印度尼西亚产妇产后抑郁、结合和为早产儿和低出生体重婴儿提供基本服务的保健做法

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-04-08 DOI:10.1016/j.cegh.2025.102028

Ricvan Dana Nindrea , Long Chiau Ming , Nissa Prima Sari

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引用次数: 0

摘要

背景：早产和低出生体重儿面临更高的健康风险，需要专门护理。母亲产后抑郁、母婴关系和保健实践是为这些脆弱婴儿提供适当护理的关键。本研究旨在探讨母亲产后抑郁和亲子关系在加强对早产儿和低体重婴儿提供基本卫生保健的保健实践中的作用。方法本研究于2024年7月至12月在印度尼西亚西苏门答腊省巴东市、巴东帕里亚曼县和索洛克县卫生办事处的业务区域进行，以社区为基础进行横断面研究。采用多阶段随机抽样的方法，选取了2023年1月至12月期间出生的LBW或早产儿母亲246例。数据分析采用结构方程模型（SEM）。结果调查对象年龄以20 ~ 34岁为主（71.5%），中位数为2次妊娠1次分娩。早产（63.0%）和剖宫产（59.3%）较为常见。扫描电镜（SEM）分析显示，母亲产后抑郁对保健行为有直接影响（β = 0.278, P = 0.004），并通过母婴关系介导间接影响（β = 0.172, P = 0.007）。此外，母婴关系与更好的医疗保健实践显著相关（β = 0.181, P = 0.005）。结论产妇产后抑郁通过母婴关系对保健行为产生直接和间接的影响。这些发现强调了解决产妇心理健康问题和培养牢固的母婴关系的重要性，以加强护理做法并改善弱势婴儿的健康结果。

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Maternal postnatal depression, bonding, and health care practices in providing essential services for preterm and low birth weight infants in Indonesia

Background

Preterm and low birth weight (LBW) infants face higher health risks and need specialized care. Maternal postnatal depression, mother-infant bonding, and healthcare practices are key to providing proper care for these vulnerable infants. This study aims to explore the role of maternal postnatal depression and bonding in enhancing healthcare practices for providing essential health care to preterm and LBW infants.

Methods

This community-based cross-sectional study was conducted from July to December 2024 in three regions of West Sumatra, Indonesia: the operational areas of the Health Offices in Padang City, Padang Pariaman Regency, and Solok Regency. A total of 246 mothers of LBW or preterm infants born between January and December 2023 were selected through multistage random sampling. Data analysis was conducted using structural equation modeling (SEM).

Results

Most respondents were aged 20–34 years (71.5 %), with a median of two pregnancies and one delivery. Preterm births (63.0 %) and cesarean deliveries (59.3 %) were common. SEM analysis revealed that maternal postnatal depression had a direct effect on healthcare practices (β = 0.278, P = 0.004) and an indirect effect mediated by mother-infant bonding (β = 0.172, P = 0.007). Furthermore, mother-infant bonding was significantly associated with better healthcare practices (β = 0.181, P = 0.005).

Conclusion

Maternal postnatal depression significantly influences healthcare practices both directly and indirectly through its effect on mother-infant bonding. These findings highlight the importance of addressing maternal mental health and fostering strong mother-infant bonds to enhance caregiving practices and improve health outcomes for vulnerable infants.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.