Studi Kualitatif: Pelayanan Kebidanan Perinatal di RSJD

Authors

  • Laras Handayani RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah
  • Petisa Anisa Sari RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah

DOI:

https://doi.org/10.37287/jppp.v7i6.1084

Keywords:

gangguan jiwa, keluarga, kesehatan ibu, pelayanan kebidanan, perawatan terintegrasi, perinatal

Abstract

Semua perempuan berisiko mengalami gangguan kesehatan mental selama masa perinatal. Namun, pelayanan kebidanan terintegrasi dengan kesehatan jiwa di RSJD Dr. Amino Gondohutomo dinilai belum optimal.  Penelitian ini bertujuan menggali pelayanan kebidanan perinatal pada dua kelompok ibu, yaitu tanpa gangguan mental dan dengan gangguan mental. Penelitian menggunakan pendekatan kualitatif melalui wawancara mendalam terhadap tenaga kesehatan, pasien perinatal tanpa gangguan mental, serta pendamping pasien perinatal dengan gangguan mental. Partisipan dipilih secara purposive sampling dan wawancara dilakukan secara daring dan luring pada September-Oktober 2025. Sebanyak 25 partisipan terlibat, terdiri atas 10 pasien tanpa gangguan mental, 5 pendamping pasien dengan gangguan mental, dan 10 bidan. Analisis data tematik menghasilkan lima tema utama. Hasil penelitian menunjukkan pengalaman bidan dalam menangani kedua kelompok pasien bervariasi. Pelayanan kebidanan di IGD, poli, dan rawat inap dirasakan cukup baik, namun belum terdapat alur atau SOP khusus pelayanan kebidanan perinatal dengan gangguan mental. Koordinasi antarprofesi telah berjalan baik, namun diperlukan peningkatan edukasi dan konseling bagi pasien dan keluarga untuk memperkuat dukungan keluarga serta kolaborasi dalam perawatan kebidanan perinatal dengan gangguan jiwa.

References

Afolayan, J. A., Onasoga, O. A., Rejuaro, F. M., Gambari, Y. A. R., & Onuabueke, C. (2016). Knowledge of postpartum depression and its associated risk factors among nurse-midwives in a Nigerian tertiary hospital. Sierra Leone Journal of Biomedical Research, 8(2), 54–60.

Bayrampour, H., Hapsari, A. P., & Pavlovic, J. (2018). Barriers to addressing perinatal mental health issues in midwifery settings. Midwifery, 59, 47–58. https://doi.org/10.1016/j.midw.2018.01.003

Coates, D., & Foureur, M. (2019). The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review. Health & Social Care in the Community, 27(4), e123–e135. https://doi.org/10.1111/hsc.12740

Desi, T., & Rima, H. (2016). Hubungan kecemasan ibu hamil terhadap kejadian preeklampsia di RSUD Majalaya Kabupaten Bandung. Jurnal Ilmiah Bidan. https://media.neliti.com/media/publications/227210-hubungan-kecemasan-ibu-hamil-terhadap-ke-dcecfea8.pdf

Dinda Aulia, Farida, E. S., Nurafmi, D., Manggala, P. W., Ratna, D. J., & Nurul, A. (2022). The role of midwives on mother’s mental health in the first 1000 days of life: A systematic review. Midwiferia Jurnal Kebidanan. https://midwiferia.umsida.ac.id/index.php/midwiferia/article/view/1662

Dubreucq, M., Dupont, C., Lambregtse-van den Berg, M. P., Bramer, W. M., Massoubre, C., & Dubreucq, J. (2024). A systematic review of midwives’ training needs in perinatal mental health and related interventions. Frontiers in Psychiatry, 15, 1345738. https://doi.org/10.3389/fpsyt.2024.1345738

Fabre, C., Pauly, V., Baumstarck, K., Etchecopar-Etchart, D., Orléans, V., Llorca, P. M., et al. (2021). Pregnancy, delivery and neonatal complications in women with schizophrenia: A national population-based cohort study. The Lancet Regional Health – Europe, 10. https://www.thelancet.com/journals/lanepe/article/PIIS2666-7762(21)00186-1/fulltext

Hahlweg, K., & Baucom, D. H. (2023). Family therapy for persons with schizophrenia: Neglected yet important. European Archives of Psychiatry and Clinical Neuroscience, 273(4), 819–824. https://doi.org/10.1007/s00406-023-01578-6

Highet, N., Expert Working Group, & Expert Subcommittees. (2023). Mental health care in the perinatal period: Australian clinical practice guideline. Centre of Perinatal Excellence (COPE). https://www.cope.org.au/uploads/images/Health-professionals/COPE_2023_Perinatal_Mental_Health_Practice_Guideline.pdf

Karalia, A., Diamanti, A., Nanou, C. I., Varela, P., & Deltsidou, A. (2024). Knowledge and skills of midwives regarding perinatal mental health and their needs for further education. Cureus, 16(12), e76205. https://doi.org/10.7759/cureus.76205

Lasater, M. E., Murray, S. M., Keita, M., Souko, F., Surkan, P. J., Warren, N. E., Winch, P. J., Ba, A., Doumbia, S., & Bass, J. K. (2021). Integrating mental health into maternal health care in rural Mali: A qualitative study. Journal of Midwifery & Women’s Health, 66(2), 233–239. https://doi.org/10.1111/jmwh.13184

Lisa, P., Reyanta, B., & Thandokazi, M. (2025). Contraceptive use and counselling in women with mental illness: KwaZulu-Natal, South Africa. South African Journal of Psychiatry. https://pmc.ncbi.nlm.nih.gov/articles/PMC12223971/

Noviane, A., & Isabela, A. (2023). Status kesehatan mental ibu hamil pada kegiatan antenatal care (ANC) di UPTD Puskesmas Manggar Balikpapan, September–Oktober 2023. CDK Journal. https://cdkjournal.com/index.php/cdk/article/view/1387/1096

Nugroho Kuncoro, Y. (2025). Orang dengan gangguan jiwa (ODGJ): Mitos, stigma dan upaya yang dilakukan. https://ayosehat.kemkes.go.id/orang-dengan-gangguan-jiwa-mitos-stigma-upaya

RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah. (n.d.). Website resmi RSJD dr. Amino Gondohutomo. https://rs-amino.jatengprov.go.id/

Simon, G. E., Stewart, C., Yarborough, B. J. H., Lynch, F., Coleman, K. J., Beck, A., et al. (2018). Mortality rates after the first diagnosis of psychotic disorder in adolescents and young adults. JAMA Psychiatry, 75(3), 254–260. https://doi.org/10.1001/jamapsychiatry.2017.4437

Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health. https://doi.org/10.1177/1745506519844044

Suparji, Heru, S., Sunarto, & Agus, S. P. (2024). High maternal mortality rate in Indonesia: A challenge to be addressed immediately. PMAJ One Health. https://www.one-health.panafrican-med-journal.com/content/article/14/13/pdf/13.pdf

Wirihana, L., Welch, A., & Williamson, M. (2018). Using Colaizzi’s method of data analysis to explore the experiences of nurse academics teaching on satellite campuses. Nurse Researcher, 25(4), 30–34. https://journals.rcni.com/nurse-researcher/using-colaizzis-method-of-data-analysis-to-explore-the-experiences-of-nurse-academics-teaching-on-satellite-campuses-nr.2018.e1516

World Health Organization. (2022). Guide for integration of perinatal mental health in maternal and child health services (1st ed.). World Health Organization. https://www.who.int/publications/i/item/9789240057142

World Health Organization. (2023). Mental Health Gap Action Programme (mhGAP) guideline for mental, neurological and substance use disorders. https://www.who.int/teams/mental-health-and-substance-use/treatment-care/mental-health-gap-action-programme

World Health Organization. (2023). Trends in maternal mortality 2000 to 2023: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. https://www.who.int/publications/i/item/9789240108462

Zhu, Z., Wang, H., Zhu, T., Wang, Z., Shen, Y., Xiong, C., et al. (2025). Mental health service utilization among pregnant and postpartum women: Status, determinants, and insights from a mixed-methods study. BMC Public Health, 25, 1942. https://doi.org/10.1186/s12889-025-1942

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Published

2025-12-29

How to Cite

Handayani, L., & Sari, P. A. (2025). Studi Kualitatif: Pelayanan Kebidanan Perinatal di RSJD. Jurnal Penelitian Perawat Profesional, 7(6), 443–460. https://doi.org/10.37287/jppp.v7i6.1084

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