DEPRESSION, POSTPARTUM AND Learning

OBSTETRIC SOCIAL PSYCHOLOGY Objective 1

PSYCHOLOGICAL DISORDERS POSTPARTUM
1.Definition porspartum blues
Post Partum Blues (UN) is often also referred to as maternity blues or baby blues
understood as a syndrome disorder mild effects that often appear in the first week
after delivery.
2. Causes of Postpartum Blues
Categorized as mild mental disorder syndrome, but if not properly ditatalaksanai can
cause discomfort for women who experience it, and even this disorder this disorder
can develop into a more severe state of depression and psychosis ie copy that has a
worse impact, especially in marital relations with her husband and development her
baby.
3.Symptom of postpartum blues
a. Reaction depressed / sad / dysphoria
b. Cry
c.irritability
d. Anxious
e. Unstable feeling
f. Tend to blame themselves
g. Sleep disorders and appetite disorders.
4.Clinical picture, prevention and management
Many factors are considered support on this syndrome:
a. Hormonal factors are too low
b. Demographic factors such as age and parietas
c. Experience in the process of pregnancy and childbirth
d. Background psychosocial concerned
The fix is to better prepare for childbirth, the point here is not only emphasize the
material but more importantly in terms of psychology and mental mother
Prevention can be done by:
a. Rest when baby is sleeping
b. Mild exercise, sincere and honest with a new role as a mother
c. Not a perfectionist in term of taking care of the baby
d. Talk about anxiety and communicate
e. Be flexible and joined a group of new mothers
B. POST PARTUM DEPRESSION
1. Defenition of post partum depression
Post partum depression is severe depression that occurred 7 days after childbirth and lasts for 30 days, can occur at any time
in the future even up to 1 year.
Based on the description above can be concluded that postpartum depression is postpartum emotional disturbance varied,
occurring in the first 10-day period after childbirth and lastscontinuously up to 6 months or even up to one year.
2. Causes of Depression Post Partum Due to hormonal disorders.
Hormones associated with the occurrence of post-partum depression is prolactin, steroids and progesterone.
Pitt (regina et al, 2001) suggests four factors causing postpartum depression:
a. Constitutional factors
b. Physical factors etrjadi because imbalance
c. Psychological factors
d. Social factors and characteristics of mothers
3. Symptoms of postpartum depression The symptoms are prominent in the post-partum depression is a triad of
depression are:
a. Decreased energy
b. Decreased effect
c. Lost interest (anhedonia)
Ling and Duff (2001) says that the symptoms of postpartum depression experienced by 60% of women have
characteristics and specific among others
1) Trauma to medical interventions that occur
2) Fatigue and mood changes
3) Disorders of appetite and sleep disturbances
4) Do not want to connect with others
5) 5) does not love her baby and want to hurt the baby or herself.
Hormones associated with the occurrence of postpartum depression is prolactin,
steroids, progesterone and estrogen. To prevent the occurrence of postpartum
depression as a family member must provide emotional support to the mother and
the mother should not overlook when looks are sad, and advise the mother to:
a. Well rested
b. Mild exercise
c. Share stories with others
d. Be flexible
e. Joining the new JV
f. Suggest to consult with medical personnel
C. POST PARTUM PSYCHOSIS

1.Definition of post-partum psychosis

Post partum psychosis is depression that occurs in the first week in 6 weeks after
delivery.
2.The cause of postpartum psychosis
Because women suffer from bipolar disorder or other psychiatric disorder called
schizoaffektif. The women have a high risk for developing postpartum psychosis.
3. Symptoms of postpartum psychosis Common symptoms are:
a. Delusions b. Hallucinations c. Disturbances during sleep d. Obsession of baby
4. Clinical, prevention and management
In women who suffer from this disease can be affected by drastic mood swings, from
depression to rage and turned into euphoria in a short time. Patients lose the spirit
and comfort in the activity, often shy away from friends or family, often complain of
headaches and chest pains, heart palpitations Air and breathing was fast. To reduce
the number of people with this as a family member should have to pay more
attention to the conditions and circumstances of the mother as well as providing
psychological support in order not to feel lost attention.
Advice to the patient to:
a. Rested enough b. Consuming foods with balanced nutrition c. Join the new ones d.
Be flexible e. Share stories with the people closest to f. Suggest to consult with
medical personnel
OBSTETRICS AND GYNECOLOGY SOCIAL
Obstetrics and Gynecology Social Sciences is the development of obstetrics and gynecology
and tatalaksananya to include prevention science (promotive, preventive, curative and
rehabilitative) so thus participate into account environmental factors associated with the
phenomenon of maternal and perinatal mortality and disease female reproductive organs.
Therefore we need special education
Obsginsos efforts in Indonesia
Means of health care efforts in Indonesia include:
1. Primary Health Care / Primary Health Care
In the National Health System in 1982 stated that primary health care is an effort to bring
services to the community, especially for pregnant women who live in rural
2. Safe Motherhood Initiative
1988 held a national workshop on Safe Motherhood involving government with 17 across
relevant sectors, NGOs, national / international and community to evolve a common
perception and commitment to Accelerate efforts to reducing maternal mortality (PP AKI)
3. Village Midwives
In 1989, government policy enforced by placing one midwife in each village as the
spearhead of the health service. Village midwife (Clinics) was developed as a place of birth.
Village midwives also receive basic knowledge and pembidanaan about midwifery services

4. Mothers movement (GSI)

In December 1996 was declared as the vehicle of partnership between the central
government to rural communities with the aim of MMR Reduction Acceleration. GSI districts
provide political policies associated with cross-sector involvement, while GSI rural districts and
perform operational assistance handling social problems, such as cost and transportation. Also
developed the Hospital for Mothers and Babies
5. Development Movement Toward Health Perspective INDONESIA HEALTHY 2010
Launched on March 1, 1999 with the archetypal paradigm Healthy, proactive preventive
promotive with curative rehabilitative services in support of comprehensive health maintenance.
Target Healthy Indonesia 2010 is
a. reducing maternal mortality rate of 450 / 100,000 KH (1988) to 125 / 100,000 in 2010 KH
b. midwife in every village
c. prenatal care 95%
d. delivery of health personnel 90%
e. handling high-risk mothers and complications of childbirth 80%
f. the availability of information on family planning 90%
g. Tetanus toxoid in pregnant women 90%
6. Making Pregnancy Safer
In the years 2001-2010 National Strategy plan by the Ministry of Health, in 2000 refers to the
global tuujuan ie reducing the MMR by 75% in 2015 to 115 / 100,000 KH and reduce IMR to less
than 35/1000 KH
7. Guidelines for Service Management Comprehensive Emergency Obstetric
Neonatal 24 hours at district level and District / City
Is the policy of the Department of Health in 2005 through the development of health
centers and hospitals BEONC PONEK 24 hours. District Hospital with Doctor Specialist
Obstetrics Gynecology and Child responsible for fostering the region in midwifery
services as well as primary referral hospital to support health centers at district level
8. VILLAGE ALERT (Village Ready Inter-Jaga)
Formed in 2006 with four main activities:
a. Notifications pregnant women
b. Savings maternal / Tabulin, social fund maternal / Dasolin
c. transportation
d. Availability of blood donors