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Perinatal interventions to reduce the severity of postpartum depression: A narrative review Rosyidah, Hanifatur; Nakatudde, Hadijah; Adyania, Kartika; Susanti, Siti
Journal of Health Technology Assessment in Midwifery Vol. 6 No. 2 (2023): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3057

Abstract

Postpartum depression (PPD) is a mental disorder that can affect mothers and their families, with symptoms of fatigue, mood swings, frequent anger for no reason, and excessive worry for the baby. Several studies regarding interventions that can be given to postpartum women with PPD have been carried out. The purpose of this review is to assess evidence on the effectiveness of a broad range of perinatal interventions to reduce the severity of PPD. The review of the literature has been done through PubMed, for papers with Randomized Control Trial (RCT) design published in 2012-2021. The approach was to explore quantitative parameters which is the EPDS score. More than 300 papers were identified, but only 6 studies met the inclusion criteria. A narrative review was conducted due to the studies' significant heterogeneity. Six studies reported a decrease in EPDS score. Six interventions have been identified to reduce the severity of PPD, they are exercise, psychological intervention, telephone-based Cognitive Behavioral Therapy (CBT), iBA (internet Behavioral Activation), application-based Cognitive Behavioral Therapy (CBT) and psychoeducation. This review suggests that multiple intervention program may lead to better outcomes in terms of client’s satisfaction. There is also some indication that psychoeducation support Maternal Parental Self-efficacy (MPSE) and social support besides EPDS.
Instrument for measuring maternal attitudes, knowledge and self-confidence towards breastfeeding: Literature review Rosyidah, Hanifatur; Nafisah, Wardatun; Surani, Endang; Nakatudde, Hadijah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 2 (2024): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3915

Abstract

The level of exclusive breastfeeding in Indonesia has still not reached the expected target. According to the World Health Organization (WHO), in 2019 the average rate of exclusive breastfeeding in the world was around 38%. This is far above the target of 50%. The causes of low coverage of exclusive breastfeeding are influenced by lack of awareness of the importance of breastfeeding, lack of maternal self-confidence, and low knowledge about the benefits of breastfeeding for mothers and babies. The research aims to describe and compare breastfeeding assessment instruments which include assessing mothers' attitudes, knowledge and beliefs in exclusive breastfeeding. The method used in this review is identification based on keywords, screening titles and abstracts, and selecting based on inclusion and exclusion criteria. The total of 10 articles were reviewed. According to 10 articles, 7 instruments were obtained, such as NeoEAT-Breastfeeding and IIFAS, which are effective in assessing the attitudes, knowledge, and beliefs of breastfeeding mothers. Overall, the instruments mentioned above can be used by healthcare workers to assess a mother's ability to breastfeed, with the note that validation and adaptation of the instrument into the national language are required.