The inclination of psychological disorder of post sectio caesarean based on characteristic

Ni Wayan Dewi Purwanti, Ni Komang Erny Astiti, I G A A Novya Dewi, I Nyoman Hariyasa Sanjaya, I Nyoman Wirata, G. A Eka Utarini


Background: Psychological problems in postpartum mothers, both vaginal postpartum and post SC, can have a negative impact on the cognitive development of babies and can reduce maternal and infant bonding. Post SC have a risk of postpartum depression four times greater than mothers with vaginal deliveries. However, previous studies looked at postpartum mothers in general, not specifically in post-SC who had a higher risk. Research related to early detection of the risk of post-SC psychological disorders is quite limited.  The prevalence of mothers with postpartum depression symptoms in Denpasar in 2019 was 25.4%. Early detection can be done using the Edinburgh Postpartum Depression Scale (EPDS).

Objectives: The aims of this research to identify the psychology of post SC mothers based on characteristics including age, race/ethnicity, last education, income, pregnancy status, parity, living with a nuclear or large family, lactation problems, and type of SC in the Dr.dr. I Nyoman Hariyasa Sanjaya,SpOG(K)-KFM.MARS 2022.

Methods: Descriptive research design with a cross-sectional subject approach model. The sample of this research is 34 samples with the Consecutive Sampling technique. Types of primary data taken by EPDS and characteristic questionnaire. This study uses quantitative descriptive univariate analysis.

Results: The prevalence of Post SC which indicates a psychological disorder is 44.12%. Post SC which indicates more psychological disorders are mothers with a productive age range of 20-35 years by 26.47%, Asian race 41.18%, higher education level which is 38.24%, very high revenue 38.24%, desired pregnancies status 35.29%, 29.41% multiparas, 23.53% mothers living with large families, 38.24% experiencing lactation problems, and 26,47% elective SC types.

Conclusions: This study found that 44.12% of Post SC indicated experiencing psychological disorders, the majority were Post SC at the age of 20-35 years, Asian race, good education, very high revenue, desired pregnancy status, multipara, mothers living with large families, mothers with lactation problems, and elective cesarean section. The environment and health workers can conduct screening as early as possible so that the impact of this psychological disorder can be prevented.


psychological; characteristics; post sectio caesarea; EPDS

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Schulz PE. Rubin’s concept of puerperal change re-examined. 2001 [cited 2021 Oct 20]; Available from:

Mansyur N, Dahlan K. Buku Ajar Asuhan Kebidanan Masa Nifas. Foreign Aff [Internet]. 2014;(146):1–146. Available from: file:///C:/Users/User/Downloads/fvm939e.pdf

Lindayani IK, Marhaeni G ayu. Prevalensi dan Faktor Risiko Depresi Post Partum Di Kota Denpasar Tahun 2019. 2019;

Riskesdas. Laporan Provinsi Bali RISKESDAS 2018. Badan Penelitian dan Pengembangan Kesehatan. 2018. 575 p.

Kemenkes R. National Health Survey. Science (80- ). 2013;127(3309):1275–9.

Fraser DM, Cooper MA, editors. Myles Buku Ajar Bidan. 14th ed. Jakarta: EGC; 2009.

Carpiniello B, Pariante CM, Serri F, Costa G, Carta MG. Validation of the Edinburgh postnatal depression scale in Italy. J Psychosom Obstet Gynaecol. 1997;18(4):280–5.

Ariyanti R, Nurdiati DS, Astuti DA. Pengaruh Jenis Persalinan Terhadap Risiko Depresi Postpartum. 2015;99–106.

Kusuma PD. Karakteristik Penyebab Terjadinya Depresi Postpartum Pada Primipara Dan Multipara. J Keperawatan Notokusumo. 2017;V(1):36–45.

Abbasi S, Chuang CH, Dagher R, Zhu J, Kjerulff K. Unintended pregnancy and postpartum depression among first-time mothers. Vol. 22, Journal of Women’s Health. 2013. p. 412–6.

Liu CH, Giallo R, Doan SN, Seidman LJ, Tronick E. Racial and Ethnic Differences in Prenatal Life Stress and Postpartum Depression Symptoms. Vol. 30, Archives of Psychiatric Nursing. 2016. p. 7–12.

Siswanto. Mekanisme Koping Siswa Dalam Menghadapi Menstruasi Di Sekolah Dasar Muhammadiyah Ambarketawang 1 Dan 3 Sleman Yogyakarta. J Chem Inf Model [Internet]. 2019;53(9):1689–99. Available from:

Arimurti IS, Pratiwi RD, Ramadhina AR. Studi literatur faktor-faktor yang mempengaruhi Kejadian Depresi Postpartum.4(2), 29-37. 2020;4(2):29–37.

Desiana W, Tarsikah T. Screening of Post Partum Depression on the Seventh Day Puerperium. Indones Midwifery Heal Sci J. 2021;5(2):198.

Sukma F, Revinel R. Masalah Menyusui sebagai Determinan Terjadinya Risiko Depresi Postpartum pada Ibu Nifas Normal. J Bidan Cerdas. 2020;2(3):121–31.


Robertson E, Celasun N, Stewart DE. Maternal Mental Health & Child Health and Development. 2003;



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