NEONATAL INTENSIVE CARE ADMISSION ASSOCIATED
WITH POSTNATAL DEPRESSION
Yasmina Ema, Rukmono Siswishanto, Shofwal Widad
Department of Obstetric and Gynecology
Faculty of Medicine Gadjah Mada University
Sardjito Hospital Yogyakarta
ABSTRACT
Background: Postnatal depression is a frequent complication after childbirth, approximately occurred 6.5 to 14.5% in postnatal women. Untreated postnatal depression can have adverse long-term effects. Episodes of depression can be chronic so it will affect the quality of life. Depression that occurs in the mother will affect behavioral, emotional, cognitive, and interpersonal children in the future. Postnatal women whose babies are cared for in the NICU is believed to have the level of depression, level of anxiety, and trauma symptoms were higher compared with that baby rooming. The occurrence of depression is associated with a variety of factors, including the adaptation with a sick baby, having a baby that isolated in the NICU, and the stress arising from the NICU environment
itself.
Objective: To observe the influence of the status of infants in the NICU treatment on the incidence of postnatal depression.
Methods: This study used a cross-sectional design. Subjects were patients of postnatal days 14-21 who met the inclusion criteria. Subjects were divided into 2 groups of mothers with infant care on NICU and group mothers with babies rooming. This study used edinburgh post natal depression scale (EPDS). Statistical test used was chi-square and logistic regression.
Results: The study subjects who met the criteria numbered 144 people. A total of 19 people suffering from postnatal depression (13.1%). Educational status of husband and infant admision to NICU giving significant differences on postnatal depression (p = 0.027 and p = 0.047). Infant care in the NICU improving postnatal
depression was 3.34 compared rooming in group (CI 95% 1.12 to 9.99).
Conclusion: The proportion of postnatal depression group of mothers with infants treated in the NICU larger than the rooming in group.
Keyword: postnatal depression, neonatal intensive care admission, EPDS.