Analysis of Factors Related to the Incidence of Postpartum Blues in Adolescent Mother

Abstract

BACKGROUND: Adolescent marriage in Indonesia is very high, this will have an impact on the psychological aspects of adolescents. Postpartum psychological disorders of adolescent mothers are postpartum blues. AIM: The study aimed to identify factors related to the incidence of postpartum blues in adolescent mothers. METHODS: This quantitative study used a cross-sectional method involving 90 respondents taken by consecutive sampling. Research sites in Bandung City Special Hospital for Mothers and Children and Al-Ihsan Regional Public Hospital, Bandung District. This research was conducted from May to September 2019. Data collection instruments in this study use the Edinburgh Postpartum Depression Scale. Pregnancy planning uses the London Measure of Unplanned Pregnancy questionnaire. Social support uses a postpartum support system and a family coping questionnaire. The last questionnaire is the psychosocial condition of the mother Postpartum Postnatal Risk Questionnaire. Multivariate analysis using logistic regression tests to determine the factors most related to the incidence of postpartum blues in adolescent mothers. RESULTS: The results showed that there were 44.4% of adolescent mothers experience postpartum blues. There was a significant relationship between social support and the incidence of postpartum blues (p = 0.001; odds ratio [OR] 11,777; 95% confidence interval [CI] = 3604–109,534) and home living also had a significant relationship with the incidence of postpartum blues (p = 0.002; OR = 9,653; 95% CI = 0.001–0.225). A negative B value at the home living indicated that home living is a preventative factor for postpartum blues in adolescent mothers. CONCLUSIONS: Postpartum blues are influenced by social support, psychosocial conditions, and pregnancy planning. Adolescent mothers need to get attention, especially from their husbands and families during the period of puerperium.