DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20182849

The effectiveness of music therapy treatment to decrease the post-partum blues symptom at private practice midwife (BPM) in the working region of public health center (Puskesmas) IV South Denpasar

N. N. Deni Witari, Martha Winingsih G. A.

Abstract


Background: The failure of post-partum mother in adapting to physical and emotional change oftentimes causes psychological disorder such as sadness, exasperation, tiredness, anger, and despair. At Denpasar City, the prevalence of post-partum blues depression based on EPDS score is 20.5%. Music therapy is an alternative to decrease emotional disturbance because music that enters pituitary gland could give response towards emotion through negative feedback on adrenal gland to suppress the release of stress hormones.

Methods: The method which used in this research was quasi-experiment design with the framework of one group pre-test-post-test design on post-partum mothers in the seventh day after normal labor and did not experience hearing loss. The pre-test utilized EPDS questionnaire, if there had been a symptom of post-partum blues, they were given Mozart classical music therapy for 7 days and evaluated by questionnaire on the 14th day.

Results: From the research on 30 post-partum blues sufferers, prior to the treatment of classical music therapy, it was found that the majority which was 24 respondents (80%) showed mild symptom with the mean value of 7.4. After the treatment of Mozart classical music, almost half of them or 11 respondents (36.7%) did not show post-partum blues symptom with the mean value of 1.4. There is an impact of Mozart classical music therapy treatment toward the decrease of post-partum blues symptom with the P value=0.00.

Conclusions: In conclusion, Mozart classical music therapy is effective to decrease the post-partum blues symptom from the scale of 7.4 to 1.4 with p value (0.000).


Keywords


Mozart classical music therapy, Post-partum blues

Full Text:

PDF

References


Prawirihardjo S. Obstetrics. Jakarta: Bina Pustaka Sarwono Prawirohardjo. 2009:25-8.

Verkerk GJM, Denollet Van Heck GL, Van Son MJM, Pop VJM. Personality factors as determinants of depression in postpartum woman. Psychosom Med. 2006;67(4):632-7.

Munawaroh, H. Parity relationship with coping ability mechanism in facing post-partum blues on caesaria post section mother in Mawar Bangsal 1 RSUD Dr. Moerwardi Surakarta: UMS Faculty of Health Sciences. 2008;30-5.

Adiguna P. Postpartum Depretions Risk Factors and Prevalence in Denpasar by using EPDS. Medical Faculty Universitas Udayana Thesis. 2016;5(7).

Marni. Midwifery During Childbirth Puerpureum Care. Yogyakarta: Pustaka Pelajar. 2014:33-45.

Yuanitasari. Therapy for Toddlers. Yogyakarta: Cemerlang Publishing; 2008:15-8.

Aizid R. Smart and healthy with music therapy. Jakarta: Laksana; 2011:20-2.

Manurung S. Effectiveness Listenend in Music Therapy against Postpartum Blues Prevention on Primipara Mother at Midwifery Room RSUP Cipto Mangunkusumo Jakarta Pusat. Thesis. 2011;1(4).

Kakyo TA, Nurse BSN, Muliira JK, Muliira RS, Health M. Factors associated with depressive symptoms among postpartum mother in rural district in Uganda. Midwifery. 2012;28(3):374-9.

Suherni. Postpartum Care. Yogyakarta: Fitramaya; 2009:10-2.

Takahashi YU, Tamakoshi KO. Factors associated with early postpartum maternity blues and depression tendency among Japanese mothers with full-term healthy infants. Nagoya J Med Sci. 2014 Feb;76(1-2):129-38.

Djohan. Music Theraphy. Application and Theory. Yogyakarta: Galangpress; 2006:14-16.