ARTICLE
TITLE

Prevalence of Postpartum Anxiety and Depression after Intrapartum Oxytocin

SUMMARY

Objective: To know the prevalence of postpartum anxiety and depressionin patients who received intrapartum oxytocin.Method: Across-sectional observational study was conducted in Dr.Cipto Mangunkusumo hospital. Observation used Edinburgh PostnatalDepression scale and Beck Anxiety Inventory before deliveryday, on the first and fourteenth day of postpartum.Result: Of 112 patients, we found the prevalence of mild and moderateanxiety were 94.6% and 5.4%. There were no anxiety womenbefore delivery and on the first day of postpartum. The prevalenceof mild and moderate anxiety on the fourteenth day of postpartumwere 83% and 16.9%. There was no severe anxiety found at thosetime. On the other hand, the prevalence of postpartum depressionon the first and fourteenth day of postpartum were 31.3% and32.1%. There was no association between exogenous oxytocin andpostpartum anxiety also depression. In multivariate analysis, wefound that women with low self image were more prone to postpartumanxiety (OR 0.16, 95% CI 0.06-0.46). Meanwhile, postpartumdepression was associated significantly to self image (OR 0.17, 95%CI 0.07-0.83), low income (OR 10.35, 95% CI 1.72-62.45) and pregnancyplan (OR 0.17, 95% CI 0.06-0.53)Conclusion: The patients who received intrapartum oxytocin aremore prevalent to have mild anxiety. The prevalence of depressionbefore delivery day, on the first and fourteenth day of postpartumare similar. In statistic, there is no relationship between intrapartumoxytocin administration and postpartum anxiety or depression.[Indones J Obstet Gynecol 2016; 4-2: 59-63]Keywords: anxiety, depression, oxytocin intrapartum, postpartum

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