Relationship between Birth Trauma, Breastfeeding, Bonding Attachment and Postpartum Depression among Mothers with Preterm Birth in West Java Indonesia Irma Nurbaeti (a*), Wannee Deoisres (b), Yanti Riantini (c), Susilawati (d)
a) Nursing Program, The Faculty of Health Science, UIN Syarif Hidayatullah Jakarta, Indonesia
*Email: irma.nurbaeti[at]uinjkt.ac.id
b) Faculty of Nursing, Rambhai Barni Rajabhat University, Thailand
c) Mother and Children Hospital, Harapan Kita Jakarta, Indonesia
d) Nursing Program, STIKES Sukabumi, Indonesia
Abstract
Introduction. Postpartum depression is high preference among mothers who preterm birth in west countries. Some factors may contribute to postpartum depression in preterm-birth.
Goal. The aim was to explore relationship between birth trauma, bonding, breastfeeding and postpartum depression in mothers with preterm birth.
Methods: A Cross-sectional study was carried out in this study. A convenience sample of 118 postpartum mothers who gave birth premature babies 21-36 weeks gestation, baby was alive, hospitalized more than one week, mothers had no history of mental illness. Data were collected in Sukabumi Hospital West Java, Indonesia, in July to October 2018. The Edinburgh Postnatal Depression Scale used to measure symptoms of postpartum depression. Regression was performed to analyze data.
Result. The prevalence of PPD was 27.97%. Breastfeeding difficulty and Complication during antenatal and postpartum period were related with postpartum depression (R2 = 0.480, -2 Log likelihood= 92.060, p-value < 0.001). Complication in antenatal and postpartum period had 8.363 (95% CI 2.171 - 32.212) times contributed to Postpartum depression and mothers with breastfeeding difficulty had 1.087 (95% CI 1.037 - 1.140) time contributed to postpartum depression compared with mothers who had no difficulties to breastfeed.
Conclusion. This result highlight that mothers with preterm birth should be supported particularly mothers with complication and guided to success breastfeed. Screening for postpartum depression is recommended for mothers with preterm birth.
