Depresi Pasca Melahirkan: Pencegahan dan Penatalaksanaan

Ayu Ningsih, High Boy Karmulrubog Hutasoit

Sari


ABSTRACT

 

Taking care of a newborn is the biggest challenge in a woman's life during the reproductive age. Many women experience difficulties in coping with this significant life change. Although most women have adequate resilience to the negative impacts of stress, many also experience psychological problems that disrupt their ability to care for a newborn. Postpartum depression is a common and serious mental health condition that affects up to 50-70% of women in Indonesia after giving birth. The pathophysiology of postpartum depression is complex and involves many factors, including hormonal changes, genetic predisposition, and psychosocial stressors. Treatment for this condition usually involves a combination of pharmacotherapy and psychotherapy. Antidepressants, particularly selective serotonin reuptake inhibitors, are the first-line pharmacotherapy choice. Psychotherapy options include cognitive-behavioral therapy, interpersonal therapy, and psychodynamic therapy. Despite progress in developing new treatments, there are still challenges in diagnosis and treatment, including stigma and a lack of access to care. Increased screening and education efforts are needed to raise awareness and reduce the incidence of postpartum depression. This literature review discusses the prevention and management of postpartum depression. This research is a literature review. In conclusion, the best treatment for postpartum depression involves a holistic and integrated approach, which includes various methods of prevention and management, and involves the support of partners and health professionals.

 

Keywords : Postpartum Depression, Prevention, Management

 

ABSTRAK

 

Mengurus bayi yang baru lahir merupakan tantangan terbesar dalam hidup wanita pada usia reproduktif. Banyak wanita yang mengalami kesulitan dalam mengatasi perubahan hidup yang signifikan ini. Meskipun kebanyakan wanita memiliki ketahanan yang memadai terhadap dampak negatif dari stres, banyak juga yang mengalami masalah psikologis yang mengganggu kemampuan mereka dalam mengurus bayi baru lahir. Depresi pasca melahirkan adalah kondisi kesehatan mental umum dan serius yang memengaruhi hingga 50-70%. Wanita di Indonesia setelah melahirkan. Patofisiologi depresi pasca melahirkan kompleks dan melibatkan banyak faktor, termasuk perubahan hormonal, predisposisi genetik, dan stresor psikososial. Perawatan untuk penyakit ini biasanya melibatkan kombinasi farmakoterapi dan psikoterapi. Antidepresan, khususnya inhibitor reuptake serotonin selektif, adalah pilihan farmakoterapi lini pertama. Pilihan psikoterapi meliputi terapi perilaku-kognitif, terapi interpersonal, dan terapi psikodinamik. Meskipun kemajuan dalam pengembangan pengobatan baru, masih ada tantangan dalam diagnosis dan pengobatan, termasuk stigma dan kurangnya akses ke perawatan. Peningkatan upaya penyaringan dan pendidikan diperlukan untuk meningkatkan kesadaran dan mengurangi angka depresi pasca melahirkan.

Tinjaun pustaka ini membahas pencegahan dan penatalaksanaan pada depresi pasca melahirkan. Penelitian ini adalah tinjauan pustaka. Dalam kesimpulannya, perawatan terbaik untuk depresi pasca melahirkan melibatkan pendekatan yang holistik dan terpadu, yang mencakup berbagai metode pencegahan dan penatalaksanaan, serta melibatkan dukungan dari pasangan dan tenaga kesehatan profesional.

 

Kata kunci: Depresi Pasca Melahirkan, Manajemen, Pencegahan


Teks Lengkap:

Download Artikel

Referensi


Amandya, A. K. P., Mustofa, A., Hapsari, A. N., Nabiila, A., & Prasetya, E. C. (2021). Faktor Risiko Depresi Pasca Persalinan di Negara-negara Asia Tenggara. Medica Arteriana (Med-Art), 3(2), 62–67.

Atuhaire, C., Rukundo, G. Z., Nambozi, G., Ngonzi, J., Atwine, D., Cumber, S. N., & Brennaman, L. (2021). Prevalence of postpartum depression and associated factors among women in Mbarara and Rwampara districts of south-western Uganda. BMC Pregnancy and Childbirth, 21(1), 1–12.

Bauman, B. L., Ko, J. Y., Cox, S., D’Angelo, D. V., Warner, L., Folger, S., Tevendale, H. D., Coy, K. C., Harrison, L., & Barfield, W. D. (2020). Vital signs: Postpartum depressive symptoms and provider discussions about perinatal depression—United States, 2018. Morbidity and Mortality Weekly Report, 69(19), 575.

Brown, J. V. E., Wilson, C. A., Ayre, K., Robertson, L., South, E., Molyneaux, E., Trevillion, K., Howard, L. M., & Khalifeh, H. (2021). Antidepressant treatment for postnatal depression. Cochrane Database of Systematic Reviews, 2.

Çankaya, S. (2020). The effect of psychosocial risk factors on postpartum depression in antenatal period: A prospective study. Archives of Psychiatric Nursing, 34(3), 176–183.

Cuijpers, P., Quero, S., Dowrick, C., & Arroll, B. (2019). Psychological treatment of depression in primary care: Recent developments. Current Psychiatry Reports, 21, 1–10.

Fanti, V., Serrati, C., & D’Agostino, A. (2022). Sleep and Perinatal Depression. In Sleep and Neuropsychiatric Disorders (pp. 353–369). Springer.

Griffin, M., Mohnot, S., Davis, K., Pollack, R., Koklanaris, N., & Temming, L. (2020). 337: Are ICD-10 codes accurate for identifying postpartum hemorrhage? American Journal of Obstetrics & Gynecology, 222(1), S227.

Guo, L., Zhang, J., Mu, L., & Ye, Z. (2020). Preventing postpartum depression with mindful self-compassion intervention: A randomized control study. The Journal of Nervous and Mental Disease, 208(2), 101–107.

Johnson, S., Adam, S., & McIntosh, M. (2020). The lived experience of postpartum depression: A review of the literature. Issues in Mental Health Nursing, 41(7), 584–591.

Jordan, S., Davies, G. I., Thayer, D. S., Tucker, D., & Humphreys, I. (2019). Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: A population cohort analysis. PLoS One, 14(11), e0225133.

Khodadad, M., Bahadoran, P., Kheirabadi, G. R., & Sabzghabaee, A. M. (2021). Can vitamin B6 help to prevent postpartum depression? A randomized controlled trial. International Journal of Preventive Medicine, 12.

Koirala, P., & Chuemchit, M. (2020). Depression and domestic violence experiences among Asian women: A systematic review. International Journal of Women’s Health, 21–33.

Kroska, E. B., & Stowe, Z. N. (2020). Postpartum depression: Identification and treatment in the clinic setting. Obstetrics and Gynecology Clinics, 47(3), 409–419.

Levis, B., Negeri, Z., Sun, Y., Benedetti, A., & Thombs, B. D. (2020). Accuracy of the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression among pregnant and postpartum women: Systematic review and meta-analysis of individual participant data. Bmj, 371.

Lubotzky-Gete, S., Barker, L. C., & Vigod, S. N. (2023). A Clinical Review of the Use of Common Psychiatric Medications in Pregnancy: Guidelines for Obstetrical Providers. Obstetrics and Gynecology Clinics, 50(1), 219–227.

Mao, F., Sun, Y., Li, Y., Cui, N., & Cao, F. (2022). Internet-delivered mindfulness-based interventions for mental health outcomes among perinatal women: A systematic review. Asian Journal of Psychiatry, 103321.

Martín-Gómez, C., Moreno-Peral, P., Bellón, J. A., Cerón, S. C., Campos-Paino, H., Gómez-Gómez, I., Rigabert, A., Benítez, I., & Motrico, E. (2020). Effectiveness of psychological, psychoeducational and psychosocial interventions to prevent postpartum depression in adolescent and adult mothers: Study protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open, 10(5), e034424.

Mousa, O., Al Sabati, S. Y., & Al Khars, F. (2023). Postpartum Depression: Neglected Issue in Maternal Health. International Journal of Nursing Education, 15(1), 72–77.

O’Hara, M. W., Pearlstein, T., Stuart, S., Long, J. D., Mills, J. A., & Zlotnick, C. (2019). A placebo controlled treatment trial of sertraline and interpersonal psychotherapy for postpartum depression. Journal of Affective Disorders, 245, 524–532.

Payne, J. L., & Maguire, J. (2019). Pathophysiological mechanisms implicated in postpartum depression. Frontiers in Neuroendocrinology, 52, 165–180.

Powell, J. G., Garland, S., Preston, K., & Piszczatoski, C. (2020). Brexanolone (Zulresso): Finally, an FDA-approved treatment for postpartum depression. Annals of Pharmacotherapy, 54(2), 157–163.

Sinclair, S. (2021). The Dynamic Intersections of Race and Gender in Treating Postpartum Depression: How Dance and Movement Connects to Support the Mother-Child Dyad.

Sun, K., & Wang, X. (2022). Real-world pharmacological treatment of patients with postpartum depression in China from 2016 to 2020: A cross-sectional analysis. Saudi Pharmaceutical Journal, 30(10), 1418–1425.

Susukida, R., Usuda, K., Hamazaki, K., Tsuchida, A., Matsumura, K., Nishi, D., & Inadera, H. (2020). Association of prenatal psychological distress and postpartum depression with varying physical activity intensity: Japan Environment and Children’s Study (JECS). Scientific Reports, 10(1), 1–9.

Wang, D., Li, Y.-L., Qiu, D., & Xiao, S.-Y. (2021). Factors influencing paternal postpartum depression: A systematic review and meta-analysis. Journal of Affective Disorders, 293, 51–63.

Worthen, R. J., & Beurel, E. (2022). Inflammatory and neurodegenerative pathophysiology implicated in postpartum depression. Neurobiology of Disease, 165, 105646.

Yook, V., Yoo, J., Han, K., Fava, M., Mischoulon, D., Park, M. J., Kim, H., & Jeon, H. J. (2022). Association between pre-pregnancy tobacco smoking and postpartum depression: A nationwide cohort study. Journal of Affective Disorders, 316, 56–62.

Zanardo, V., Volpe, F., de Luca, F., Giliberti, L., Giustardi, A., Parotto, M., Straface, G., & Soldera, G. (2020). Maternity blues: A risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale. The Journal of Maternal-Fetal & Neonatal Medicine, 33(23), 3962–3968.

Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis. JMIR MHealth and UHealth, 9(10), e32544.




DOI: https://doi.org/10.33024/mahesa.v3i2.9342

Refbacks

  • Saat ini tidak ada refbacks.


Publisher: Universitas Malahayati Lampung

Creative Commons License
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License


kostenlose besucherzähler