PERAN GANDA IBU PASCA MELAHIRKAN : DAMPAK TERHADAP KESEHATAN MENTAL DAN PRODUKTIVITAS KERJA - SYSTEMATIC REVIEW

Authors

  • Nurul 'Afifah Hijami Fakultas Kedokteran Universitas Lampung
  • Zahara Nurfatihah z Fakultas Kedokteran Universitas Lampung
  • Prasita Ayu Widyaningtyas Fakultas Ilmu Kesehatan Universitas Indonesia Mandiri

DOI:

https://doi.org/10.31004/prepotif.v9i3.51768

Keywords:

ibu pasca persalainan, peran ganda, depresi postpartum, produktivitas kerja

Abstract

Masa pasca persalinan merupakan periode transisi kritis bagi perempuan, ditandai dengan tuntutan peran ganda sebagai ibu dan pekerja. Konflik antara peran domestik dan profesional kerap meningkatkan risiko gangguan kesehatan mental dan menurunkan produktivitas kerja. Tujuan: Tinjauan sistematis ini bertujuan mengeksplorasi dampak peran ganda ibu pasca melahirkan terhadap kesehatan mental dan produktivitas kerja, sekaligus menilai relevansinya dengan kebijakan terbaru cuti melahirkan di Indonesia. Pencarian literatur dilakukan pada Google Scholar, PubMed, dan Science Direct menggunakan strategi PRISMA. Artikel yang memenuhi kriteria inklusi (2016–2025; desain kohort, cross-sectional, RCT, dan systematic review) dianalisis. Total 24 studi lintas negara dengan berbagai instrumen kesehatan mental (EPDS, MPSS, SF-12) dan produktivitas kerja diidentifikasi. Konflik kerja–keluarga, cuti singkat, beban kerja tinggi, dan kurangnya dukungan sosial konsisten meningkatkan risiko depresi postpartum, kecemasan, dan stres. Sebaliknya, dukungan pasangan, supervisor, fleksibilitas jam kerja, ruang laktasi, dan otonomi kerja terbukti protektif, meningkatkan work engagement serta retensi kerja. Bukti internasional menegaskan bahwa cuti berbayar ≥6 bulan berhubungan dengan penurunan risiko depresi postpartum dan peningkatan keberhasilan menyusui. Temuan ini relevan dengan kebijakan baru Indonesia (UU KIA 2024) yang memperluas cuti melahirkan hingga 6 bulan. Peran ganda ibu pasca melahirkan berdampak signifikan terhadap kesehatan mental dan produktivitas kerja, namun efek negatifnya dapat dimitigasi melalui kombinasi kebijakan struktural, dukungan sosial, dan budaya kerja inklusif. Reformasi cuti melahirkan 6 bulan di Indonesia berpotensi menjadi langkah strategis untuk meningkatkan kesejahteraan maternal dan keberlanjutan produktivitas tenaga kerja perempuan.

References

Al-abri, K., Edge, D., & Armitage, C. J. (2023). Prevalence and correlates of perinatal depression. Social Psychiatry and Psychiatric Epidemiology, 58(11), 1581–1590. https://doi.org/10.1007/s00127-022-02386-9

Antoniou, E., Stamoulou, P., Tzanoulinou, M.-D., & Orovou, E. (2021). Perinatal Mental Health; The Role and the Effect of the Partner: A Systematic Review. Healthcare, 9(11), 1572. https://doi.org/10.3390/healthcare9111572

Bauman, B. L., Ko, J. Y., Cox, S., D’Angelo, MPH, D. V., Warner, L., Folger, S., Tevendale, H. D., Coy, K. C., Harrison, L., & Barfield, W. D. (2020). Vital Signs: Postpartum Depressive Symptoms and Provider Discussions About Perinatal Depression — United States, 2018. MMWR. Morbidity and Mortality Weekly Report, 69(19), 575–581. https://doi.org/10.15585/mmwr.mm6919a2

Burtle, A., & Bezruchka, S. (2016). Population health and paid parental leave: what the United States can learn from two decades of research. Healthcare. https://www.mdpi.com/2227-9032/4/2/30

Carlson, D. S., Grzywacz, J. G., Ferguson, M., Hunter, E. M., Clinch, C. R., & Arcury, T. A. (2011). Health and turnover of working mothers after childbirth via the work–family interface: An analysis across time. Journal of Applied Psychology, 96(5), 1045–1054. https://doi.org/10.1037/a0023964

Chang, Y., Harger, L., Beake, S., & Bick, D. (2021). Women’s and Employers’ Experiences and Views of Combining Breastfeeding with a Return to Paid Employment: A Systematic Review of Qualitative Studies. Journal of Midwifery & Women’s Health, 66(5), 641–655. https://doi.org/10.1111/jmwh.13243

Chen, K., Wei, L., Zhang, Y., Jiang, W., Wang, J., & ... (2022). Work stress in nurses returning to tertiary a general hospitals in China after the delivery of their second child: a cross-sectional study. BMC Health Services …. https://doi.org/10.1186/s12913-022-07912-8

Costantini, A., Dickert, S., Sartori, R., & ... (2021). Return to work after maternity leave: the role of support policies on work attitudes of women in management positions. Gender in Management …. https://www.emerald.com/gm/article/36/1/108/87048

Egsgaard, S., Bliddal, M., Rasmussen, L., Mægbæk, M. L., Liu, X., & Munk-Olsen, T. (2024). Time trends in incidence of postpartum depression and depression in women of reproductive age. Journal of Affective Disorders, 366, 91–97. https://doi.org/10.1016/j.jad.2024.08.167

Fawcett, E. J., Fairbrother, N., Cox, M. L., White, I. R., & Fawcett, J. M. (2019). The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period. The Journal of Clinical Psychiatry, 80(4). https://doi.org/10.4088/JCP.18r12527

Franzoi, I. G., Sauta, M. D., De Luca, A., & Granieri, A. (2024). Returning to work after maternity leave: a systematic literature review. Archives of Women’s Mental Health, 27(5), 737–749. https://doi.org/10.1007/s00737-024-01464-y

Frech, A., & Damaske, S. (2012). The relationships between mothers’ work pathways and physical and mental health. Journal of Health and Social Behavior. https://doi.org/10.1177/0022146512453929

Heshmati, A., Honkaniemi, H., Fritzell, S., & Juárez, S. P. (2025). Parental Leave Benefits and Maternal Postpartum Mental Health in Sweden. JAMA Network Open, 8(4), e258062. https://doi.org/10.1001/jamanetworkopen.2025.8062

Heshmati, A., Honkaniemi, H., & Juárez, S. P. (2023). The effect of parental leave on parents’ mental health: a systematic review. The Lancet Public Health, 8(1), e57–e75. https://doi.org/10.1016/S2468-2667(22)00311-5

Hidalgo-Padilla, L., Toyama, M., Zafra-Tanaka, J. H., Vives, A., & Diez-Canseco, F. (2023). Association between maternity leave policies and postpartum depression: a systematic review. Archives of Women’s Mental Health, 26(5), 571–580. https://doi.org/10.1007/s00737-023-01350-z

Khadka, N., Fassett, M. J., Oyelese, Y., Mensah, N. A., Chiu, V. Y., Yeh, M., Peltier, M. R., & Getahun, D. (2024). Trends in Postpartum Depression by Race, Ethnicity, and Prepregnancy Body Mass Index. JAMA Network Open, 7(11), e2446486. https://doi.org/10.1001/jamanetworkopen.2024.46486

Kilavuz, M., & Topaloğlu, S. (2025). Psychosocial and maternal care needs of recently delivered women during the postpartum period. BMC Pregnancy and Childbirth, 25(1), 874. https://doi.org/10.1186/s12884-025-07982-6

Kornfeind, K. R., & Sipsma, H. L. (2018). Exploring the Link between Maternity Leave and Postpartum Depression. Women’s Health Issues, 28(4), 321–326. https://doi.org/10.1016/j.whi.2018.03.008

Low, H., & Sánchez-Marcos, V. (2015). Female labour market outcomes and the impact of maternity leave policies. IZA Journal of Labor Economics, 4(1), 14. https://doi.org/10.1186/s40172-015-0029-1

Maramag, C. C., Samaniego, J. A. R., Castro, M. C., Zambrano, P., Nguyen, T. T., Cashin, J., Datu-Sanguyo, J., Mathisen, R., & Weissman, A. (2023). Maternity protection policies and the enabling environment for breastfeeding in the Philippines: a qualitative study. International Breastfeeding Journal, 18(1), 60. https://doi.org/10.1186/s13006-023-00594-w

McCardel, R. E., Loedding, E. H., & Padilla, H. M. (2022). Examining the relationship between return to work after giving birth and maternal mental health: a systematic review. Maternal and Child Health …. https://doi.org/10.1007/s10995-022-03489-0

McCardel, R, Callands, T., & ... (2024). Experiences with work-family conflict, breastfeeding, and perinatal mental health among women returning to work after giving birth: A mixed methods study. … of Occupational and …. https://journals.lww.com/joem/fulltext/2024/03000/experiences_with_work_family_conflict,.6.aspx

McCardel, Rachel, Callands, T., Rajbhandari-Thapa, J., Swartzendruber, A., & Padilla, H. (2024). Experiences With Work-Family Conflict, Breastfeeding, and Perinatal Mental Health Among Women Returning to Work After Giving Birth. Journal of Occupational & Environmental Medicine, 66(3), 216–225. https://doi.org/10.1097/JOM.0000000000003025

Pebryatie, E., Paek, S. C., Sherer, P., & Meemon, N. (2022). Associations Between Spousal Relationship, Husband Involvement, and Postpartum Depression Among Postpartum Mothers in West Java, Indonesia. Journal of Primary Care & Community Health, 13. https://doi.org/10.1177/21501319221088355

Perry, M. F., Bui, L., Yee, L. M., & Feinglass, J. (2024). Association Between State Paid Family and Medical Leave and Breastfeeding, Depression, and Postpartum Visits. Obstetrics & Gynecology, 143(1), 14–22. https://doi.org/10.1097/AOG.0000000000005428

Portier, C. (2025). Occupational autonomy, paid maternity leave, and mothers’ return to work after childbirth. Journal of Marriage and Family. https://doi.org/10.1111/jomf.13089

Romig, K., & Bryant, K. (2021). A National Paid Leave Program Would Help Workers, Families Should Prioritize Workers of Color and Those With Low Wages. Center on Budget and Policy Priorities, 27, 1–17. https://www.bls.gov/ncs/ebs/benefits/2019/ownership/civilian/table31a.pdf.

Schneider, K. T., Williams, S. C., & Kuhn, R. E. (2025). Workplace Discrimination Against Pregnant and Postpartum Employees: Links to Well-Being. International Journal of Environmental Research and Public Health, 22(8), 1160. https://doi.org/10.3390/ijerph22081160

Schwab‐Reese, L. M., Ramirez, M., Ashida, S., & Peek‐Asa, C. (2017). Psychosocial employment characteristics and postpartum maternal mental health symptoms. American Journal of Industrial Medicine, 60(1), 109–120. https://doi.org/10.1002/ajim.22666

Tang, X., Patterson, P., MacKenzie-Shalders, K., van Herwerden, L. A., Bishop, J., Rathbone, E., Honeyman, D., & Reidlinger, D. P. (2021). Workplace programmes for supporting breast-feeding: a systematic review and meta-analysis. Public Health Nutrition, 24(6), 1501–1513. https://doi.org/10.1017/S1368980020004012

UU KIA. (2024). Undang-undang (UU) Nomor 4 Tahun 2024 tentang Kesejahteraan Ibu dan Anak pada Fase Seribu Hari Pertama Kehidupan. In Nasional (Vol. 105, Issue 3). https://webcache.googleusercontent.com/search?q=cache:BDsuQOHoCi4J:https://media.neliti.com/media/publications/9138-ID-perlindungan-hukum-terhadap-anak-dari-konten-berbahaya-dalam-media-cetak-dan-ele.pdf+&cd=3&hl=id&ct=clnk&gl=id

Van Niel, M. S., Bhatia, R., Riano, N. S., de Faria, L., Catapano-Friedman, L., Ravven, S., Weissman, B., Nzodom, C., Alexander, A., Budde, K., & Mangurian, C. (2020). The Impact of Paid Maternity Leave on the Mental and Physical Health of Mothers and Children: A Review of the Literature and Policy Implications. Harvard Review of Psychiatry, 28(2), 113–126. https://doi.org/10.1097/HRP.0000000000000246

Vargas-Prada, S., García, A. M., Ronda, E., Estarlich, M., Ballester, F., & Benavides, F. G. (2018). Influence of paid maternity leave on return to work after childbirth. La Medicina Del Lavoro, 109(4), 243–252. https://doi.org/10.23749/mdl.v109i4.7226

Vilar-Compte, M., Hernández-Cordero, S., Ancira-Moreno, M., Burrola-Méndez, S., Ferre-Eguiluz, I., Omaña, I., & Pérez Navarro, C. (2021). Breastfeeding at the workplace: a systematic review of interventions to improve workplace environments to facilitate breastfeeding among working women. International Journal for Equity in Health, 20(1), 110. https://doi.org/10.1186/s12939-021-01432-3

Wang, Y., Gu, J., Zhang, F., & Xu, X. (2023). The effect of perceived social support on postpartum stress: the mediating roles of marital satisfaction and maternal postnatal attachment. BMC Women’s Health, 23(1), 482. https://doi.org/10.1186/s12905-023-02593-9

Whitley, M. D., Ro, A., & Choi, B. (2019). Workplace breastfeeding support and job satisfaction among working mothers in the United States. American Journal of Industrial Medicine, 62(8), 716–726. https://doi.org/10.1002/ajim.22989

Yim, I. S., Tanner Stapleton, L. R., Guardino, C. M., Hahn-Holbrook, J., & Dunkel Schetter, C. (2015). Biological and Psychosocial Predictors of Postpartum Depression: Systematic Review and Call for Integration. Annual Review of Clinical Psychology, 11(1), 99–137. https://doi.org/10.1146/annurev-clinpsy-101414-020426

Zhao, J., & Zhang, M. (2024). Postpartum depression and risk factors among working women one year after delivery in Beijing, China: a cross-sectional study. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2024.1346583

Zhao, Y., Cooklin, A. R., Richardson, A., & ... (2021). Parents’ shift work in connection with work–family conflict and mental health: Examining the pathways for mothers and fathers. Journal of Family …. https://doi.org/10.1177/0192513X20929059

Zhou, T., Dong, X., Zhang, L., Chen, W., Zhang, X., Zhang, J., & Chen, J. (2024). ‘Breakdown and healing’ - adaptation experiences of postpartum nurses returning to work: a descriptive phenomenological study. BMC Nursing, 23(1), 523. https://doi.org/10.1186/s12912-024-02200-8

Zhu, J., Ye, Y., Liu, X., Chen, Y., Chen, L., Lin, Y., & ... (2024). The incidence and risk factors of depression across six time points in the perinatal period: a prospective study in China. Frontiers in …. https://doi.org/10.3389/fmed.2024.1407034

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Published

2025-12-26

How to Cite

Hijami, N. ’Afifah, Nurfatihah z, Z., & Widyaningtyas, P. A. (2025). PERAN GANDA IBU PASCA MELAHIRKAN : DAMPAK TERHADAP KESEHATAN MENTAL DAN PRODUKTIVITAS KERJA - SYSTEMATIC REVIEW. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 9(3), 8962–8980. https://doi.org/10.31004/prepotif.v9i3.51768