A contributing factor of maternal pregnancy depression in the occurrence of stunting on toddlers

  • Tanti Apriliana
    Faculty of Nursing of Universitas Indonesia, Depok, West Java, Indonesia.
  • Budi Anna Keliat
  • Mustikasari Mustikasari
    Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.
  • Yefta Primasari
    Akademi Keperawatan Polri, Jakarta, Indonesia.

ABSTRACT

Background: Toddlers are a vulnerable population to nutritional problems including stunting. Stunting can have negative impact on toddlers' health. One of the factors causing stunting in toddlers is maternal pregnancy depression. This study aims to determine the relationship between maternal pregnancy depression and the incidence of stunting in toddlers.

Design and Methods:
 The research design employed a descriptive correlative with quota sampling technique. The research respondents were 140 mothers of toddlers in Indonesia such as West Java, East Java, Jakarta, Yogyakarta, Bali, North Sumatra, Riau, South Kalimantan, West Kalimantan, North Sulawesi, NTT, NTB, Maluku, Papua. The data were collected by using demographic method and the Edinburgh Postpartum Depression Scale (EPDS). The statistical tests employed correlation tests.

Results: 
The analysis reveal that 26.4% toddlers in this study are stunted and 73.6% were not stunted. Maternal pregnancy depression has a significant relationship with the incidence of stunted toddlers (p = 0.044; r = 0.170).

Conclusions:
 The results of this study are expected to underlie the development of mental health promotion to prevent stunted toddlers against maternal depression and preventive programs. In addition, the research is expected to underly provision of curative and rehabilitative programs for stunted toddlers.

REFERENCES

The National Team for The Acceleration of Poverty Reduction. [100 prioritized regions/cities for stunting intervention].[in Indonesian]. Jakarta: The National Team for The Acceleration of Poverty Reduction; 2017.

Achadi EL. [Periode kritis 1000 hari pertama kehidupan dan dampak jangka panjang terhadap kesehatan dan fungsinya (The critical period of the first 1000 days of life and its long-term impact on health and function)].[in Indonesian]. Presented at the Kursus Penyegar Ilmu Gizi (Nutrition Science Refresher Course)]. Yogyakarta: PERSAGI; 2014.

Millenium Challenge Account Indonesia. Stunting and Indonesia’s future [in Indonesian]. Jakarta: Millennium Challenge Account – Indonesia; 2013.

Ministry of Health, Republic of Indonesia. . [Pedoman pelaksanaan stimulasi, deteksi, dan intervensi tumbuh kembang anak (Guidelines for the implementation of stimulation, detection, and intervention for child development)].[in Indonesian]. Jakarta: Ministry of Health; 2018.

World Health Organization. Levels and trends in child malnutrition 2018: UNICEF/WHO/World Bank Group joint child malnutrition estimates, key findings of 2018 edition. Available from: https://reliefweb.int/report/world/levels-and-trends-child-malnutrition-unicefwhoworld-bank-group-joint-child-malnutrition

Mahshulah ZA. [Depresi pada ibu dapat mengakibatkan anak stunting (Depression in mothers can lead to stunting in children)].[in Indonesian]. Proceedings of the National Education Seminar FKIP UNTIRTA 2019;2:324–31.

O’Dell JR, Curtis JR, Mikuls TR, et al. Validation of methotrexate-first strategy in patients with early, poor-prognosis rheumatoid arthritis: results from a two-year randomized, double-blind trial. Arthritis Rheum 2013;65:1985-94. DOI: https://doi.org/10.1002/art.38012

Shahhosseini Z, Pourasghar M, Khalilian A, Salehi F. A Review of the effects of anxiety during pregnancy on children’s health. Mater Sociomed 2015;27:200–2. DOI: https://doi.org/10.5455/msm.2015.27.200-202

Dasuki HD, Suryo Y. [Depressive symptoms pada ibu hamil dan bayi berat lahir rendah (Depressive symptoms in pregnant women and low birth weight babies)].[Article in Indonesian with English abstract]. Berita Kedokteran Masyarakat 2010;26;81–9.

Kusumawardhani I. [Asi eksklusif, panjang badan lahir, berat badan lahir rendah sebagai faktor risiko terjadinya stunting pada anak usia 6-24 bulan di Puskesmas Lendah II Kulon Progo (Exclusive breastfeeding, birth length, low birth weight as risk factors for stunting in children aged 6-24 months at Lendah II Health Center Kulon Progo)].[Undergraduate Thesis in Indonesian]. Yogyakarta: Health Polytechnic, 2017. Available from: http://eprints.poltekkesjogja.ac.id/239/1/30INTAN%20KUSUMA.pdf

Rahayu A, Yulidasari F, Putri AO, Rahman F. [Riwayat berat badan lahir dengan kejadian stunting pada anak usia bawah dua tahun (History of birth weight with stunting in children under two years old)].[Article in Indonesian]. Kesmas: National Public Health J 2015;10:67–73. DOI: https://doi.org/10.21109/kesmas.v10i2.882

Budget Director for Human Development and Culture. [Penanganan stunting terpadu tahun 2018 (Integrated stunting management in 2018)].[in Indonesian]. Jakarta: Ministry of Finance of the Republic of Indonesia; 2018.

Hanani R, Syauqy A. [Perbedaan perkembangan motorik kasar, motorik halus, bahasa, dan personal sosial pada anak stunting dan non stunting (Differences in gross motor, fine motor, language, and personal social development in stunted and non-stunted children)].[Article in Indonesian]. J Nutr College 2016;5:412–18.

Kusuma R. [The effectiveness of Ratu’s postpartum depression prevention model towards the prevention of postpartum depression].[Dissertation in Indonesian]. Depok: Universitas Indonesia; 2017. Available from: http://www.lontar.ui.ac.id/detail?id=20454026&lokasi=lokal

Ministry of Health, Republic of Indonesia. [Laporan nasional riset kesehatan dasar 2018 (2018 national basic health research report)].[in Indonesian]. Jakarta: Ministry of Health. Available from: http://labdata.litbang.kemkes.go.id/ccount/click.php?id=19

Ministry of Health, Republic of Indonesia. [Petunjuk teknis PMT 2017 (PMT 2017 technical guide)].[in Indonesian]. Jakarta: Ministry of Health; 2017.

Deputy for Health Improvement Coordination. [Penanganan stunting terintegrasi di Indonesia (Integrated stunting management in Indonesia)].[in Indonesian]. Jakarta: Coordinating Ministry for Human Development and Culture of the Republic of Indonesia; 2018.

Sulaiman MR, Rachmawati D. [Lebih dari 50 persen ibu baru tak dapat dukungan mental pasca persalinan (More than 50 percent of new mothers do not receive postnatal mental support)].[in Indonesian]. Suara.com; 2019 [Internet]. Updated 2019; cited 2019 Jun 6. Available from https://www.suara.com/health/2019/05/02/191108/lebih-dari-50-persen-ibu-baru-tak-dapat-dukungan-mental-pasca-persalinan?page=all

Handayani FP, Fourianalistyawati E. Depresi dan kesejahteraan spiritual pada ibu hamil risiko tinggi (Depression and spiritual well-being in high-risk pregnant women)].[Article in Indonesian]. Jurnal Psikologi Teori dan Terapan 2018;8:145–53. DOI: https://doi.org/10.26740/jptt.v8n2.p145-153

Leifer G. Introduction to maternity and pediatric nursing. Elsevier; 2015.

Nainggolan MF. [Asuhan kebidanan pada Ny K masa hamil trimester III G.I P.O A.O di Puskesmas Helvetia Kecamatan Medan Helvetia tahun 2018 (Midwifery care for Mrs. K during the third trimester of pregnancy G.I P.O A.O at Helvetia Health Center, Medan Helvetia District in 2018)].[Undergraduate Thesis in Indonesian]. Medan: Poltekkes Medan; 2019. Available from: http://repo.poltekkes-medan.ac.id/xmlui/handle/123456789/989.

de Onis M, Dewey KG, Borghi Eet al. The World Health Organization’s global target for reducing childhood stunting by 2025: rationale and proposed actions. Matern Child Nutr 2013;9:6–26. DOI: https://doi.org/10.1111/mcn.12075

Pangesti WD. [Adaptasi psikologis ibu hamil dalam pencapaian peran sebagai ibu di Puskesmas Kembaran II Kabupaten Banyumas (Psychological adaptation of pregnant women in achieving their role as mothers at the Kembaran II Health Center, Banyumas Regency)].[Article in Indonesian]. Viva Medika 2018;10:13–21. DOI: https://doi.org/10.35960/vm.v10i1.395

Mintarsih W. [Pendampingan kelas ibu hamil melalui layanan bimbingan dan konseling Islam untuk mengurangi kecemasan proses persalinan (Class assistance for pregnant women through Islamic guidance and counseling services to reduce anxiety during childbirth)].[Article in Indonesian]. Sawwa Jurnal Studi Gender 2017;12:277–96. DOI: https://doi.org/10.21580/sa.v12i2.1545

Wemakor A, Mensah KA. Association between maternal depression and child stunting in Northern Ghana: a cross-sectional study. BMC Public Health 2016;16:869. DOI: https://doi.org/10.1186/s12889-016-3558-z

Kingston D, Tough S, Whitfield H. Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry Hum Dev 2012;43:683–714. DOI: https://doi.org/10.1007/s10578-012-0291-4

Madlala SS, Kassier SM. Antenatal and postpartum depression: effects on infant and young child health and feeding practices. South Afr J Clin Nutr 2018;31:1–7. DOI: https://doi.org/10.1080/16070658.2017.1333753

Hartono SH. [Berantas stunting: faktor gizi buruk jadi penyebab utama anak stunting (Eradicating stunting: malnutrition is the main cause of stunting in children)].[in Indonesian]. Grid Health [Internet]. 2020. Updated 2020; cited 2020 Apr 20. Available from: https://health.grid.id/read/352011698/berantas-stunting-faktor-gizi-buruk-jadi-penyebab-utama-anak-stunting?page=all

Sutrio S, Lupiana M. Berat badan dan panjang badan lahir meningkatkan kejadian stunting (Birth weight and length increase the incidence of stunting)].[Article in Indonesian]. Jurnal Kesehatan Metro Sai Wawai 2019;12:21–9. DOI: https://doi.org/10.26630/jkm.v12i1.1734

Supariasa IDN, Fajar I, Bakri I. [Penilaian status gizi (Nutritional status assessment)].[Article in Indonesian]. Jakarta: EGC; 2012.

Anugraheni HS, Kartasurya MI. [Faktor risiko kejadian stunting pada anak usia 12-36 bulan di Kecamatan Pati, Kabupaten Pati (Risk factors for stunting in children aged 12-36 months in Pati District, Pati Regency)].[Article in Indonesian]. J Nutr College 2012;1:30–7. DOI: https://doi.org/10.14710/jnc.v1i1.725

Field T. Prenatal depression risk factors, developmental effects and interventions: a review. J Pregnancy Child Health 2017;4:1–25. DOI: https://doi.org/10.4172/2376-127X.1000301

Jesica F, Friadi A. [Hubungan kadar kortisol dan prostaglandin maternal dengan persalinan preterm dan aterm (Relationship of maternal cortisol and prostaglandin levels with preterm and term labor)].[Article in Indonesian]. Journal of Nursing and Midwifery 2019;10:21–9. DOI: https://doi.org/10.26751/jikk.v10i1.540

Prihandini S, Primana L. [Faktor-faktor yang memengaruhi hubungan kelekatan ibu terhadap janin dalam kandungan (Factors that affect the mother's attachment to the fetus in the womb)].[Article in Indonesian]. Buletin Psikologi 2019;27:125–35. DOI: https://doi.org/10.22146/buletinpsikologi.47960

Golbasi Z, Ucar T, Tugut N. Validity and reliability of the Turkish version of the Maternal Antenatal Attachment Scale. Jpn J Nurs Sci 2015;12:154–61. DOI: https://doi.org/10.1111/jjns.12052