THE EFFECT OF BIRTH PLAN ON INCIDENT POST PARTUM DEPRESION IN INDEPENDENT PRACTICE MIDWIFERY WORKING AREA OF DERWATI COMMUNITY HEALTH CENTER BANDUNG CITY 2022

Abstract

Introduction : Childbirth is an intense and also amazing process of transformation from a pregnant woman to a mother. This is the climax of a journey and will likely be remembered in detail years later. Childbirth with minimal trauma can be realized through good preparation and planning for childbirth. WHO reports that the birth plan serves to prepare for childbirth. Birth experience is a psychological aspect of postpartum whose psychological effects can adversely affect short-term and long-term health status, with negative childbirth experiences will cause Post Traumatic Stress Disorder (PTSD) and depression. Methodology : The research design used was a quasi-experimental with Post-test Only Control Group Design. The respondent were pregnant women from 34-35 weeks as many as 30 people who were divided into 15 case groups and 15 control groups who were selected using quota sampling followed by delivery until the puerperium. Data was collected through filling out the EPDS questionnaire. Bivariate data analysis with Mann Whitney Test. Research findings : The results of the study 50% of respondents had a birth plan, the rest did not have a birth plan. There were 2 respondents who experienced postpartum depression in the control group (13%) and 1 person in the experimental group (6.6%). There is a significant effect between birth plan on the incidence of postpartum depression. Conclusion : Midwives can provide quality antenatal services including informing matters relating to childbirth preparation so that women can undergo the labor phase comfortably with minimal trauma as an effort to prevent postpartum depression.