Gambaran Tingkat Kecemasan dan Kadar Hormon Kortisol Ibu Nifas

Anxiety and Cortisol Levels among Postpartum Mother's

https://doi.org/10.33860/jbc.v3i2.420

Authors

Keywords:

anxiety levels, cortisol levels, postpartum mothers

Abstract

Introduction: Physical, social, mental, and psychological issues are common in the first few days after giving birth. According to some research, postpartum depression symptoms are linked to high cortisol levels. Postpartum psychological stress causes higher cortisol levels. Objective: The aim of this study was to look at postpartum mother's anxiety and cortisol levels. Methods: An Analytical Survey with a Cross-Sectional Approach is used in this analysis. With simple random sampling, there were 38 samples that met the inclusion criteria. Data was collected using the PSAS questionnaire for anxiety and an ELISA test for cortisol levels. Univariate and Pearson correlation test is used in the data analysis. Results: The majority of postpartum mothers reported mild anxiety in the first 24 hours after childbirth, with an average cortisol level of 10.034ng/ml 47.4%. The average level of the puerperal hormone cortisol in primiparous women was 14.60ng/ml higher than in multiparous women 7.42 ng/dl. Conclusion: With a p-value of 0.017, there was a substantial difference in cortisol levels between primiparous and multiparous postpartum mothers. With a p-value <0.001, there was a close connection between anxiety scores and cortisol levels. Future studies would need to focus on making it easier for postpartum mothers to feel less anxious.

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References

Ahmadi, M. R., Hosseini, A., Gheisari, H. R., & Yavari, M. (2014). Preliminary trial in treatment of postpartum endometritis with intrauterine application of hyperimmune serum in dairy cows. Asian Pacific Journal of Tropical Disease, 4, S360–S365. https://www.sciencedirect.com/science/article/pii/S2222180814604710

Anggraeni, N. P. D. A., Herawati, L., & Widyawati, M. N. (2019). The Effectiveness of Postpartum Yoga on Uterine Involution among Postpartum Women n Indonesia. International Journal of Nursing and Health Services (IJNHS), 2(3), 124–134. https://www.ijnhs.net/index.php/ijnhs/article/download/164/68/1554

Anggraeni, N. P. D. A., Herawati, L., Widyawati, M. N., & Arizona, I. K. L. T. (2020). The Effect of Exercise on Postpartum Women’s Quality of Life: A Systematic Review. Jurnal Ners, 14(3 (si)), 146–154. https://e-journal.unair.ac.id/JNERS/article/view/16950

Bhagwagar, Z., Hafizi, S., & Cowen, P. J. (2005). Increased salivary cortisol after waking in depression. Psychopharmacology, 182(1), 54–57. https://link.springer.com/article/10.1007/s00213-005-0062-z

Fallon, V., Halford, J. C. G., Bennett, K. M., & Harrold, J. A. (2016). The postpartum specific anxiety scale: development and preliminary validation. Archives of Women’s Mental Health, 19(6), 1079–1090. https://pubmed.ncbi.nlm.nih.gov/27571782/

Field, T., Diego, M., Delgado, J., & Medina, L. (2013). Yoga and social support reduce prenatal depression, anxiety and cortisol. Journal of Bodywork and Movement Therapies, 17(4), 397–403. https://doi.org/https://doi.org/10.1016/j.jbmt.2013.03.010

Gaffey, A. E., Bergeman, C. S., Clark, L. A., & Wirth, M. M. (2016). Aging and the HPA axis: Stress and resilience in older adults. Neuroscience and Biobehavioral Reviews, 68, 928–945. https://doi.org/10.1016/j.neubiorev.2016.05.036

García-Blanco, A., Monferrer, A., Grimaldos, J., Hervás, D., Balanzá-Martínez, V., Diago, V., Vento, M., & Cháfer-Pericás, C. (2017). A preliminary study to assess the impact of maternal age on stress-related variables in healthy nulliparous women. Psychoneuroendocrinology. https://doi.org/10.1016/j.psyneuen.2017.01.018

Gaynes, B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G., Brody, S., & Miller, W. C. (2005). Perinatal depression: Prevalence, screening accuracy, and screening outcomes: Summary. In AHRQ evidence report summaries. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK11838/

Kianpour, M., Mansouri, A., Mehrabi, T., & Asghari, G. (2016). Effect of lavender scent inhalation on prevention of stress, anxiety and depression in the postpartum period. Iranian Journal of Nursing and Midwifery Research, 21(2), 197. https://pubmed.ncbi.nlm.nih.gov/27095995/

Machmudah, M. (2015). Gangguan Psikologis pada Ibu Postpartum; Postpartum Blues. Jurnal Keperawatan Maternitas, 3(2), 118–125. https://jurnal.unimus.ac.id/index.php/JKMat/article/view/4036

Marmi, S. (2011). Asuhan kebidanan pada masa antenatal. Yogyakarta: Pustaka Pelajar.

Martínez-Galiano, J. M., Hernández-Martínez, A., Rodríguez-Almagro, J., Delgado-Rodríguez, M., & Gómez-Salgado, J. (2019). Relationship between parity and the problems that appear in the postpartum period. Scientific Reports, 9(1), 1–8. https://www.nature.com/articles/s41598-019-47881-3

Martínez-Galiano, J. M., Hernández-Martínez, A., Rodríguez-Almagro, J., Delgado-Rodríguez, M., Rubio-Alvarez, A., & Gómez-Salgado, J. (2019). Women’s quality of life at 6 weeks postpartum: Influence of the discomfort present in the puerperium. International Journal of Environmental Research and Public Health, 16(2), 1–9. https://doi.org/10.3390/ijerph16020253

Motzfeldt, I., Andreasen, S., Lynge Pedersen, A., & Lynge Pedersen, M. (2013). Prevalence of postpartum depression in Nuuk, Greenland–a cross-sectional study using Edinburgh Postnatal Depression Scale. International Journal of Circumpolar Health, 72(1), 21114. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753142/

Paul, I. M., Downs, D. S., Schaefer, E. W., Beiler, J. S., & Weisman, C. S. (2013). Postpartum anxiety and maternal-infant health outcomes. Pediatrics, 131(4), e1218–e1224. https://pubmed.ncbi.nlm.nih.gov/23460682/

Rahayu, S., Widyawati, M. N., & Dewi, R. K. (2018). Pengaruh Masase Endorphin Terhadap Tingkat Kecemasan dan Involusio Uteri Ibu Nifas. Jurnal Kebidanan, 8(1), 29–36. http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jurkeb/article/view/3732

Respati, S. H., Sulistyowati, S., & Kurniawan, H. (2017). The Impacts of Stimulation in Protracted Labor to Cortisol Levels and Incidence of Post-Partum Blues. Folia Medica Indonesiana, 53(1), 7–11. https://e-journal.unair.ac.id/FMI/article/view/5483

Ross, L. E., & McLean, L. M. (2006). Anxiety disorders during pregnancy and the postpartum period: A systematic review. The Journal of Clinical Psychiatry. https://pubmed.ncbi.nlm.nih.gov/16965210/

Saleha, S. (2009). Asuhan kebidanan pada masa nifas. Jakarta: Salemba Medika.

Sherwood, L. (2016). Fisiologi Manusia Dari Sel ke Sistem. (E. by B. U. P. et Al. (ed.); Edisi 8).

Siregar, N. Y., Kias, C. F., Nurfatimah, N., Noya, F., Longgupa, L. W., Entoh, C., & Ramadhan, K. (2021). Tingkat Kecemasan Ibu Hamil Trimester III dalam Menghadapi Persalinan. Jurnal Bidan Cerdas, 3(1), 18–24. https://doi.org/10.33860/jbc.v3i1.131

Wahyuningsih, H. P. (2018). Asuhan Kebidanan Nifas dan Menyusui. Kementerian Kesehatan Republik Indonesia Pusat Pendidikan Sumber Daya Manusia Kesehatan Badan PPSDMK. http://bppsdmk.kemkes.go.id/pusdiksdmk/wp-content/uploads/2018/09/Asuhan-Kebidanan-Nifas-dan-Menyusui_SC.pdf

Wenzel, A., & Stuart, S. C. (2011). Anxiety in childbearing women: Diagnosis and treatment. American Psychological Association. https://psycnet.apa.org/record/2010-13286-000

WHO. (2016). Gender and Women’s Mental Health. https://www.who.int/mental_health/resources/gender/en/

Zagoto, S. (2020). Gambaran Pengetahuan Ibu Nifas tentang Adaptasi Psikologis pada Masa Nifas di Klinik Pratama Afiyah Pekanbaru Tahun 2019. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 9(2), 108–113. https://jurnal.stikes-alinsyirah.ac.id/index.php/kebidanan/article/view/674

Published

2021-06-12

How to Cite

Anggraeni, N. P. D. A., & Saudia, B. E. P. . (2021). Gambaran Tingkat Kecemasan dan Kadar Hormon Kortisol Ibu Nifas: Anxiety and Cortisol Levels among Postpartum Mother’s. Jurnal Bidan Cerdas, 3(2), 55–63. https://doi.org/10.33860/jbc.v3i2.420

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