A Conceptual Model of Family Assistance for Working Mothers in Preventing and Managing Postpartum Blues in Urban Areas

Elvalini Warnelis Sinaga, Rahmawani Fauza, Debora Lestari Simamora, Nova Linda Rambe, Wellina Br. Sebayang

Abstract


Physical recovery after childbirth. This study aimed to analyze factors influencing prevention and management efforts for postpartum blues among working mothers in an urban setting and to formulate a conceptual family-assistance model based on the significant predictors. A quantitative analytic study with a cross-sectional design was conducted among 206 working postpartum mothers in urban areas of Medan City, Indonesia. Postpartum blues symptoms were screened using the Edinburgh Postnatal Depression Scale (EPDS), with a cut-off score of ≥10. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The measurement model was evaluated through outer loading, Cronbach's alpha, rho_A, composite reliability, and average variance extracted (AVE). In contrast, the structural model was assessed using R-square, path coefficients, t-statistics, and p-values. Results: The mean EPDS score was 12.45 ± 3.18, and 142 respondents (69.0%) were categorized as having postpartum blues symptoms. All indicators demonstrated adequate outer loadings (>0.70), and all constructs met reliability and convergent validity criteria. The model explained 95.1% of the variance in prevention and management efforts for postpartum blues (R² = 0.951; adjusted R² = 0.947). The Health Belief Model had the strongest effect (β=0.312; T=7.428; p=0.000), followed by family assistance (β=0.288; T=5.236; p=0.000), psychological factors (β=0.254; T=5.644; p=0.000), social factors (β=0.210; T=3.442; p=0.001), physical factors (β=0.198; T=3.413; p=0.001), and demographic factors (β=0.185; T=3.557; p=0.000). Prevention and management of postpartum blues among working mothers should emphasize health beliefs, family assistance, psychological readiness, social support, physical recovery, and demographic vulnerability. The proposed conceptual model highlights the family as a key support system for early detection, help-seeking, and adherence to postpartum care

 

Keywords: Postpartum Blues, Family Assistance, Working Mothers, Health Belief Model

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References


Adewuya, A. O. (2005a). The maternity blues in Western Nigerian women: prevalence and risk factors. American Journal of Obstetrics & Gynecology (AJOG), 193(4), 1522–1525.

Adewuya, A. O. (2005b). The maternity blues in Western Nigerian women: prevalence and risk factors. American Journal of Obstetrics & Gynecology (AJOG), 193(4), 1522–1525.

Adityanti, N. (2018). Studi Kasus Wanita Bekerja Menjelang Masa Melahirkan. Jurnal RAP UNP, 9(2), 118–127.

Arefadib, N., Shafiei, T., & Cooklin, A. (2023). Barriers and facilitators to supporting women with postnatal depression and anxiety: A qualitative study of maternal and child health nurses’ experiences. Journal of Clinical Nursing, 32(3–4), 397–408. https://doi.org/10.1111/jocn.16252

Arfian, S. (2019). Baby Blues: Mengenali Penyebab, Mengetahui Gejala & Mengantisipasinya (Cetakan 2). Metagraf.

Arikunto, S. (2016). Manajemen Penelitian (Edisi 2). Rineka Cipta.

Goyal, D., Gay, C., & Lee, K. A. (2010). How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Womens Health Issues, 20(1), 96–104.

Jardri, R., Pelta, J., Maron, M., Thomas, P., Delion, P., Codaccioni, X., & Goudemand, M. (2006). Predictive validation study of the Edinburgh Postnatal Depression Scale in the first week after delivery and risk analysis for postnatal depression. Journal of Affective Disorders, 93(1–3), 169–176.

Kumalasari, I., & Hendawati. (2019). Faktor Risiko Kejadian Postpartum Blues Di Kota Palembang. Jurnal Kesehatan Poltekkes Palembang (JPP), 14(2), 91–96.

Maas, L. T. (2014). Kesehatan Ibu dan Anak: Persepsi budaya dan dampak kesehatannya. Fakultas Kesehatan Masyarakat Universitas Sumatera Utara.

Mursidin, W. O. M. (2017). Gambaran Kejadian Postpartum Blues Pada Ibu Postpartum Di Rumah Sakit PKU Muhammadiyah Yogyakarta Tahun 2017. Fakultas Ilmu Kesehatan Universitas ‘Aisyiyah Yogyakarta.

Ntaouti, E., Gonidakis, F., Nikaina, E., Varelas, D., Creatas, G., & Chrousos, G. (2018). Maternity blues: risk factors in greek population and validity of Greek version of Kennerly and Gath blues questionnaire. Journal Maternal Fetal Neonatal Med, 28(1), 1–10.

Nurhayati, F., & Sophia. (2022). Factors Influencing the Incidence of Postpartum Blues During the Covid-19 Pandemic in Cimahi City. KnE Medicine, 12–20. https://doi.org/10.18502/kme.v2i2.11063

Okunola, T. O., Awoleke, J. O., Olofinbiyi, B., Rosiji, B., Omoya, S., & Olubiyi, A. O. (2021a). Postnatal Blues: A Mirage Or Reality. Journal of Affective Disorders Reports, 6(1), 100237.

Okunola, T. O., Awoleke, J. O., Olofinbiyi, B., Rosiji, B., Omoya, S., & Olubiyi, A. O. (2021b). Postnatal Blues: A Mirage Or Reality. Journal of Affective Disorders Reports, 6(1), 100237.

Purwati, & Noviyana, A. (2020). Faktor- Faktor yang Menyebabkan Kejadian Postpartum Blues. Infokes, 10(2), 1–4.

Selix, N., & Goyal, D. (2015). Postpartum Depression Among Working Women: A Call for Practice and Policy Change. Journal for Nurse Practitioners, 11, 897–902. https://doi.org/10.1016/j.nurpra.2015.07.003

Sepriani, D. R. (2020). Faktor Yang Berhubungan Dengan Kejadian Postpartum Blues Di Wilayah Puskesmas Remaja Tahun 2020. Program Studi Sarjana Terapan Kebidanan Poltekkes Kemenkes Kalimantan Timur.

Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. In Women’s Health (Vol. 15). SAGE Publications Ltd. https://doi.org/10.1177/1745506519844044

Sugiyono. (2016). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (Cetakan 5). Alfabeta.

Suryawanshi, O., & Pajai, S. (2022). A Comprehensive Review on Postpartum Depression. Cureus. https://doi.org/10.7759/cureus.32745

Valadares, G., Drummond, A. V., Rangel, C. C., Santos, E., & Apter, G. (2020). Maternal Mental Health and Peripartum Depression. In Women’s Mental Health: A Clinical and Evidence-Based Guide (pp. 349–375). Springer International Publishing. https://doi.org/10.1007/978-3-030-29081-8_24

Wahyuni, E. D. (2018). Asuhan Kebidanan Nifas dan Menyusui. Kementrian Kesehtan Republik Indonesia.




DOI: http://dx.doi.org/10.30829/contagion.v8i2.28729

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