PREVENTION OF POSTPARTUM BLUES THROUGH FAMILY SUPERVISION BASED ON MANDAILING CULTURE IN NORTH SUMATERA

Abstract

Postpartum blues is disturbance atmosphere heart frequent light​ appears in the postpartum period and is risky develop become postpartum depression when No handled . Research This evaluate effectiveness of the mentoring model family based on transcultural midwifery with integrate mark culture Mandailing in Prevention of postpartum blues in Rantau Prapat City . The method used is a quasi- experiment with pre-test–post-test control group design on 68 mothers third trimester of pregnancy and family and cadres integrated health post , which is divided in group intervention and control . Intervention in the form of training module containing practice culture local ( marsidudu , marsipaingot , marhaban , marsialapari ) contextualized to in midwifery transcultural . Research results show improvement significant on knowledge and attitudes family (p < 0.001) and decline meaningful incidence of postpartum blues (p = 0.008) in the group intervention , while group control No experience change means . The N-Gain value indicates effectiveness training category currently For family (66.92%) and sufficient For cadres (56.92%), although aspect attitude Still need Strengthening . Longitudinal analysis using GEE confirmed the positive impact of the intervention on reducing EPDS scores. The study concluded that a culturally based midwifery approach effectively increased family support while preventing postpartum blues and is worthy of adoption as a holistic, community-based maternal health care strategy.