The Level of Depression in Third Trimester Pregnancy, With and Without Anemia

Lyla Fitrania Primada, Natalia Dewi Wardani, M. Besari Adi Pramono

Abstract


Anemia is a health problem worldwide, especially in pregnancy, as it can cause depression. Antenatal depression can cause impaired fetal growth and development, bleeding and abortion, prematurity, low birth weight babies, and postpartum depression. This research aims to determine the difference in levels of depression between anemia and non-anemia in the third trimester of pregnancy. It is an observational study with a cross-sectional design. The samples were 75 last-trimester pregnant women who did antenatal care in Diponegoro National and Amino Gondohutomo Hospital, and also Halmahera and Ngesrep Health Center in Semarang and willling to be respondents selected using a purposive sampling method. Data collection used a validated Edinburgh Postnatal Depression Scale (EPDS) questionnaire with a Content Validity Index (CVI) of 1.00 and a reliability of 0.706. Mann Whitney and Kruskal Wallis were utilized to analyze data. There were 38 respondents with anemia and 37 respondents without anemia. The 12 respondents (31.6%) with anemia had a risk of depression, and 13 respondents (35.1%) without anemia had a risk of depression. There was no significant difference in the level of depression in the third trimester of pregnancy with and without anemia (P>0,05). 


Keywords


anemia; risk of depression; EPDS; third trimester of pregnancy

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References


Yuliani E. Hubungan Riwayat Anemia saat Kehamilan dengan Kejadian Anemia Postpartum pada Ibu Nifas. EMBRIO. 2020;12(2):102–7. http://dx.doi.org/10.36456/embrio.v12i2.2796

Sheeba B, Nath A, Metgud CS, Krishna M, Venkatesh S, Vindhya J, et al. Prenatal depression and its associated risk factors among pregnant women in Bangalore: A hospital based prevalence study. Front Public Health. 2019;7. http://dx.doi.org/10.3389/fpubh.2019.00108

Kusuma R. Karakteristik Ibu yang Mengalami Depresi dalam Kehamilan. jab. 2019;8(1):99. http://dx.doi.org/10.36565/jab.v8i1.107

Tyas DI, Ma’rifah AR, Triana NY. Perbedaan depresi pada ibu hamil dengan ibu postpartum terhadap kesiapan peran menjadi ibu di RSIA Bunda Arif Purwokerto. 2017;8(1). https://ejournal.uhb.ac.id/index.php/VM/article/view/278

Kusuma PD. Karakteristik penyebab terjadinya depresi postpartum pada primipara dan multipara. Jurnal Keperawatan Notokusumo. 2017;5(1):36-45. https://jurnal.stikes-notokusumo.ac.id/index.php/jkn/article/view/59

Elvina L, Za RN, Rosdiana E. Faktor Yang Berhubungan dengan Kesiapan Psikologis Ibu Hamil Trimester III dalam Menghadapi Persalinan. Journal of Healthcare Technology and Medicine. 2018;4(2):176. http://dx.doi.org/10.33143/jhtm.v4i2.207

Barth C, Villringer A, Sacher J. Sex hormones affect neurotransmitters and shape the adult female brain during hormonal transition periods. Front Neurosci. 2015;9. http://dx.doi.org/10.3389/fnins.2015.00037

Thibeault H, Sanderson JT, Vaillancourt C. Serotonin-estrogen interactions: What can we learn from pregnancy? Biochimie. 2019;161:88–108 http://dx.doi.org/10.1016/j.biochi.2019.03.023

McOsker K. Hormonal Balance and the Female Brain: A Review. National Women's Health Week. Facts About Fertility. 2018.

Van Niel MS, Payne JL. Perinatal depression: A review. Cleve Clin J Med. 2020;87(5):273–7. http://dx.doi.org/10.3949/ccjm.87a.19054

Burroughs SA. An examination into relationship between iron deficiency and postpartum depression. Scholar Crossing: The Institutional Repository of Liberty University. 2016.

Kim J, Wessling-Resnick M. Iron and mechanisms of emotional behavior. J Nutr Biochem. 2014;25(11):1101–7. http://dx.doi.org/10.1016/j.jnutbio.2014.07.003

Dama M, Van Lieshout RJ, Mattina G, Steiner M. Iron deficiency and risk of maternal depression in pregnancy: An observational study. J Obstet Gynaecol Can. 2018;40(6):698–703. http://dx.doi.org/10.1016/j.jogc.2017.09.027

Amanupunnyo NA, Shaluhiyah Z, Margawati A. Analisis Faktor Penyebab Anemia pada Ibu Hamil di Puskesmas Kairatu Seram Barat. J Aisyah J Ilmu Kesehat. 2018;3(2):173–81. http://dx.doi.org/10.30604/jika.v3i2.134

Amir N. Depresi: Aspek Neurobiologi, Diagnosis, Dan Tatalaksana. Jakarta. Edisi kedua. Badan penerbit FK UI; 2016.

Masyuni PUS, Nata IWS, Aryani P. Kejadian Depresi Pada Ibu Hamil di Wilayah Kerja Puskesmas 1 Negara, Kabupaten Jembrana Tahun 2017. E-Journal Medika Udayana. 2303-13. 2020;8(4).

Tuksanawes P, Kaewkiattikun K, Kerdcharoen N. Prevalence and associated factors of antenatal depressive symptoms in pregnant women living in an urban area of Thailand. Int J Womens Health. 2020;12:849–58. http://dx.doi.org/10.2147/ijwh.s278872

Asih I. Hubungan Usia, Pendidikan, dan Paritas Ibu dengan Pengetahuan Kesehatan Mental Ibu Hamil di Kota Surakarta. Institutional Repository, UMS Library. 2020.

Astriana W. Kejadian Anemia pada Ibu Hamil Ditinjau dari Paritas dan Usia. J Aisyah J Ilmu Kesehat. 2017;2(2):123–30. http://dx.doi.org/10.30604/jika.v2i2.57

Rawat K, Rawat N, Mathur N, Mathur M, Chauhan N, Kakkar R, et al. Prevalence and pattern of anemia in the second and third trimester pregnancy in Western Rajasthan. Int J Res Med Sci. 2016;4797–9. http://dx.doi.org/10.18203/2320-6012.ijrms20163768

Riskesdas, K. Hasil utama RISKESDAS 2018. Hasil utama riskesdas 2018. Repositori Badan Kebijakan Pembangunan Kesehatan Kementerian Kesehatan Republik Indonesia. 2018.

Aryanto E, Sugiarto AD, Darmawan PH, Pande NPYA. Gambaran anemia pada kehamilan trimester III di bagian obstetri dan ginekologi RSUD Waikabubak, Nusa Tenggara Timur periode 2019–2020. Intisari Sains Medis. 2021;12(2):463–7. http://dx.doi.org/10.15562/ism.v12i2.1010

Govender D, Naidoo S, Taylor M. Antenatal and postpartum depression: Prevalence and associated risk factors among adolescents’ in KwaZulu-Natal, South Africa. Depress Res Treat. 2020;2020:1–12. http://dx.doi.org/10.1155/2020/5364521

Tesfaye Y, Agenagnew L. Antenatal depression and associated factors among pregnant women attending antenatal care service in Kochi Health Center, Jimma town, Ethiopia. J Pregnancy. 2021;2021:1–10. http://dx.doi.org/10.1155/2021/5047432

Putra AJE, Nurrobi RMYAS, Prasetyo DM, Akbar MV, Oktaviana N, Fatimah A, et al. Determinants of perinatal depression in licin banyuwangi 2019. Journal of Community Medicine and Public Health Research. 2020;1(1):14. http://dx.doi.org/10.20473/jcmphr.v1i1.20295

Sunnqvist C, Sjöström K, Finnbogadóttir H. Depressive symptoms during pregnancy and postpartum in women and use of antidepressant treatment – a longitudinal cohort study. Int J Womens Health. 2019;11:109–17. http://dx.doi.org/10.2147/ijwh.s185930

Yılmaz E, Yılmaz Z, Çakmak B, Gültekin İB, Çekmez Y, Mahmutoğlu S, et al. Relationship between anemia and depressive mood in the last trimester of pregnancy. J Matern Fetal Neonatal Med. 2017;30(8):977–82. http://dx.doi.org/10.1080/14767058.2016.1194389

Kurniawan ES, Ratep N, Westa W. Faktor Penyebab Depresi pada Ibu Hamil Selama Asuhan Antenatal Setiap Trimester. Jurnal Harian Regional. 2013:1-13.

Kleanthi G. Psychosocial Risk Factors of Depression in Pregnancy: A Survey Study. Health Science Journal. 2015;9(1):1-6.

Ayamolowo SJ, Olajubu AO, Akintola FE. Perceived social support and depression among pregnant and child-rearing teenagers in Ile-Ife, Southwest Nigeria. Afr J Midwifery Womens Health. 2019;13(4):1–9. http://dx.doi.org/10.12968/ajmw.2018.0033




DOI: https://doi.org/10.18196/mmjkk.v24i1.18655

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