Background: Anxiety and pain are physiologic symptoms experienced by mothers during birth delivery. However, if these symptoms are not well-managed they can cause low birth weight, prematurity, prolonged labor, and postpartum depression. This study aimed to analyze the psychosocial factors associated with anxiety and delivery pain. Subjects and Method: This was an analytical observational study with cross sectional design. The study was conducted at Gajahan community health center, Surakarta Hospital, and Muhammadiyah Hospital, Delanggu, Central Java, from December 2017 to January 2018. A total sample of 166 delivery mothers were selected for this study by purposive sampling. The dependent variables were anxiety and delivery pain. The independent variables were parity, psychological stress, coping mechanism, family income, and family support. The data were collected by questionnaire. Anxiety was measured by modified Pregnancy Related Anxiety Questionaire (PRAQ_R). The data were analyzed by path analysis. Results: Delivery pain increased with higher anxiety (b= 0.30, SE= 0.02, p<0.001). Anxiety decreased with higher delivery pain (b = -1.19, SE= 0.02, p<0.001) and increased with higher stress (b = 0.92, SE= 0.09, p<0.001). Anxiety decreased with coping mechanism (b = -0.31, SE = 0.08, p<0.001) and parity (b= -0.86, SE= 0.37, p<0.001). Stress decreased with better coping mechanism (b= -0.48, SE= 0.08, p<0.001), higher family income (b = -0.16, SE = 0.04, p<0.001), parity (b= -2.13, SE= 0.36, p<0.001), and stronger family support (b = -0.22, SE = 0.06, p=0.007). Coping mechanism increased with parity (b = 1.39, SE = 0.33, p<0.001) and strong family support (b= 0.46, SE= 0.06, p<0.001). Conclusion: Delivery pain increases with higher anxiety. Anxiety associated with delivery pain, stress, and coping mechanism.
Background: The puerperium begins when the baby and placenta are born until the uterus returns to its pre-pregnancy state, and generally lasts for 6 weeks. There are several adaptations that must be passed by postpartum period including physiological, psychological and social. Anxiety is part of the psychological disorders of postpartum mothers, if anxiety is not handled it can cause postpartum blues and its impact causes a decrease in children's cognitive abilities compared to their peers. The purpose of this study was to describe the level of anxiety in post partum mothers at HJ Faridatul Ampera S.Tr. Keb Independece Midwifery Practice Malang Regency. Methods: The method used in this research is descriptive quantitative with a sample of 38 postpartum mothers with purposive sampling method. The instrument used was a questionnaire, with postpartum mother's anxiety variable. Results: All post partum (100%) experienced anxiety with a mild level of anxiety of 50.00%, experiencing moderate anxiety of 36.84% and experiencing severe anxiety of 13.16%. Conclusion: Post partum maternal anxiety can occur due to various factors, therefore comprehensive support and care are needed in dealing with the post partum mother adaptation period.
Presentations of COVID-19 have ranged from asymptomatic/ mild symptoms to severe illness and mortality with common symptoms being fever, cough, and shortness of breath and loss of smell. Other symptoms, such as malaise and respiratory distress, have also been described. These symptoms may develop 2 days to 2 weeks following exposure to the virus (CDC Wuhan, 2020). This
Background: Previous studies have shown a high prevalence of psychiatric illness in pregnant women. A large body of research exists on the adverse outcomes of maternal psychological ill health, most notably depression and anxiety during pregnancy. Prenatal stress and anxiety can cause an increase in secretion of stress hormones, which can lead to preterm birth, lack of progress in labor, low birth weight, and fetal hypoxia. Little is known about the factors associated with anxiety and delivery pain in Indonesia. This study aimed to determine the psychosocial factors associated with anxiety and delivery pain.
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