The Role of Midwives in Maternal Mental Health in the First 1000 Years of Life
Peran Bidan Terhadap Kesehatan Mental Ibu di 1000 Pertama Kehidupan
-
(1) * Dinda Aulia
Indonesia
(2) Ella Farida Sembiring Universitas Airlangga
Indonesia
(3) Nurafmi Djaguna Universitas Airlangga
Indonesia
(4) Manggala Pasca Wardhana Universitas Airlangga
Indonesia
(5) Ratna Dwi Jayanti Universitas Airlangga
Indonesia
(6) Nurul Azizah Universitas Airlangga
Indonesia
(*) Corresponding Author
Abstract
1000 hari pertama kehidupan merupakan periode transisi sejak konsepsi hingga dua tahun setelah melahirkan, masa dimana seorang wanita mengalami perubahan peran dan tanggung jawab. Periode tersebut menjadi waktu yang rentan bagi wanita untuk mengalami masalah kesehatan mental seperti stres dan kecemasan yang juga meningkatkan risiko terjadinya depresi. Mengkaji intervensi nonfarmakologi yang dapat mencegah atau mengurangi masalah kesehatan jiwa ibu pada 1000 hari pertama, khususnya yang dapat diberikan oleh bidan. Desain: Tinjauan literatur tentang tinjauan sistematis. Sumber data: PubMed, Science Direct, Epistemonikos, dan pencarian situs web. Metode: pencarian literature menggunakan advance search dengan Boolean operator, pemotongan, dan istilah MeSH. Kriterianya antara lain artikel terbit tahun 2021, menggunakan bahasa Indonesia dan Inggris, akses terbuka, mendeskripsikan masalah kesehatan jiwa (stres, kecemasan, depresi) dalam 1000 hari pertama, dan memberikan informasi tentang intervensi nonfarmakologi yang dapat diberikan oleh bidan. Alur pencarian literatur menggunakan diagram PRISMA dan dinilai dengan checklist Critical Appraisal Skills Program. Temuan: 235 artikel diperoleh dan empat studi dimasukkan dalam ulasan ini yang membahas kesehatan mental ibu dengan periode dan variasi intervensi yang berbeda. Menginformasikan sumber masalah kesehatan jiwa ibu, dampak bagi ibu dan anak, dampak intervensi, dan peran bidan. Kesimpulan: semua intervensi memiliki efek yang berbeda pada setiap periode 1000 hari pertama, namun tetap bermanfaat bagi ibu. Terapi Perilaku Kognitif memiliki efek dominan untuk mencegah atau mengurangi masalah kesehatan mental ibu. Bidan dapat memberikan intervensi dengan meningkatkan pengetahuan dan keterampilannya, serta membutuhkan dukungan dari organisasi profesi. Intervensi ini perlu diintegrasikan ke dalam perawatan ibu rutin untuk memberikan hasil yang optimal.
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Sánchez-Polán, M., Franco, E., Silva-José, C., Gil-Ares, J., Pérez-Tejero, J., Barakat, R. and Refoyo, I., 2021. Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis. Frontiers in Physiology, 12, p.889. https://doi.org/10.3389/FPHYS.2021.640024/BIBTEX.
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Sumarni, S., Prawitasari, S. and putri, ika, 2020. The effect of midwife training in strengthening the mental health of postpartum mother. Journal of Community Empowerment for Health, [online] 3(1), pp.60–66. https://doi.org/10.22146/JCOEMPH.41269.
UNICEF, 2017. First 1000 Days the critical Window to ensure that children survive and thrive. [online] Available at:
Alipour, Z., Kheirabadi, G.R., Kazemi, A. and Fooladi, M., 2018. The most important risk factors affecting mental health during pregnancy: A systematic review. Eastern Mediterranean Health Journal, 24(6), pp.549–559. https://doi.org/10.26719/2018.24.6.549.
Anis, W., Amalia, R. and Dewi, E., 2022. Do mothers who meet the minimum standard of antenatal visits have better knowledge? A study from Indonesia. Journal of education and health promotion, 11(1), p.134. Available at: https://pubmed.ncbi.nlm.nih.gov/35677255/
Anon 2021. Overview - Cognitive behavioral therapy (CBT) - NHS. [online] Available at:
Anon n.d. CASP for Systematic Review. [online] Available at:
Baron, E.C., Hanlon, C., Mall, S., Honikman, S., Breuer, E., Kathree, T., Luitel, N.P., Nakku, J., Lund, C., Medhin, G., Patel, V., Petersen, I., Shrivastava, S. and Tomlinson, M., 2016. Maternal mental health in primary care in five low- and middle-income countries: A situational analysis. BMC Health Services Research, 16(1). https://doi.org/10.1186/s12913-016-1291-z.
Coates, D. and Foureur, M., 2019. The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review. Health & Social Care in the Community, [online] 27(4), pp.e389–e405. https://doi.org/10.1111/HSC.12740.
Davies, S.R., Caldwell, D.M., Lopez-Lopez, J.A., Dawson, S., Wiles, N., Kessler, D., Welton, N.J. and Churchill, R., 2018. The process and delivery of cognitive behavioural therapy (CBT) for depression in adults: a network meta‐analysis. The Cochrane Database of Systematic Reviews, [online] 2018(10). https://doi.org/10.1002/14651858.CD013140.
Domínguez-Solís, E., Lima-Serrano, M. and Lima-Rodríguez, J.S., 2021. Non-pharmacological interventions to reduce anxiety in pregnancy, labour and postpartum: A systematic review. Midwifery, 102, p.103126. https://doi.org/10.1016/J.MIDW.2021.103126Fassaie, S. and McAloon, J., 2020. Maternal distress, HPA activity, and antenatal interventions: A systematic review. Psychoneuroendocrinology, https://doi.org/10.1016/j.psyneuen.2019.104477.
Fellmeth, G., Fazel, M. and Plugge, E., 2017. Migration and perinatal mental health in women from low- and middle-income countries: a systematic review and meta-analysis. BJOG: An International Journal of Obstetrics and Gynaecology, https://doi.org/10.1111/1471-0528.14184.
Fordham, B., Sugavanam, T., Hopewell, S., Hemming, K., Howick, J., Kirtley, S., das Nair, R., Hamer-Hunt, J. and Lamb, S.E., 2018. Effectiveness of cognitive–behavioural therapy: a protocol for an overview of systematic reviews and meta-analyses. BMJ Open, [online] 8(12), p.e025761. https://doi.org/10.1136/BMJOPEN-2018-025761.
Gorman, G., Toomey, E., Flannery, C., Redsell, S., Hayes, C., Huizink, A., Kearney, P.M. and Matvienko-Sikar, K., 2021. Fidelity of Interventions to Reduce or Prevent Stress and/or Anxiety from Pregnancy up to Two Years Postpartum: A Systematic Review. Maternal and Child Health Journal, 25(2), pp.230–256. https://doi.org/10.1007/s10995-020-03093-0.
Green, S.M., Donegan, E., McCabe, R.E., Streiner, D.L., Agako, A. and Frey, B.N., 2020. Cognitive behavioral therapy for perinatal anxiety: A randomized controlled trial. Australian and New Zealand Journal of Psychiatry, 54(4), pp.423–432. https://doi.org/10.1177/0004867419898528.
Hastanti, H., Budiono, B. and Febriyana, N., 2019. Primigravida Memiliki Kecemasan Yang Lebih Saat Kehamilan. Indonesian Midwifery and Health Sciences Journal, 3(2), pp.167–178. Available at: https://e-journal.unair.ac.id/IMHSJ/article/view/27720
Mardiyanti, I., Nursalam, Devy, S.R. and Ernawati, 2019. The independence of pregnant women in early detection of high risk of pregnancy in terms of parity, knowledge and information exposure. Journal of Public Health in
Africa, 10(s1). Available at: https://www.publichealthinafrica.org/jphia/article/view/1180 [Accessed: 31 August 2022].
Nadariah, S., Febriyana, N. and Budiono, D.I., 2021. Hubungan Karakteristik Ibu Primipara Dengan Terjadinya Baby Blues. Indonesian Midwifery and Health Sciences Journal, 3(4), pp.278–286.
Huang, L., Zhao, Y., Qiang, C. and Fan, B., 2018. Is cognitive behavioral therapy a better choice for women with postnatal depression? A systematic review and meta-analysis. PLoS ONE, [online] 13(10). https://doi.org/10.1371/JOURNAL.PONE.0205243.
Karyotaki, E., Efthimiou, O., Miguel, C., Bermpohl, F.M.G., Furukawa, T.A., Cuijpers, P., Riper, H., Patel, V., Mira, A., Gemmil, A.W., Yeung, A.S., Lange, A., Williams, A.D., Mackinnon, A., Geraedts, A., van Straten, A., Meyer, B., Björkelund, C., Knaevelsrud, C., Beevers, C.G., Botella, C., Strunk, D.R., Mohr, D.C., Ebert, D.D., Kessler, D., Richards, D., Littlewood, E., Forsell, E., Feng, F., Wang, F., Andersson, G., Hadjistavropoulos, H., Christensen, H., Ezawa, I.D., Choi, I., Rosso, I.M., Klein, J.P., Shumake, J., Garcia-Campayo, J., Milgrom, J., Smith, J., Montero-Marin, J., Newby, J.M., Bretón-López, J., Schneider, J., Vernmark, K., Bücker, L., Sheeber, L.B., Warmerdam, L., Farrer, L., Heinrich, M., Huibers, M.J.H., Kivi, M., Kraepelien, M., Forand, N.R., Pugh, N., Lindefors, N., Lintvedt, O., Zagorscak, P., Carlbring, P., Phillips, R., Johansson, R., Kessler, R.C., Brabyn, S., Perini, S., Rauch, S.L., Gilbody, S., Moritz, S., Berger, T., Pop, V., Kaldo, V., Spek, V. and Forsell, Y., 2021. Internet-Based Cognitive Behavioral Therapy for Depression: A Systematic Review and Individual Patient Data Network Meta-analysis. JAMA Psychiatry, [online] 78(4), pp.361–371. https://doi.org/10.1001/JAMAPSYCHIATRY.2020.4364.
Lasater, M.E., Murray, S.M., Keita, M., Souko, F., Surkan, P.J., Warren, N.E., Winch, P.J., Ba, A., Doumbia, S. and Bass, J.K., 2021. Integrating Mental Health into Maternal Health Care in Rural Mali: A Qualitative Study. Journal of Midwifery & Women’s Health, 66(2), pp.233–239. https://doi.org/10.1111/jmwh.13184.
Matvienko-Sikar, K., Flannery, C., Redsell, S., Hayes, C., Kearney, P.M. and Huizink, A., 2021. Effects of interventions for women and their partners to reduce or prevent stress and anxiety: A systematic review. Women and Birth, 34(2), pp.e97–e117. https://doi.org/10.1016/J.WOMBI.2020.02.010.
McCauley, M., Abigail, B., Bernice, O. and van den Broek, N., 2019. “i just wish it becomes part of routine care”: Healthcare providers’ knowledge, attitudes and perceptions of screening for maternal mental health during and after pregnancy: A qualitative study. BMC Psychiatry, 19(1). https://doi.org/10.1186/s12888-019-2261-x.
Milgrom, J., Holt, C.J., Bleker, L.S., Holt, C., Ross, J., Ericksen, J., Glover, V., O’donnell, K.J., de Rooij, S.R. and Gemmill, A.W., 2019. Maternal antenatal mood and child development: an exploratory study of treatment effects on child outcomes up to 5 years. Journal of developmental origins of health and disease, [online] 10(2), pp.221–231.https://doi.org/10.1017/S2040174418000739.
Missler, M., Donker, T., Beijers, R., Ciharova, M., Moyse, C., de Vries, R., Denissen, J. and van Straten, A., 2021. Universal prevention of distress aimed at pregnant women: a systematic review and meta-analysis of psychological interventions. BMC Pregnancy and Childbirth, 21(1). https://doi.org/10.1186/S12884-021-03752-2.
Nadariah, S., Febriyana, N. and Budiono, D.I., 2021. Hubungan Karakteristik Ibu Primipara Dengan Terjadinya Baby Blues. Indonesian Midwifery and Health Sciences Journal, 3(4), pp.278–286.
Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., McDonald, S., McGuinness, L.A., Stewart, L.A., Thomas, J., Tricco, A.C., Welch, V.A., Whiting, P. and Moher, D., 2021. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. The BMJ, https://doi.org/10.1136/bmj.n71.
Roman, M., Constantin, T. and Bostan, C.M., 2020. The efficiency of online cognitive-behavioral therapy for postpartum depressive symptomatology: a systematic review and meta-analysis. Women & health, [online] 60(1), pp.99–112. https://doi.org/10.1080/03630242.2019.1610824.
Sánchez-Polán, M., Franco, E., Silva-José, C., Gil-Ares, J., Pérez-Tejero, J., Barakat, R. and Refoyo, I., 2021. Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis. Frontiers in Physiology, 12, p.889. https://doi.org/10.3389/FPHYS.2021.640024/BIBTEX.
Sanjuan, P.M., Fokas, K., Tonigan, J.S., Henry, M.C., Christian, K., Rodriguez, A., Larsen, J., Yonke, N. and Leeman, L., 2021. Prenatal maternal posttraumatic stress disorder as a risk factor for adverse birth weight and gestational age outcomes: A systematic review and meta-analysis. Journal of affective disorders, [online] 295, pp.530–540. https://doi.org/10.1016/J.JAD.2021.08.079.
Slomian, J., Honvo, G., Emonts, P., Reginster, J.Y. and Bruyère, O., 2019. Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, https://doi.org/10.1177/1745506519844044.
Sūdžiūtė, K., Murauskienė, G., Jarienė, K., Jaras, A., Minkauskienė, M., Adomaitienė, V. and Nedzelskienė, I., 2020. Pre-existingmental health disorders affect pregnancy and neonatal outcomes: A retrospectivecohort study. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-03094-5.
Sumarni, S., Prawitasari, S. and putri, ika, 2020. The effect of midwife training in strengthening the mental health of postpartum mother. Journal of Community Empowerment for Health, [online] 3(1), pp.60–66. https://doi.org/10.22146/JCOEMPH.41269.
UNICEF, 2017. First 1000 Days the critical Window to ensure that children survive and thrive. [online] Available at:
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Published
2023-11-27
Section
Postnatal Care
Copyright (c) 2023 Dinda Aulia
This work is licensed under a Creative Commons Attribution 4.0 International License.
