DOI: https://doi.org/10.14710/nmjn.v13i1.49860

Postpartum Depression and Its Contributing Factors among Mothers during the COVID-19 Pandemic in North Jakarta, Indonesia

Venna Yaasmiin Aadillah orcid  -  Faculty of Health Sciences, Universitas Islam Negeri Syarif Hidayatullah, Indonesia
*Irma Nurbaeti orcid scopus publons  -  Faculty of Health Sciences, Universitas Islam Negeri Syarif Hidayatullah, Indonesia
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Abstract

Background: Postpartum depression is a common psychological problem that occurs after birth. It has become especially prevalent in the era of the COVID-19 pandemic. Several factors contribute to postpartum depression. However, a limited study evaluated factors contributing postpartum depression among mothers during the COVID-19 pandemic, particularly in Indonesia.

Purpose: This study aimed to explore postpartum depression among mothers and its contributing factors during the COVID-19 pandemic.

Methods: This study adopted a cross-sectional design. A total of 110 postpartum mothers were recruited by accidental sampling with the following inclusion criteria: mothers between one month and one year after birth, married, a singleton birth and the baby alive, and the mother is healthy with no complications. The Edinburgh Postnatal Depression Scale was used to measure postpartum depression. Descriptive statistics, t-test, Fisher exact test, one-way ANOVA, and logistic regression were performed to analyze the data.

Results: The prevalence of postpartum depression during the pandemic period was 31.82%. Factors contributing to postpartum depression were the mother’s age (p=0.011), childcare stress (p=0.001), stressful life events (p=0.003), and pregnancy status (p=0.0001). A logistic regression showed that pregnant status (Unplanned/unwanted pregnancy) was the most contributor to postpartum depression (β=0.377, t=5.138, p=0.0001).

Conclusion: This study identified a high rate of postpartum depression with related factors, including mother’s age, childcare stress, life stress, and unplanned/ unwanted pregnancy. Screening for postpartum depression is required to ensure early detection among postpartum mothers.
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Keywords: Childcare stress; COVID-19; life stress; postpartum depression; unplanned/unwanted pregnancy

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  1. Abbasi, S., Chuang, C. H., Dagher, R., Zhu, J., & Kjerulff, K. (2013). Unintended pregnancy and postpartum depression among first-time mothers. Journal of Women’s Health, 22(5), 412–416. https://doi.org/10.1089/jwh.2012.3926
  2. Al Nasr, R. S., Altharwi, K., Derbah, M. S., Gharibo, S. O., Fallatah, S. A., Alotaibi, S. G., Almutairi, K. A., & Asdaq, S. (2020). Prevalence and predictors of postpartum depression in Riyadh, Saudi Arabia: A cross-sectional study. PloS One, 15(2), e0228666. https://doi.org/10.1371/journal.pone.0228666
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596
  4. Bhattacharjee, A., & Ghosh, T. (2022). COVID-19 pandemic and stress: Coping with the new normal. Journal of Prevention and Health Promotion, 3(1), 30–52. https://doi.org/10.1177/26320770211050058
  5. Bhusal, B. R., Bhandari, N., Chapagai, M., & Gavidia, T. (2016). Validating the Edinburgh Postnatal Depression Scale as a screening tool for postpartum depression in Kathmandu, Nepal. International Journal of Mental Health Systems, 10, 71-77. https://doi.org/10.1186/s13033-016-0102-6
  6. Brito, C. N. de O., Alves, S. V., Ludermir, A. B., & Araújo, T. V. B. de. (2015). Postpartum depression among women with unintended pregnancy. Revista de Saúde Pública, 49, 33. https://doi.org/10.1590/S0034-8910.2015049005257
  7. Cameron, E. E., Joyce, K. M., Delaquis, C. P., Reynolds, K., Protudjer, J. L. P., & Roos, L. E. (2020). Maternal psychological distress & mental health service use during the COVID-19 pandemic. Journal of Affective Disorders, 276, 765–774. https://doi.org/10.1016/j.jad.2020.07.081
  8. Chang, F.-W., Lee, W.-Y., Liu, Y.-P., Yang, J.-J., Chen, S.-P., Cheng, K.-C., Lin, Y.-C., Ho, T.-W., Chiu, F.-H., Hsu, R.-J., & Liu, J.-M. (2016). The relationship between economic conditions and postpartum depression in Taiwan: A nationwide population-based study. Journal of Affective Disorders, 204, 174–179. https://doi.org/10.1016/j.jad.2016.06.043
  9. Chen, Q., Li, W., Xiong, J., & Zheng, X. (2022). Prevalence and risk factors associated with postpartum depression during the COVID-19 pandemic: A literature review and meta-analysis. International Journal of Environmental Research and Public Health, 19(4), 2219. https://doi.org/10.3390/ijerph19042219
  10. Chen, S., Chen, K., Wang, S., Wang, W., & Li, Y. (2021). Initial validation of a Chinese version of the mental health literacy scale among Chinese teachers in Henan Province. Frontiers in Psychiatry, 12, 661903. https://doi.org/10.3389/fpsyt.2021.661903
  11. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782-786. http://doi.org/10.1192/bjp.150.6.782
  12. Cutrona, C.E. (1983). Causal attributions and perinatal depression. Journal of Abnormal Psychology, 92(2), 161–72. https://doi.org/10.1037/0021-843X.92.2
  13. Falah-Hassani, K., Shiri, R., & Dennis, C.-L. (2016). Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety. Journal of Affective Disorders, 198, 142–147. https://doi.org/10.1016/j.jad.2016.03.010
  14. Falgas-Bague, I., Thembo, T., Kaiser, J. L., Hamer, D. H., Scott, N. A., Ngoma, T., Paul, R., Juntunen, A., Rockers, P. C., & Fink, G. (2023). Trends in maternal mental health during the COVID-19 pandemic–Evidence from Zambia. PLoS One, 18(2), e0281091. https://doi.org/10.1371/journal.pone.0281091
  15. Franck, E., Vanderhasselt, M.-A., Goubert, L., Loeys, T., Temmerman, M., & De Raedt, R. (2016). The role of self-esteem instability in the development of postnatal depression: A prospective study testing a diathesis-stress account. Journal of Behavior Therapy and Experimental Psychiatry, 50, 15–22. https://doi.org/10.1016/j.jbtep.2015.04.010
  16. Hummel, A. D., Ronen, K., Bhat, A., Wandika, B., Choo, E. M., Osborn, L., Batra, M., Kinuthia, J., Kumar, M., & Unger, J. A. (2022). Perinatal depression and its impact on infant outcomes and maternal-nurse SMS communication in a cohort of Kenyan women. BMC Pregnancy and Childbirth, 22(1), 1–16. https://doi.org/10.1186/s12884-022-05039-6
  17. Iwata, H., Mori, E., Sakajo, A., Aoki, K., Maehara, K., & Tamakoshi, K. (2016). Prevalence of postpartum depressive symptoms during the first 6 months postpartum: Association with maternal age and parity. Journal of Affective Disorders, 203, 227–232. https://doi.org/10.1016/j.jad.2016.06.002
  18. Kettunen, P., Koistinen, E., & Hintikka, J. (2016). The connections of pregnancy-, delivery-, and infant-related risk factors and negative life events on postpartum depression and their role in first and recurrent depression. Depression Research and Treatment, 2016, 1–7. https://doi.org/10.1155/2016/2514317
  19. Kim, Y., SookbinIm, S., Dee, V., Brandt, C., & Hong, E. (2019). Feelings, self-care, and infant care reported by Korean women at risk for postpartum depression. International Journal of Nursing, 6(1) , 1-11. https://doi.org/10.15640/ijn.v6n1a1
  20. Logsdon, M. C., McBride, A. B., & Birkimer, J. C. (1994). Social support and postpartum depression. Research in Nursing & Health, 17(6), 449–457. https://doi.org/10.1002/nur.4770170608
  21. McFarland, M. J., McFarland, C. A. S., Hill, T. D., & D’Oria, R. (2021). Postpartum depressive symptoms during the beginning of the COVID-19 pandemic: An examination of population birth data from Central New Jersey. Maternal and Child Health Journal, 25(3), 353–359. https://doi.org/10.1007/s10995-020-03116-w
  22. Norbeck, J.S. (1984). Modification of life event questionnaire for use with female respondents. Research in Nursing & Health. 7(1), 67–71. https://www.ncbi.nlm.nih.gov/pubmed/6565302
  23. Nurbaeti, I., Deoisres, W., & Hengudomsub, P. (2019). Association between psychosocial factors and postpartum depression in South Jakarta, Indonesia. Sexual & Reproductive Healthcare, 20, 72–76. https://doi.org/10.1016/j.srhc.2019.02.004
  24. Nurbaeti, I., Deoisres, W., & Hengudomsub, P. (2018). Postpartum depression in Indonesian mothers: Its changes and predicting factors. Pacific Rim International Journal of Nursing Research, 22(2), 93–105. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/84760
  25. O’Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9(1), 379–407. https://doi.org/10.1146/annurev-clinpsy-050212-185612
  26. Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A., Novieastari, E., Ibrahim, K., & Deswani, D. (2019). Fundamentals of nursing vol 2- 9th Indonesian edition (Deswani, E. Novieastari, K. Ibrahim, & S. Ramdaniati (eds.)). Elsevier Health Sciences
  27. Qobadi, M., Collier, C., & Zhang, L. (2016). The effect of stressful life events on postpartum depression: Findings from the 2009–2011 Mississippi pregnancy risk assessment monitoring system. Maternal and Child Health Journal, 20(S1), 164–172. https://doi.org/10.1007/s10995-016-2028-7
  28. Safi-Keykaleh, M., Aliakbari, F., Safarpour, H., Safari, M., Tahernejad, A., Sheikhbardsiri, H., & Sahebi, A. (2022). Prevalence of postpartum depression in women amid the COVID-19 pandemic: A systematic review and meta-analysis. International Journal of Gynaecology and Obstetrics, 157(2), 240–247. https://doi.org/10.1002/ijgo.14129
  29. Salm Ward, T., Kanu, F. A., & Robb, S. W. (2017). Prevalence of stressful life events during pregnancy and its association with postpartum depressive symptoms. Archives of Women's Mental Health, 20(1), 161–171. https://doi.org/10.1007/s00737-016-0689-2
  30. Sarfika, R., Malini, H., Putri, D. E., Buanasari, A., Abdullah, K. L., & Freska, W. (2021). Factors influencing depression among Indonesians during the COVID-19 outbreak. Nurse Media Journal of Nursing, 11(3), 380–388. https://doi.org/10.14710/nmjn.v11i3.36783
  31. Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235–248. https://doi.org/10.1016/j.jpsychires.2018.08.001
  32. Shuman, C. J., Peahl, A. F., Pareddy, N., Morgan, M. E., Chiangong, J., Veliz, P. T., & Dalton, V. K. (2022). Postpartum depression and associated risk factors during the COVID-19 pandemic. BMC Research Notes, 15, 102. https://doi.org/10.1186/s13104-022-05991-8
  33. Smorti, M., Ponti, L., & Pancetti, F. (2019). A comprehensive analysis of postpartum depression risk factors: The role of socio-demographic, individual, relational, and delivery characteristics. Frontiers in Public Health, 7 (295), 1-10. https://doi.org/10.3389/fpubh.2019.00295
  34. Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15-28. http://dx.doi.org/10.2307/350547
  35. Solikhah, F. K., Nursalam, N., Subekti, I., Winarni, S., & Yudiernawati, A. (2022). Determination of factors affecting postpartum depression in primary healthcare during the COVID-19 pandemic. Journal of Public Health in Africa, 13(s2). https://doi.org/10.4081/jphia.2022.2408
  36. Suárez-Rico, B. V., Estrada-Gutierrez, G., Sánchez-Martínez, M., Perichart-Perera, O., Rodríguez-Hernández, C., González-Leyva, C., Osorio-Valencia, E., Cardona-Pérez, A., Helguera-Repetto, A. C., Espino y Sosa, S., Solis-Paredes, M., & Reyes-Muñoz, E. (2021). Prevalence of depression, anxiety, and perceived stress in postpartum Mexican women during the COVID-19 lockdown. International Journal of Environmental Research and Public Health, 18(9), 4627. https://doi.org/10.3390/ijerph18094627
  37. Sulfianti, S., Nardina, E. A., Hutabarat, J., Astuti, E. D., Muyassaroh, Y., Yuliani, D. R., Hapsari, W., Azizah, N., Hutomo, C. S., Argahen, N. B., & others. (2021). Asuhan Kebidanan pada Masa Nifas [Maternity care during postpartum period]. Yayasan Kita Menulis
  38. Surkan, P. J., Strobino, D. M., Mehra, S., Shamim, A. A., Rashid, M., Wu, L. S.-F., Ali, H., Ullah, B., Labrique, A. B., Klemm, R. D. W., West, K. P., & Christian, P. (2018). Unintended pregnancy is a risk factor for depressive symptoms among socio-economically disadvantaged women in rural Bangladesh. BMC Pregnancy and Childbirth, 18(1), 490. https://doi.org/10.1186/s12884-018-2097-2
  39. Sylvén, S. M., Thomopoulos, T. P., Kollia, N., Jonsson, M., & Skalkidou, A. (2017). Correlates of postpartum depression in first time mothers without previous psychiatric contact. European Psychiatry, 40, 4–12. https://doi.org/10.1016/j.eurpsy.2016.07.003
  40. Usmani, S., Greca, E., Javed, S., Sharath, M., Sarfraz, Z., Sarfraz, A., Salari, S. W., Hussaini, S. S., Mohammadi, A., Chellapuram, N., Cabrera, E., & Ferrer, G. (2021). Risk factors for postpartum depression during COVID-19 pandemic: A systematic literature review. Journal of Primary Care & Community Health, 12, 21501327211059348. https://doi.org/10.1177/21501327211059348
  41. Wang, Z., Liu, J., Shuai, H., Cai, Z., Fu, X., Liu, Y., Xiao, X., Zhang, W., Krabbendam, E., Liu, S., Liu, Z., Li, Z., & Yang, B. X. (2021). Mapping global prevalence of depression among postpartum women. Translational Psychiatry, 11(1), 543. https://doi.org/10.1038/s41398-021-01663-6
  42. World Heath Organisation. (2020). Coronavirus disease (COVID-19) pandemic. World Health Organization. https://www.who.int/europe/emergencies/situations/covid-19

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