Family Support and Psychological Adaptation (Letting-Go) in Primipara Post-partum
DOI:
https://doi.org/10.26630/jk.v15i1.4200Keywords:
Baby blues; First-time mother; Letting-go phase; Psychology of post-partumAbstract
During the recovery period, the post-partum mother will experience psychological changes proposed by several theories, which divide the period of psychological adjustment for the post-partum mother through three phases: taking in, taking hold, and letting go. The moms' emotional, intellectual, and behavioral disorders are triggered by their awareness of their guilt. Mothers must adjust to their new positions as they deal with new families with babies. Inadequately adapting to the post-partum period, mothers should get support from the family. This study aimed to determine the relationship between family support and the process of psychological adaptation (letting go) in primiparous post-partum mothers. This study sampled 33 primiparous post-partum mothers using a proportional random sampling technique. These involved primiparous post-partum mothers who lived with their families for 10-42 days and were willing to be respondents. The research used a questionnaire to analyze data. Data analysis using the Kolmogorov-Smirnov showed a p-value of 0.047 (p-value≤0.05). The results suggest that there is a relationship between family support and the process of psychological adaptation. Improving early screening for post-partum depression and increasing understanding of mothers and families can help reduce baby blues syndrome and post-partum depression in post-partum mothers.
References
Al-Zahrani, A., Almutairi, W., Elsaba, H., Alzahrani, S., Alzahrani, S., Althobaiti, L., & Turkestani, O. (2021). Primiparous Adaptation with Postpartum Health Issues in Jeddah City, Kingdom of Saudi Arabia: A Quantitative Study. Nursing Reports (Pavia, Italy), 11(4), 775–786. https://doi.org/10.3390/nursrep11040074
Ariani, N. K. S., Darmayanti, P. A. R., & Santhi, W. T. (2022). Dukungan Suami Dengan Proses Adaptasi Psikologi Pada Ibu Nifas RSAD Denpasar Bali. Care: Jurnal Ilmiah Ilmu Kesehatan, 10(3), 450-459. https://doi.org/10.33366/jc.v10i3.3050
Astuti, Y., Azizah Indriastuti, N., & Author, C. (2021). The Factors Influencing Fatigue of Postpartum Mothers. IJNP (Indonesian Journal of Nursing Practices), 5(1), 17–23. https://doi.org/10.18196/IJNP.V5I1.10134
Febriati, L. D., Zakiyah, Z., & Ratnaningsih, E. (2022). Hubungan Pendidikan dan Pekerjaan terhadap Adaptasi Perubahan Psikologi pada Ibu Nifas. Prosiding Seminar Nasional Multidisiplin Ilmu (Vol. 4, No. 1, pp. 287-294). https://prosiding.respati.ac.id/index.php/PSN/article/view/456
Friedman, M. (2010). Buku Ajar Keperawatan Keluarga : Riset, Teori dan Praktek (5th ed.). Jakarta: EGC.
Guille, C., Hall, C., King, C., Sujan, A., Brady, K., & Newman, R. (2022). Listening to women and pregnant and postpartum people: Qualitative research to inform opioid use disorder treatment for pregnant and postpartum people. Drug and Alcohol Dependence Reports, 3(April), 100064. https://doi.org/10.1016/j.dadr.2022.100064
Jannah, M., & Latifah, N. (2022). Literature Review : Faktor-Faktor Yang Mempengaruhi Adaptasi Psikologi (Postpartum Blues) Pada Masa Nifas (Puerperium). Bhamada: Jurnal Ilmu Dan Teknologi Kesehatan (E-Journal), 13(1), 64–68. https://doi.org/10.36308/JIK.V13I1.382
Jeong, Y. J., Nho, J. H., Kim, H. Y., & Kim, J. Y. (2021). Factors influencing quality of life in early postpartum women. International Journal of Environmental Research and Public Health, 18(6), 1–9. https://doi.org/10.3390/ijerph18062988
Health Office Kediri Regency. (2022). Profil Kesehatan Kabupaten Kediri Tahun 2021. Kabupaten Kediri.
Khoerunisa, S. (2018). Gambaran Kejadian Gejala Baby Blues Pada Ibu Postpartum Berdasarkan Karakteristik di Rumah Sakit dr. Slamet Garut (2018). [Undergraduated thesis]. Bandung: Faculty of Health Sciences, Universitas Bhakti Kencana.
Kurniawati, D., & Septiyono, E. A. (2022). Determinants of Postpartum Blues in Indonesia. Pediomaternal Nursing Journal, 8(1), 45–52. https://doi.org/10.20473/PMNJ.V8I1.27649
La Isa, W. M. (2022). Hubungan dukungan keluarga dalam becoming a mother di wilayah kerja puskesmas moncongloe kabupaten maros. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 2(2), 259-265. https://jurnal.stikesnh.ac.id/index.php/jimpk/article/view/772
Ministry of Health RI. (2019). Riskesdas (2018th ed., p. 191). Laporan Provinsi Jawa Timur RISKESDAS 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB).
Ministry of Health RI. (2019). Panduan Pelayanan Pasca Persalinan bagi Ibu dan Bayi Baru Lahir. Jakarta.
Nababan, I. N., & Sofiyanti, I. (2022). Perbedaan Psikologis Ibu Nifas Primipara dan Multipara di Puskesmas Cilamaya Kecamatan Cilamaya Wetan Kabupaten Karawang Jawa Barat Tahun 2021. Journal of Holistics and Health Sciences (JHHS), 4(2), 113–117. https://doi.org/https://doi.org/10.35473/jhhs.v4i1.118
Nova, S., & Zagoto, S. (2020). Gambaran Pengetahuan Ibu Nifas Tentang Adaptasi Psikologis Pada Masa Nifasdi Klinik Pratama Afiyah Pekanbaru Tahun 2019. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 9(2), 108–113. https://doi.org/10.35328/KEBIDANAN.V9I2.674
Pulungan, P. W., Sitorus, S., Amalia, R., Ingrit, B. L., Hutabarat, J., Anggraini, D. D., Pakpahan, M., Aini, F. N., Happy, M., Sari, N., (2020). Ilmu Obstetri dan Ginekologi untuk Kebidanan. Medan: Yayasan Kita Menulis.
Rahmawati, R. S. N., Novitasari, R., & Supriyono, L. C. P. (2020). The differences in health education on hazard signs in postpartum using the media flip chart and leaflets on knowledge of postpartum mothers in aura syifa hospital kediri. Jurnal Kebidanan Kestra (JKK), 3(1), 39–47. https://doi.org/10.35451/JKK.V3I1.478
Rezaie-Keikhaie, K., Arbabshastan, M. E., Rafiemanesh, H., Amirshahi, M., Ostadkelayeh, S. M., & Arbabisarjou, A. (2020). Systematic Review and Meta-Analysis of the Prevalence of the Maternity Blues in the Postpartum Period. Journal of Obstetric, Gynecologic & Neonatal Nursing, 49(2), 127–136. https://doi.org/10.1016/J.JOGN.2020.01.001
Rosa, E. M., Apriyanti, P., & Astuti, D. A. (2021). Husband’s Support in the Taking-hold Phase of Postpartum (Phenomenology Study). Open Access Macedonian Journal of Medical Sciences, 9(T4), 97–100. https://doi.org/10.3889/OAMJMS.2021.5761
Rubin, R. (1977). Binding-in in the postpartum period. Maternal-Child Nursing Journal, 6(2), 67–75. https://pubmed.ncbi.nlm.nih.gov/585783/
Saufika, F., Indriyani, D., & Adriani, S. W. (2019). Hubungan dukungan Keluarga dengan waktu pencapaian adaptasi psikologis (letting go) pada Ibu Postpartum di Wilayah Puskesmas Maesan Bondowoso. [Undergraduated thesis]. Jember: Faculty of Health. Universitas Muhammadiah Jember. http://repository.unmuhjember.ac.id/7356/
Tsai, S. S., & Wang, H. H. (2019). Role changes in primiparous women during the 'doing the month' period. Midwifery, 74, 6–13. https://doi.org/10.1016/J.MIDW.2019.03.007
Vidayati, L. A., & Zainiyah, H. (2021). Determinant Factors that have Associated with Incidence of Postpartum Blues in the Primary General and Maternity Clinic in East Java, Indonesia. Journal of International Dental and Medical Research, 14(2), 845–848.
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). Correction: Mapping global prevalence of depression among postpartum women. Translational Psychiatry 2021 11:1, 11(1), 1–1. https://doi.org/10.1038/s41398-021-01692-1
Wijaya, B. A., & Arum Pratiwi, S. K. (2017). Hubungan dukungan keluarga dengan tingkat depresi pada ibu postpartum di Poliklinik Obsgyn Rumah Sakit Umum Daerah Dr. Moewardi. [Undergraduated thesis]. Surakarta: Faculty of Health Science, Universitas Muhammadiyah Surakarta.
World Health Organization. (2022). WHO recommends maternal and newborn care for a positive postnatal experience. Human Reproduction Program. https://www.who.int/publications/i/item/9789240045989
Yanti, P., Yanti, P. A., Triratnawati, A., & Astuti, D. A. (2021). Peran Keluarga pada Ibu Pasca Bersalin. Jurnal Kesehatan Reproduksi, 8(1), 18–22. https://doi.org/10.22146/jkr.58017
Yunita, S., Salat, S., Satriaawati, A. C., & Permatasari, D. (2021). Hubungan Dukungan Keluarga dengan Kejadian Post Partum Blues. Jurnal Ilmiah Kebidanan (Scientific Journal of Midwifery), 7(2), 116–123. https://doi.org/10.33023/JIKEB.V7I2.860
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Jurnal Kesehatan
![Creative Commons License](http://i.creativecommons.org/l/by-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.