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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health COVID-19 : Journal of Health, Medical Records and Pharmacy
Rahmawani Fauza
Universitas Murni Teguh
Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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A Conceptual Model of Family Assistance for Working Mothers in Preventing and Managing Postpartum Blues in Urban Areas Elvalini Warnelis Sinaga; Rahmawani Fauza; Debora Lestari Simamora; Nova Linda Rambe; Wellina Br. Sebayang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28729

Abstract

Physical recovery after childbirth. This study aimed to analyze factors influencing prevention and management efforts for postpartum blues among working mothers in an urban setting and to formulate a conceptual family-assistance model based on the significant predictors. A quantitative analytic study with a cross-sectional design was conducted among 206 working postpartum mothers in urban areas of Medan City, Indonesia. Postpartum blues symptoms were screened using the Edinburgh Postnatal Depression Scale (EPDS), with a cut-off score of ≥10. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The measurement model was evaluated through outer loading, Cronbach's alpha, rho_A, composite reliability, and average variance extracted (AVE). In contrast, the structural model was assessed using R-square, path coefficients, t-statistics, and p-values. Results: The mean EPDS score was 12.45 ± 3.18, and 142 respondents (69.0%) were categorized as having postpartum blues symptoms. All indicators demonstrated adequate outer loadings (>0.70), and all constructs met reliability and convergent validity criteria. The model explained 95.1% of the variance in prevention and management efforts for postpartum blues (R² = 0.951; adjusted R² = 0.947). The Health Belief Model had the strongest effect (β=0.312; T=7.428; p=0.000), followed by family assistance (β=0.288; T=5.236; p=0.000), psychological factors (β=0.254; T=5.644; p=0.000), social factors (β=0.210; T=3.442; p=0.001), physical factors (β=0.198; T=3.413; p=0.001), and demographic factors (β=0.185; T=3.557; p=0.000). Prevention and management of postpartum blues among working mothers should emphasize health beliefs, family assistance, psychological readiness, social support, physical recovery, and demographic vulnerability. The proposed conceptual model highlights the family as a key support system for early detection, help-seeking, and adherence to postpartum care Keywords: Postpartum Blues, Family Assistance, Working Mothers, Health Belief Model
Combination Of Cymbopogon Citratus and Citrus Aurantifolia Aromatherapy as a Complementary Therapy to Reduce Maternal Anxiety During Childbirth Rahmawani Fauza; Helena Fransysca
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 3 No. 01 (2025): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Anxiety during labor is a common psychological condition experienced by pregnant women, particularly primigravida mothers, and may negatively affect the labor process. Poorly managed anxiety can increase pain perception, inhibit uterine contractions, prolong labor, and adversely impact maternal and fetal well-being. Pharmacological management of anxiety has limitations due to potential side effects; therefore, safe and effective complementary therapies are needed. Aromatherapy has been widely used in midwifery care due to its relaxing and anxiolytic effects. Cymbopogon citratus and Citrus aurantifolia essential oils contain bioactive compounds that provide calming, refreshing, and mood-enhancing effects, and their combined use is expected to produce a synergistic effect in reducing anxiety during labor. This study aims to examine the effectiveness of a combination of Cymbopogon citratus and Citrus aurantifolia aromatherapy as a complementary therapy in reducing maternal anxiety during labor. This study employs a quasi-experimental design with a pretest–posttest control group approach. The subjects are laboring mothers who meet the inclusion criteria. Data are analyzed to determine differences in anxiety levels within and between groups. The combination of Cymbopogon citratus and Citrus aurantifolia aromatherapy is expected to significantly reduce anxiety levels among laboring mothers compared to standard care alone.: The use of combined Cymbopogon citratus and Citrus aurantifolia aromatherapy has the potential to serve as a safe, practical, and effective non-pharmacological intervention to reduce maternal anxiety during labor. This therapy may support holistic midwifery care by improving maternal comfort and psychological well-being during childbirth.
Co-Authors Debora Lestari Simamora Elfalini Warnelis Helena Fransysca Rambe, Nova Linda Sebayang, Wellina BR