Effect of Family-Centered Maternity Care (FCMC) on Postnatal Depression Among Mothers: A Quasi-Experimental Study
DOI:
https://doi.org/10.59653/jhsmt.v3i03.1857Keywords:
Postnatal depression, Family-Centered Maternity Care (FCMC), maternal mental health, Edinburgh Postnatal Depression Scale (EPDS), primary care, psychosocial support, quasi-experimental studyAbstract
Postnatal depression remains a critical public health concern that adversely affects both maternal well-being and infant development, particularly in low-resource settings. This quasi-experimental study aimed to examine the effect of Family-Centered Maternity Care (FCMC) on the incidence and severity of postnatal depression among postpartum mothers in the working area of Puskesmas Lubuk Alung, Indonesia. A total of 85 postpartum mothers were recruited, and 30 received a structured two-week FCMC intervention involving home visits, emotional support, and health education delivered with family involvement. Postnatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) before and six weeks after the intervention. The results revealed a significant reduction in the prevalence of depressive symptoms, decreasing from 73.3% to 20.0% (p = 0.0001). Multivariate analysis showed that low family support (AOR = 13.28), low maternal education (AOR = 5.45), and emotional stress within the first 72 hours postpartum (AOR = 8.76) were significant predictors of postnatal depression. Although age and parity were not statistically significant, younger and primiparous mothers showed higher tendencies toward depressive symptoms. These findings underscore the importance of integrating FCMC into postpartum care services, particularly in culturally collectivist societies where family involvement can enhance maternal psychological resilience. Early implementation of FCMC may offer a cost-effective and scalable strategy to address postnatal mental health challenges and improve overall maternal health outcomes in primary care settings.
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Adnani, Q. E., Kusnanto, H., & Widyawati, M. N. (2025). Challenges in implementing continuity care in Indonesia: A health system perspective. BMC Health Services Research, 25, 123. https://doi.org/10.1186/s12913-025-12612-0
Al-Saleh, A., Almadani, A., & Alharbi, R. (2022). The effect of structured family support on postnatal depression: A controlled clinical trial. Journal of Affective Disorders, 310, 12–20. https://doi.org/10.1016/j.jad.2022.01.001
Alzahrani, A. D. (2019). Risk factors for postnatal depression among primipara mothers. Spanish Journal of Psychology, 22. https://doi.org/10.1017/sjp.2019.33
Barr, A. R., Rahman, A., & Bina, R. (2024). Midwifery-led continuity care and maternal mental health outcomes in LMICs: A qualitative synthesis. Frontiers in Psychiatry, 15, 1385120. https://doi.org/10.3389/fpsyt.2024.1385120
Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2021). Identifying women at risk for postpartum depression using socio-demographic factors: A systematic review. Journal of Affective Disorders, 282, 45–56. https://doi.org/10.1016/j.jad.2021.01.034
Chalise, M., Karmacharya, I., Kaphle, M., Wagle, A., Chand, N., & Adhikari, L. (2020). Factors Associated with Postnatal Depression among Mothers Attending at Bharatpur Hospital, Chitwan. Depression Research and Treatment, 2020. https://doi.org/10.1155/2020/9127672
Cibralic, S., Almquist, J., & Gemmill, A. (2023). Continuity of care and prevention of postnatal depression: A scoping review. Midwifery, 117, 103456. https://doi.org/10.1016/j.midw.2023.103456
Cummins, A., Byrne, S., & O’Donoghue, K. (2024). Midwifery continuity: Impacts on care efficiency and maternal satisfaction. International Journal of Integrated Care, 24, 55. https://doi.org/10.5334/ijic.8645
Cummins, A., Byrne, S., & O’Donoghue, K. (2025). Personal continuity and maternal distress in maternity services: A realist evaluation. Women and Birth. https://doi.org/10.1016/j.wombi.2025.02.006
Dennis, C. L., & Falah-Hassani, K. (2021). Screening and treatment for postpartum depression: The importance of the early postnatal period. Psychological Medicine, 51, 210–219. https://doi.org/10.1017/S0033291720003086
Dixson, B. J. W., Borg, D., Rae, K. M., Whittingha, K., Gannon, B., McPhail, S. M., Carter, H. E., Moritz, K. M., Boyd, R. N., Bora, S., Kumar, S., Frater, J., Schweitzer, D., Miller, P., Mehter, D., & Clifton, V. L. (2023). The social predictors of paternal antenatal mental health and their associations with maternal mental health in the Queensland Family Cohort prospective study. Archives of Women’s Mental Health, 26(1). https://doi.org/10.1007/s00737-022-01257-1
Drysdale, R. E., Slemming, W., Makusha, T., & Richter, L. M. (2021). Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa. Maternal and Child Nutrition, 17(S1). https://doi.org/10.1111/mcn.13177
Ghaedrahmat, M., Parsa, P., & Ranjbar, F. (2022). Family-centered care and maternal self-efficacy: A mediating model in postnatal mental health. Midwifery, 110, 103289. https://doi.org/10.1016/j.midw.2022.103289
Gribbin, C., Achieng, F., K’Oloo, A., Barsosio, H. C., Kwobah, E., Kariuki, S., & Nabwera, H. M. (2023). Exploring the influence of postnatal depression on neonatal care practices among mothers in Western Kenya: A qualitative study. Women’s Health, 19. https://doi.org/10.1177/17455057231189547
Mohd Shukri, N. H., Senjaya, O., Zainudin, Z., Mohamed, M., & Syed Abdullah, F. I. (2022). The Associations of Breastfeeding and Postnatal Experiences With Postpartum Depression Among Mothers of Hospitalized Infants in Tertiary Hospitals. Cureus. https://doi.org/10.7759/cureus.29425
Mukarramah, A., & Amdadi, R. (2024). The effectiveness of continuity models in reducing unnecessary interventions and improving emotional outcomes. Health Education and Health Promotion, 12, 56–65. https://doi.org/10.52547/hehp.12.3.56
Salonen, A. H., Kaunonen, M., & Åstedt-Kurki, P. (2021). Involving partners in postnatal care: A randomized controlled trial in Finland. Acta Obstetricia et Gynecologica Scandinavica, 100, 765–772. https://doi.org/10.1111/aogs.14005
Shinde, M. (2023). A Study to Assess the Prevalence and Risk Factors Regarding Postnatal Depression Among Postnatal Mothers in Postnatal Ward, MGM Hospital, Aurangabad. British Journal of Multidisciplinary and Advanced Studies, 4(2). https://doi.org/10.37745/bjmas.2022.0167
Shorey, S., Chan, V., Chong, Y. S., & He, H. (2021). Predictors of postpartum depression: The role of perceived social support. Journal of Clinical Nursing, 30, 1353–1363. https://doi.org/10.1111/jocn.15695
Susanti, I. A., Dewi, E. I., & Mahendradhata, Y. (2022). Digitalizing continuity of care for postnatal mental health: An Indonesian pilot. International Journal of Environmental Research and Public Health, 19, 13893. https://doi.org/10.3390/ijerph192113893
Tsai, S. Y., Lin, J. W., & Tsai, H. Y. (2020). Perinatal depression among first-time and teenage mothers. Archives of Women's Mental Health, 23, 109–115. https://doi.org/10.1007/s00737-019-00984-4
Wake, G. E., Fitie, G. W., Ashenafi, B., Tadese, M., & Tessema, S. D. (2022). Magnitude and Determinant Factors of Postpartum Depression Among Mothers Attending Their Postnatal and Vaccination Services at Public Health Institutions of Addis Ababa, Ethiopia. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.882205
World Health Organization. (2023). Maternal mental health and child health outcomes: Strategies for integration in primary care. WHO. https://doi.org/10.4060/whommhc.2023.01
Yeboa, N. K., Muwanguzi, P., Olwit, C., Osingada, C. P., & Ngabirano, T. D. (2023). Prevalence and associated factor of postpartum depression among mothers living with HIV at an urban postnatal clinic in Uganda. Women’s Health, 19. https://doi.org/10.1177/17455057231158471
Zheng, J., Sun, K., Aili, S., Yang, X., & Gao, L. (2022). Predictors of postpartum depression among Chinese mothers and fathers in the early postnatal period: A cross-sectional study. Midwifery, 105. https://doi.org/10.1016/j.midw.2021.103233
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