupaten/kota, peningkatan kualitas antenatalcare, peningkatan program home visit dan Komunikasi, Informasi dan Edukasi.

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Postpartum care is very useful to know the condition of the mother, so that when the immediate postpartum morbidity occurred can be handled and maternal deaths can be prevented. However, postnatal care utilization in Indonesia is still very low and below target, postpartum visits about 32 percent, this figure is still far from the target is equal to 90 per cent in 2015. This study used cross sectional method with secondary of Riskesdas 2013. The population 497 districts / cities, and the sample as much as 192 districts / cities. The analysis was performed by multiple logistic regression.

The result showed that the most dominant factor determining the status of postpartumcare Visits is the percentage K4 antenatalcare (B = -0.056). This study suggests for the review of minimum service standards in the district / city, antenatalcare quality improvement, increase in home visit program and Communication, Information, and Education."

"[Perempuan pasca melahirkan adalah kelompok yang berisiko mengalami perubahan pada fungsi seksual. Penelitian ini untuk mengetahui perbedaan fungsi seksual ibu postpartum pervaginam dengan atau tanpa episiotomi dan pasca bedah sesar. Penelitian ini merupakan studi deskriptif dengan desain cross sectional. Sampel berjumlah 225 ibu postpartum yang diambil secara consecutive sampling dari bulan April-Mei 2015. Fungsi seksual dinilai dengan Sexual Function Questionnaire (SFQ). Hasil penelitian menunjukkan tidak ada perbedaan yang bermakna antara fungsi seksual pada semua jenis persalinan (p=0,977), begitupun hasrat seksual, gairah seksual, dan orgasme. Penelitian ini dapat digunakan untuk meningkatkan kesehatan seksual ibu pada perawatan postpartum yang berkualitas.;The postpartum women is one of group who experience sexual function changes. The aims of the study is to know the comparation sexual function woman after vaginal delivery without episiotomi and post caesarean section. The study was a descriptive study of cross-sectional design. The sample was 225 womanpostpartum was taken by consecutive sampling from April-May 2015. Sexual function was assessed by the Sexual Function Questionnaire (SFQ) score. The results of this study showed there were no significant differences between sexual function and types of delivery (p=0.977), including sexual desire, sexual arousal and orgasm. The results of the study can be used to increase nurses’s service sexual postpartum women for reach quality postpartum care., The postpartum women is one of group who experience sexual function changes.The aims of the study is to know the comparation sexual function woman aftervaginal delivery without episiotomi and post caesarean section. The study was adescriptive study of cross-sectional design. The sample was 225 womanpostpartum was taken by consecutive sampling from April-May 2015. Sexualfunction was assessed by the Sexual Function Questionnaire (SFQ) score. Theresults of this study showed there were no significant differences between sexualfunction and types of delivery (p=0.977), including sexual desire, sexual arousaland orgasm. The results of the study can be used to increase nurses’s servicesexual postpartum women for reach quality postpartum care.]"

"Depresi pasca persalinan merupakan gangguan suasana hati nonpsikotik yang paling umum dan terjadi setelah melahirkan, dan memiliki dampak jangka panjang merugikan bagi hubungan ibu dan anak. Rendahnya dukungan sosial merupakan faktor yang cukup konsisten dilaporkan sebagai faktor risiko depresi pasca persalinan. Studi ini bertujuan untuk mengeksplorasi besarnya risiko depresi pasca persalinan akibat kurangnya dukungan sosial pada wanita menurut paritas di Indonesia. Penelitian ini bersifat kuantitatif dengan sampel penelitian 136 ibu yang berada dalam periode 6 minggu hingga 6 bulan setelah persalinan dan tinggal di wilayah kerja Puskesmas Sumbersari Kabupaten Jember, dan dibagi menjadi dua kelompok (primipara dan multipara).Hasil penelitian pada primipara diketahui hubungan dukungan sosial dan kejadian depresi pasca persalinan tidak signifikan, dengan p value=0,562 dan OR 1,822 (95% CI 0,239-13,874), sedangkan pada kelompok multipara didapatkan p value=0,014 dan OR 11,493 (95% CI 1,630-81,041). Studi menunjukkan bahwa pada kelompok primipara tidak ditemukan hubungan yang signifikan antara dukungan sosial terhadap kejadian depresi pasca persalinan setelah dikontrol oleh variabel perancu. Sebaliknya, pada kelompok multipara ditemukan hubungan yang signifikan antara dukungan sosial dan depresi pasca persalinan, di mana ibu multipara yang kurang mendapat dukungan sosial berisiko 11,5 kali mengalami depresi pasca persalinan dibandingkan dengan ibu multipara dengan dukungan sosial yang baik.

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Postpartum depression is the most common non-psychotic mood disorder that occurs after delivery and has a long-term adverse effect on the relationship between mother and child. Low social support is a fairly consistent factor reported as a risk factor for postpartum depression. This study aims to explore the magnitude of the risk of postpartum depression due to a lack of social support according to parity in Indonesia. This is quantitative research with a sample of 136 mothers who were in a period of 6 weeks to 6 months after delivery and lived in the working area of the Sumbersari Public Health Center Jember and were divided into two groups (primipara and multipara).The results of the study on primipara found that the relationship between social support and postpartum depression was not significant, with p-value=0.562 and OR 1.822 (95% CI 0.239-13.887), while the multipara group has a p-value of 0.014 and OR 11.493 (95% CI 1.630 -81,041). The study showed that in the primiparous group, no significant relationship was found between social support for postpartum depression after being controlled by confounding variables. In contrast, there was a significant relationship between social support and postpartum depression in the multipara group, in which multiparous mothers with a lack of social support are 11.5 times more likely to develop postpartum depression compared to multiparous mothers with adequate social support."

"ABSTRAKDepresi merupakan salah satu gangguan psikologis yang terjadi pada ibu postpartum.Kejadian depresi postpartum Indonesia mencapai 20 dan di Provinsi Riau 15-20 ,angka tersebut harus ditekan menjadi 1 . Penelitian ini bertujuan untuk memperolehmodel yang efektif dalam mencegah depresi postpartum. Penelitian ini terdiri daridua tahap yaitu tahap pengembangan model dan uji model. Hasil penelitian tahappengembangan model diperoleh 7 tema terkait pengalaman adaptasi ibu hamil dari9 partisipan. Model ini berupa intervensi edukasi yang diberikan kepada ibu hamildan suami yang terdiri dari 4 komponen yaitu edukasi untuk mengurangistimulus, meningkatkan koping, meningkatkan respons adaptasi yang efektif sertameningkatkan dukungan sosial suami dalam upaya mencegah terjadinya depresipostpartum. Penelitian uji model menggunakan desain quasi experiment pre-post testwith control group, dengan teknik consecutive sampling terhadap 108 responden.Hasil penelitian menunjukkan bahwa Model Pencegahan Depresi Postpartm-Ratuefektif dalam meningkatkan pengetahuan, sikap, respons adaptasi fisiologis, konsepdiri, fungsi peran, interdependen, dukungan sosial suami, serta menurunkan kejadiandepresi postpartum. Dukungan sosial suami merupakan satu-satunya variabel yangpaling berpengaruh signifikan terhadap kejadian depresi postpartum. Model inidiharapkan dapat digunakan sebagai upaya preventif dalam mencegah terjadinyadepresi postpartum. Penelitian selanjutnya diharapkan untuk dapat mengembangkanintervensi lain dalam upaya mencegah depresi postpartum.Kata kunci: ibu hamil, suami, depresi postpartum

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ABSTRACTName Ratu KusumaStudent ID 1006753274Study Program Doctor of Nursing, Faculty of NursingUniversitas Indonesia.Title The Effectiveness of Ratu rsquo s Postpartum Depression PreventionModel towards the Prevention of Postpartum DepressionDepression is one of psychological disorders experienced among pregnant women.The incidence of postpartum depression in Indonesia reaches 20 and in Riau itselfreaches 15 20 , the particular number needs to be stresed to 1 . This study aims toobtain effective model in preventing postpartum depression. The study consisted intotwo phases, which were the development of the model and the trial itself. Theoutcome of the development of the model was seven themes related to the adaptiveexperiences of the pregnant women from nine participants. The model was aneducational intervention consisting of four main components which are education indecreasing stimulus, increasing coping, increasing effective response of adaptation, aswell as increasing social support of the husband in preventing the incidence ofpostpartum depression. The model was executed by quasi experiment pre post testwith control group design towards 108 respondents. The result showed that theRatu rsquo s Postpartum Depression Prevention Model was effective in increasingknowledge, attitude, behavior, physiological adaptation response, self concept, rolefunction, interdependent, and the social support of the husband, as well as loweringthe incidence of postpartum depression. The social support of the husband was themost signifiacnt variable towards the incidence of postpartum depression. This modelis expected to be used in preventing postpartum depression. In the future, theupcoming research is excpected to develop another intervention in preventing post partum depression."

"Pasca melahirkan, ibu berisiko mengalami stres dan kecemasan, yang dapat berkembang menjadi depresi postpartum. Depresi postpartum, yang mengganggu kesejahteraan ibu dan bayi, dipengaruhi oleh berbagai faktor, termasuk efikasi diri menyusui. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara efikasi diri menyusui dan kecenderungan depresi postpartum. Penelitian menggunakan desain cross-sectional dengan melibatkan 112 responden di Kota Depok. Data diperoleh melalui kuesioner Breastfeeding Self-Efficacy – Short Form dan Edinburgh Postpartum Depression Scale. Hasil menunjukkan 41% responden memiliki efikasi diri menyusui rendah, dan 45,5% mengalami kecenderungan depresi. Uji Chi-Square menunjukkan hubungan signifikan (p = 0.007, p < 0.05), dengan odds ratio 2,908. Temuan ini menunjukkan ibu dengan efikasi diri rendah berisiko 2,9 kali lebih besar mengalami kecenderungan depresi postpartum. Penelitian ini merekomendasikan intervensi untuk meningkatkan efikasi diri menyusui guna mengurangi risiko depresi postpartum.

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Postpartum mothers are at risk of experiencing stress and anxiety, which may develop into postpartum depression. Postpartum depression, which negatively affects the well-being of both mother and baby, is influenced by various factors, including breastfeeding self-efficacy. This study aimed to identify the relationship between breastfeeding self-efficacy and the tendency toward postpartum depression. A cross-sectional design was employed, involving 112 respondents in Depok City. Data were collected using the Breastfeeding Self-Efficacy – Short Form and the Edinburgh Postpartum Depression Scale questionnaires. The results indicated that 41% of respondents had low breastfeeding self-efficacy, and 45.5% were prone to postpartum depression. The Chi-Square test showed a significant association between breastfeeding self-efficacy and postpartum depression (p = 0.007, p < 0.05), with an odds ratio of 2.908. These findings suggest that mothers with low breastfeeding self-efficacy are 2.9 times more likely to develop a tendency toward postpartum depression. This study recommends interventions to enhance breastfeeding self-efficacy to reduce the risk of postpartum depression."

"Pasca melahirkan, ibu berisiko mengalami stres dan kecemasan, yang dapat berkembang menjadi depresi postpartum. Depresi postpartum, yang mengganggu kesejahteraan ibu dan bayi, dipengaruhi oleh berbagai faktor, termasuk efikasi diri menyusui. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara efikasi diri menyusui dan kecenderungan depresi postpartum. Penelitian menggunakan desain cross-sectional dengan melibatkan 112 responden di Kota Depok. Data diperoleh melalui kuesioner Breastfeeding Self-Efficacy – Short Form dan Edinburgh Postpartum Depression Scale. Hasil menunjukkan 41% responden memiliki efikasi diri menyusui rendah, dan 45,5% mengalami kecenderungan depresi. Uji Chi-Square menunjukkan hubungan signifikan (p = 0.007, p < 0.05), dengan odds ratio 2,908. Temuan ini menunjukkan ibu dengan efikasi diri rendah berisiko 2,9 kali lebih besar mengalami kecenderungan depresi postpartum. Penelitian ini merekomendasikan intervensi untuk meningkatkan efikasi diri menyusui guna mengurangi risiko depresi postpartum.

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Postpartum mothers are at risk of experiencing stress and anxiety, which may develop into postpartum depression. Postpartum depression, which negatively affects the well-being of both mother and baby, is influenced by various factors, including breastfeeding self-efficacy. This study aimed to identify the relationship between breastfeeding self-efficacy and the tendency toward postpartum depression. A cross-sectional design was employed, involving 112 respondents in Depok City. Data were collected using the Breastfeeding Self-Efficacy – Short Form and the Edinburgh Postpartum Depression Scale questionnaires. The results indicated that 41% of respondents had low breastfeeding self-efficacy, and 45.5% were prone to postpartum depression. The Chi-Square test showed a significant association between breastfeeding self-efficacy and postpartum depression (p = 0.007, p < 0.05), with an odds ratio of 2.908. These findings suggest that mothers with low breastfeeding self-efficacy are 2.9 times more likely to develop a tendency toward postpartum depression. This study recommends interventions to enhance breastfeeding self-efficacy to reduce the risk of postpartum depression."