Journal of Health & Medical Informatics

The Outcome of Postnatal Exercise on Depressed Women Six to 16 Weeks after Delivery in Sukabumi City, 2014: Pre and Post Intervention Study

Abstract

Poerwanto Siswo *,Endar Prasatwati ,Insriwati ,Imam Waluyo ,Arsyad Subu M ,Sri Harsodjo

Evidence shows that psychic disturbances among women during pregnancy and postnatal period causes depression syndrome. Risk factor of postnatal depression includes depression and anxiety and stressful life experience during that risky period. Statistic from the city of Sukabumi indicated the unavailability of data on post natal depression among women. The study question is to evaluate the outcome of exercise among depressed post natal women in Sukabumi city in 2014, during six to sixteen weeks after delivery. The study design is pre-and post-outcome evaluation of post natal exercise intervention. Out of 120 target population obtained from the main Cross Sectional Survey, it was selected study sample of 14 depressed women. A regime of post natal exercise was given to the sample, consisted of postnatal exercises for 10 weeks @ 3 sessions per week or 30 sessions with 30-50 min exercise per session done in the morning before 10 O’clock and in the afternoon after 3 p.m. The outcome variable is EPDS score before and after intervention of post natal exercise. The cut-off point to determine possible depression is EPDS score of ≥10. Univariate analysis was conducted on socio-demographic characteristics of the sample. Bivariate analysis was done to test a null hypothesis that EPDS is the same pre-and post-exercise, assuming that no other variables confound the intervention. The paired t-test results indicated that the EPDS decreased significantly 7.6 points (p<0.05) after 10 weeks from 13.15 (10.66, 15.64) down to 5.55 (4.20, 6.90). After 10 weeks of postnatal exercise conducted, out of 14 subjects there was one subject who remained depressed, but the other 13 women were normal (p<0.05). Software used was SPSS v17 trial version. The study infers that postnatal exercise routinely and regularly may be promoted to be conducted by local health services.