Detail Cantuman

ABSTRACT:
Perinatal depression in Indonesia is like an iceberg phenomenon. The results of
the research focus more on postpartum depression which has an incidence of 10-
20% in the maternal. Perinatal depression that occurs from the prenatal period can
develop and continue until the postpartum period, even suicidal behavior or killing
the baby. In health services for pregnant women up to postpartum, there is no
specific policy or standard of care related to the treatment of maternal depression.
The impact is large, but there is no standard nursing intervention to manage it. This
study aims to identify the effectiveness of Happy Mom interventions on the
prevention of perinatal depression. The Happy Mom Intervention is an
intervention package that contains screening since pregnancy, education about
preparing for motherhood starting from preparation for childbirth, maternal care
after childbirth, newborn care, and about perinatal depression for 4 weeks,
followed by peer group intervention in the postpartum period for 4 weeks. The
control group received only standard care from the hospital. This study used the
design of Quasy Experiment pre-test and post-test with control group. The study
was conducted in four health services in the city of Bekasi, Indonesia, for 8 weeks
starting from 34 weeks gestation to 1 month postpartum. The research started from
early November 2023 and was completed by the end of February 2024. The
research sample consisted of 88 respondents in the third trimester of pregnancy in
the experimental group and 88 respondents in the control group. The results of the
Paired T-test statistical test showed that there was a significant difference between
the mean score of Edinburgh Postnatal Depression Scale pre and posttest of the
experimental group (p-value: 0.01<0.05) and the statistical test of the Independent
T-test showed that there was a difference in EPDS scores between the experimental
group and the control group after the intervention (p-value: 0.01<0.05) with the
conclusion that the Happy Mom Intervention was effective in overcoming
perinatal depression. The characteristics of respondents that affected the incidence

of perinatal depression included education level, employment status, socio-
economic and history of domestic violence. In addition to the EPDS score, this

study also shows the influence of education on the level of mothers' knowledge.
Happy Mom interventions can be implemented easily, effectively and efficiently
in pregnant women's health services with early screening, education on
motherhood preparation and increasing social support through peer groups. Happy
Mom can be used as one of the intervention options to manage perinatal
depression.