"NIFAS BAHAGIA" PROGRAM: Family-Role-Based Psychological Support for Postpartum Mothers After Emergency Delivery in The Maternity Unit of Kanjuruhan Regional Hospital

Candra Wahyuni; Ira Kurniawati; Wiwin Santi Krissiyati; Novi Ekawati; Nisa Utami Puspita Sari; Yushinta Armayani; Weni; Tiwul Nurhayati

doi:10.30994/jceh.v9i2.837

Authors

Candra Wahyuni Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Ira Kurniawati Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Wiwin Santi Krissiyati Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Novi Ekawati Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Nisa Utami Puspita Sari Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Yushinta Armayani Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Weni Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia
Tiwul Nurhayati Faculty of Midwifery, Universitas STRADA Indonesia, Kediri, Indonesia

DOI:

https://doi.org/10.30994/jceh.v9i2.837

Keywords:

Emergency Delivery, Family Role, NIFAS BAHAGIA, Psychological Support

Abstract

Emergency delivery often triggers acute psychological trauma in postpartum mothers, creating a high vulnerability to postpartum depression when emotional and family support systems are suboptimal. The "Nifas Bahagia" community service program was implemented to establish a family-role-based psychological support model for postpartum mothers following emergency delivery in the Maternity Unit of Kanjuruhan Regional Hospital, Malang Regency. The program utilized a structured three-stage framework: first, preparation and baseline screening using the Edinburgh Postnatal Depression Scale and the Zung Self-Rating Anxiety Scale; second, core in-hospital interventions consisting of Psychological First Aid and trauma counseling for mothers, psychoeducation and companion module training for husbands/families, and supportive touch therapy simulations (oxytocin massage); and third, post-discharge monitoring and final evaluation via home visits, teleconsultation on days 3 and 7, and a dedicated WhatsApp support group through day 14. Participants comprised 20 postpartum mothers with emergency delivery histories and their primary family companions. Evaluation demonstrated substantial psychological improvements: maternal mean anxiety index scores decreased by 44.8% from 58.4 to 32.2, mean depression scores dropped by 57.8% from 12.8 to 5.4, and the proportion of mothers at high depression risk plunged from 65% to 5%. Family supportive self-efficacy expanded markedly from 30% to 95%. All participants completed the 14-day continuity monitoring without any crisis re-referrals. In conclusion, the "Nifas Bahagia" program represents an applicable, sustainable, and empowering hospital-to-home psychological care model that effectively mitigates maternal birth trauma through family engagement.

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