Scoring System Model for Early Detection of Maternity Blues in Bukittinggi, West Sumatera, Indonesia

Authors

  • Feny Wartisa Doctoral Program of Public Health, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Yuniar Lestari Department of Public Health, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Yusrawati Yusrawati Department of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Padang, Indonesia
  • Amel Yanis Department of Psychiatry, Faculty of Medicine, Andalas University, Padang, Indonesia

DOI:

https://doi.org/10.6000/1929-6029.2025.14.18

Keywords:

Early detection, Maternity blues, scoring system

Abstract

Background: Maternity blues creates emotional instability in moms, causing them to become irritated, overly nervous, and feel incapable of being a good mother. Maternity blues may interfere with infant care and raise the risk of postpartum depression symptoms, disrupting mother and baby interactions. Maternity blues is often ignored so it is not diagnosed and if not treated properly it can become a problem and develop into postpartum depression or postpartum psychosis. Maternity blues is a serious condition that poses risks to both mothers and infants. If left untreated, Maternity blues can progress into postpartum depression, which has significant physical and psychological consequences. Early detection of Maternity blues is crucial for timely intervention and prevention.

Objectives: This study aims to develop a Scoring System Model for the early detection of maternity blues , allowing for effective screening and timely management.

Methods: A cross-sectional study was conducted in Bukittinggi City, West Sumatra, Indonesia, involving 126 postpartum mothers recruited consecutively. Data analysis included the calculation of odds ratios, logistic regression, and ROC curve analysis to determine the sensitivity and specificity of the prediction model. The scoring system's performance was assessed using calibration and discrimination values.

Results: The developed scoring system demonstrated good calibration and discrimination, with an Area Under the Curve (AUC) value of 0.806 (95% CI: 0.732–0.881). The Hosmer & Leme show test showed a p-value of 0.724, indicating a good fit for the model.

Conclusion: The proposed scoring system is a reliable tool for the early detection of maternity blues . By identifying at-risk mothers through prediction scores, appropriate interventions can be implemented to prevent the progression of maternity blues into more severe postpartum mental health disorders.

References

WHO. WHO urges quality care for women and newborns in critical first weeks after childbirth. Who [Internet] 2022; 22-4. Available from: https://www.who.int/news/item/30-03-2022-who-urges-quality-care-for-women-and-newborns-in-critical-first-weeks-after-childbirth

Fiala A, Jan Š, Klánová J. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. BMC Psychiatry 2017; 17(1): 1-10. DOI: https://doi.org/10.1186/s12888-017-1261-y

Fallon V, Davies SM, Silverio SA, Jackson L, De Pascalis L, Harrold JA. Psychosocial experiences of postnatal women during the COVID-19 pandemic. A UK-wide study of prevalence rates and risk factors for clinically relevant depression and anxiety. J Psychiatr Res 2021; 136: 157-66. DOI: https://doi.org/10.1016/j.jpsychires.2021.01.048

Ntaouti E, Gonidakis F, Nikaina E, Varelas D, Creatsas G, Chrousos G, et al. Maternity Blues: risk factors in Greek population and validity of the Greek version of Kennerley and Gath’s Blues Questionnaire. The Journal of Maternal-Fetal & Neonatal Medicine 2018; 33(13). DOI: https://doi.org/10.1080/14767058.2018.1548594

Khadije R-K, Arbabshastan, Edris M, Ra, Hosein, et al. Prevalence of the Maternity Blues in the Postpartum Period. J Obstet Gynecol Neonatal Nurs 2020; 49: 127-36. DOI: https://doi.org/10.1016/j.jogn.2020.01.001

Darusman, Sari M. Hubungan Peran Petugas Kesehatan dan Dukungan Keluarga dengan Pengetahuan Ibu Hamil tentang Baby Blues di Banda Aceh. Jurnal Pendidikan, Sains, dan Humaniora 2019; 7(6): 808-16.

Adila DR, Saputri D, Niriyah S, Studi P, Keperawatan I, Hang S, et al. Pengalaman Postpartum Blues Pada Ibu Primipara. Jurnal Ners Indonesia 2019; 9(2). DOI: https://doi.org/10.31258/jni.9.2.156-162

Samria S, Indah Haerunisa. Hubungan Dukungan Suami Dengan Kejadian Post Partum Blues Di Wilayah Perkotaan. Jurnal Kesehatan Masyarakat 2021; 07(1): 52-8. DOI: https://doi.org/10.35329/jkesmas.v7i1.1952

Ernawati D, Merlin WO, Ismawarti I. Kejadian Postpartum Blues pada Ibu postpartum di RS PKU Muhammadiyah Yogyakarta. Jurnal Ners dan Kebidanan 2020; 7(2): 203-12. DOI: https://doi.org/10.26699/jnk.v7i2.ART.p203-212

Harianis S, Sari NI. Analisis Faktor Yang Mempengaruhi Postpartum Blues. JOMIS (Journal of Midwifery Science) 2022; 6(1): 85-94. DOI: https://doi.org/10.36341/jomis.v6i1.2141

Risnawati R, Susilawati D. GaMaternity bluesaran Kejadian Post Partum Blues Pada Ibu Nifas Di Kelurahan Nanggalo Wilayah Kerja Puskesmas Nanggalo Padang Tahun 2018. Jurnal Kesehatan paca Bhakti Lampung 2018; VI(2): 138-48. DOI: https://doi.org/10.47218/jkpbl.v6i2.50

Manurung S. Penerapan Skala Maternal Blues Model Suryani Periode Antepartum Dan Postpartum Dalam Memprediksi Postpartum Blues Di DKI Wilayah Jakarta Selatan. [Jakarta]: Universitas Indonesia; 2018.

Zanardo V, Volpe F, de Luca F, Giliberti L, Giustardi A, Parotto M, et al. Maternity blues: a risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale. Journal of Maternal-Fetal and Neonatal Medicine [Internet] 2020; 33(23): 3962-8. DOI: https://doi.org/10.1080/14767058.2019.1593363

Badr HA, Zauszniewski JA. Kangaroo care and postpartum depression: The role of oxytocin. Int J Nurs Sci [Internet] 2017; 4(2): 179-83. DOI: https://doi.org/10.1016/j.ijnss.2017.01.001

Santi FN, Wahid SN. Penurunan Gejala Baby Blues Melalui Terapi Musik Klasik Mozart Pada Ibu Post Partum. Jurnal Kesehatan Panca Bhakti Lampung 2019; 7(2): 104. DOI: https://doi.org/10.47218/jkpbl.v7i2.73

Nawrocki Maciej, Anna Z, Piotr W, Ilona N, Wojciech W, Jakub G, et al. The problem of baby blues among Polish obstetricians - the scope of knowledge among medical students. Journal of Education, Health and Sport 2021; 11(12): 80-8. DOI: https://doi.org/10.12775/JEHS.2021.11.12.007

Sacher J, Chechko N, Dannlowski U, Walter M, Derntl B. The peripartum human brain: Current understanding and future perspectives. Vol. 59, Frontiers in Neuroendocrinology. Academic Press Inc.; 2020. DOI: https://doi.org/10.1016/j.yfrne.2020.100859

Soetrisno S, Hari Respati S, Sulistyowati S, Kurniawan H. The Impacts of Stimulation in Protracted Labor to Cortisol Levels and Post-Partum Blues. Folia Medica Indonesiana 2017; 53(1). DOI: https://doi.org/10.20473/fmi.v53i1.5483

Wilkinson A, Anderson S, Wheeler SB, Health C, Hill C, Drive D, et al. Screening for and treating postpartum depression and psychosis: A cost-effectiveness analysis. Matern Child Health J 2018; 21(4): 903-14. DOI: https://doi.org/10.1007/s10995-016-2192-9

Balaram K, Raman Marwaha. Postpartum Blues. StatPearls Publishing LLC. This 2022; pp. 3-7.

Kurniawati D, Septiyono EA. Determinants of Postpartum Blues in Indonesia. Pediomaternal Nursing Journal 2022; 8(1): 1-8. DOI: https://doi.org/10.20473/pmnj.v8i1.27649

Vidayati LA, Zainiyah H. Determinant Factors that has Associated with Incidence of Postpartum Blues in the one of Primary General and Maternity Clinic in East Java, Indonesia. Journal of International Dental and Medical Research 2021; 14(2): 845-8.

Qonita Q, Umalilhayati U, Muhida V. Analisis Faktor Risiko Terjadinya Postpartum Blues Di Ruang Wijaya Kusuma. Journal Of Applied Health Research And Development 2021; 3(1): 1-16. DOI: https://doi.org/10.58228/jahrd.v3i1.95

Handayani DS, Purwati Y. Upaya Pencegahan Gangguan Postpartum Mood Sejak Kehamilan di Masa Pandemi Covid-19 Efforts to Prevent Postpartum Mood Disorders Since Pregnancy During the Covid- 19 Pandemic postpartum blues merupakan sindroma Menurut data Profil kesehatan Kabupaten Bantu. Jurnal Surya Masyarakat 2021; 3(2): 95-103. DOI: https://doi.org/10.26714/jsm.3.2.2021.95-103

Ardiyanti D, Dinni SM. Aplikasi Model Rasch dalam PengeMaternity bluesangan Instrumen Deteksi Dini Postpartum Depression. Jurnal Psikologi 2018; 45(2): 81. DOI: https://doi.org/10.22146/jpsi.29818

Kementerian Kesehatan RI. Rencana Aksi Kegiatan 2020 - 2024. Ditjen P2P Kemenkes [Internet] 2020; 29. Available from: https://e-renggar.kemkes.go.id/file2018/e-performance/ 1-401733-4tahunan-440.pdf

Bergly TH, Nordfjærn T, Hagen R. The dimensional structure of SCL-90-R in a sample of patients with substance use disorder. J Subst Use 2014; 19(3): 257-61. DOI: https://doi.org/10.3109/14659891.2013.790494

Prinz U, Nutzinger DO, Schulz H, Petermann F, Braukhaus C, Andreas S. Comparative psychometric analyses of the SCL-90-R and its short versions in patients with affective disorders [Internet] 2013. DOI: https://doi.org/10.1186/1471-244X-13-104

Faisal-Cury A, Menezes PR, Tedesco JJA, Kahalle S, Zugaib M. Maternity ‘Blues’: Prevalence and Risk Factors. The Spanish Journal of Psychology Copyright 2008; 11(2): 593. DOI: https://doi.org/10.1017/S1138741600004595

Lemeshow. Stanley, Hosmer, DW, Klar, J. Adequacy of sample size in health studies. Chichester: Wiley 1990.

Rahmah N, Kurniawati W. Relationship between marriage readiness and pregnancy planning among prospective brides. Journal of Public Health Research 2021; 10. DOI: https://doi.org/10.4081/jphr.2021.2405

Dennis CL, Brown HK, Brennenstuhl S. The Postpartum Partner Support Scale: Development, psychometric assessment, and predictive validity in a Canadian prospective cohort. Midwifery 2017; 54: 18-24. DOI: https://doi.org/10.1016/j.midw.2017.07.018

Huber S, Huber OW. The Centrality of Religiosity Scale (CRS). Religions (Basel) 2012; 3(3): 710-24. DOI: https://doi.org/10.3390/rel3030710

Rizki IWS. Pengaruh Coping Strategies terhadap Psychological Distress pada Remaja Panti Asuhan. [Padang]: Universitas ANdalas 2022.

Nirmala Sari D, Diatri H, Siregar K, Pratomo H. Adaptation of the edinburgh postnatal depression scale in the indonesian version: Self-reported anxiety and depression symptoms in pregnant women [Internet] 2021. DOI: https://doi.org/10.3889/oamjms.2021.7783

Manurung S, Setyowati S, Ginanjar AS, Soesilo TEB, Tyastuti D. The Item Development of Maternal Blues Suryani (MATERNITY BLUESS) Scale in the antepartum period through bonding attachment that predicting postpartum blues. Enferm Clin 2019; 29: 752-9. DOI: https://doi.org/10.1016/j.enfcli.2019.06.013

Dahlan MS. Penelitian Prognostik dan Sistem Skoring : Disertai Paktik dengan SPSS dan STATA. 1st ed. Bandung: Alqaprint Jatinangor 2011.

Mones SY, Lada CO, Jutomo L, Trisno I, Roga AU. The Influence of Individual Characteristics, Internal and External Factors of Postpartum Mothers with Baby Blues Syndrome in Rural and Urban Areas in Kupang City. EAS Journal of Nursing and Midwifery 2023; 5(1): 1-9. DOI: https://doi.org/10.36349/easjnm.2023.v05i01.001

Arief M, Adama W, Santy I. Risk Factors Affecting The Incident Of Baby Blues Syndrome-Muh. Arief Wahyu Adama Risk Factors Affecting The Incident Of Baby Blues Syndrome. Jurnal Eduhealth [Internet] 2024; 15. Available from: https://ejournal.seaninstitute.or.id/index.php/healt

Betty Rahayuningsih F. Postpartum Mom Mood Disorders under a Creative Commons Attribution-Non Commercial 4.0 International License (CC BY-NC 4.0). Jurnal Eduhealt [Internet] 2023; 14(04): 2023. Available from: http://ejournal.seaninstitute.or.id/index.php/healt

Wurisastuti T, Mubasyiroh R. Prevalensi dan Prediktor depresi pasca persalinan : Data Komunitas Riskesdas 2018. In: Seminar Nasional Kesehatan Masyarakat 2020.

Walker LO, Murry N. Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications. Women’s Health Reports 2022; 3(1): 104-14. DOI: https://doi.org/10.1089/whr.2021.0134

Gerli S, Fraternale F, Lucarini E, Chiaraluce S, Tortorella A, Bini V, et al. Obstetric and psychosocial risk factors associated with maternity blues. Journal of Maternal-Fetal and Neonatal Medicine 2021; 34(8): 1227-32. DOI: https://doi.org/10.1080/14767058.2019.1630818

Hamilton J A. Postpartum psychiatric syndromes. Psychiatr Clin North Am [Internet] 1989; 12(1): 89-103. DOI: https://doi.org/10.1016/S0193-953X(18)30453-2

Wartisa F, Lestari Y, Yusrawati Y, Yanis A. Coping Strategies and Their Subscales: Correlation with Maternity Blues. Andalas Obstetrics and Gynecology Journal 2025; 9(1): 30-40. DOI: https://doi.org/10.25077/aoj.9.1.30-40.2025

Downloads

Published

2025-04-18

How to Cite

Wartisa, F. ., Lestari, Y. ., Yusrawati, Y. ., & Yanis, A. . (2025). Scoring System Model for Early Detection of Maternity Blues in Bukittinggi, West Sumatera, Indonesia. International Journal of Statistics in Medical Research, 14, 181–189. https://doi.org/10.6000/1929-6029.2025.14.18

Issue

Section

General Articles