ROLE OF MENTAL HEALTH E-BOOK: BOOSTING KNOWLEDGE AND MENTAL WELLNESS POSTPARTUM MOTHER

Sophia Sophia; Galih Jatnika; Adinda Maharani Geraldin; Rosmawati Rosmawati

Sophia Sophia Midwifery Program Study, Science and Health Tecnology Faculty, Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia
Galih Jatnika Nursing Program Study, Science and Health Tecnology Faculty, Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia
Adinda Maharani Geraldin Midwifery Program Study, Health Science Faculty, YPIB Majalengka University, West Java, Indonesia
Rosmawati Rosmawati Midwifery Program Study, Health Science Faculty, YPIB Majalengka University, West Java, Indonesia

Abstract

The postpartum period is a critical phase characterized by physical and psychological changes that put mothers at risk of mental health disorders, such as anxiety and depression. Low mental health literacy among postpartum mothers can exacerbate these conditions. E-book-based education serves as an alternative medium that is practical, engaging, and easily accessible to improve health literacy while supporting psychological well-being. This study aims to determine the effect of a mental health e-book on the knowledge and mental well-being of postpartum mothers. This research employed a pre-experimental design with a one-group pretest-posttest approach involving 31 postpartum mothers selected via accidental sampling from August to September 2025 at TPMB Bdn. Isti Dariah, SST., M.KM, Cimahi City. The research instruments included an e-book, a knowledge questionnaire, and the Edinburgh Postnatal Depression Scale (EPDS) to assess mental well-being. Data analysis was conducted using the paired sample t-test. The results showed that prior to the intervention, 67.7% of respondents had poor knowledge and 54.8% experienced abnormal mental health status. Following the intervention, the percentage of respondents with poor knowledge decreased to 22.6%, and abnormal mental health status decreased to 19.4%. Statistical analysis confirmed that mental health e-book education is effective in increasing knowledge ($p = 0.000$) and improving the mental well-being of postpartum mothers ($p = 0.000$). It is recommended that postpartum mothers utilize mental health e-books to better understand emotional changes, enhance psychological adaptation, and prevent postpartum mental health disorders.

Keywords: e-book, knowledge, mental health, postpartum

DOI: 10.35990/mk.v9-ISGH.p69-79

References

Mustofa A, Nadya Hapsari A, Nabiila A, Khalisyah Putri A, Mas Nurissyita A, Catur Prasetya E, et al. Faktor Risiko Depresi Pasca Persalinan di Negara-negara Asia Tenggara. Medica Arter. 2021 Dec 30;3(2):62–7.
2. Saharoy R, Potdukhe A, Wanjari M, Taksande AB. Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants. Cureus. 2023 Jul 4;15(7).
3. Wang Z, Liu J, Shuai H, Cai Z, Fu X, Liu Y, et al. Mapping global prevalence of depression among postpartum women. Transl Psychiatry 2021 111. 2021 Oct 20;11(1):543-.
4. Lackie ME, Parrilla JS, Lavery BM, Kennedy AL, Ryan D, Shulman B, et al. Digital Health Needs of Women With Postpartum Depression: Focus Group Study. J Med Internet Res. 2021 Jan 1;23(1).
5. Monteiro F, Pereira M, Canavarro MC, Fonseca A. Be a Mom’s Efficacy in Enhancing Positive Mental Health among Postpartum Women Presenting Low Risk for Postpartum Depression: Results from a Pilot Randomized Trial. Int J Environ Res Public Health. 2020 Jul 1;17(13):4679.
6. Zhou C, Hu H, Wang C, Zhu Z, Feng G, Xue J, et al. The effectiveness of mHealth interventions on postpartum depression: A systematic review and meta-analysis. J Telemed Telecare. 2022 Feb 1;28(2):83–95.
7. Herida Pinem L, Annasya Kusuma Wardhani M, Zulfa Safitri M, Wilda Yana Pratama P, Oktaviani Anshori R, Trie Sukmawati S, et al. Pemanfaatan Aplikasi Digital dalam Mencegah Depresi Postpartum: Literature Review. J Kesehat Holist. 2021 Jul 30;5(2):31–9.
8. Mustika DN, Puspitaningrum D, Hidayati E, Hawa II, Suhaly C. Peningkatan Persepsi Melalui Edukasi Dengan Media Booklet Sebagai Upaya Pencegahan Depresi Pada Ibu Nifas Di RS Roemani Muhammadiyah Semarang. J Pengabdi Masy Kebidanan. 2025 Jan 20;7(1):5–10.
9. Cahyaningtyas KN, Yulian V. Gambaran Kesehatan Mental pada Ibu Post Natal. J Keperawatan Silampari. 2023 Feb 28;6(2):1274–80.
10. Riska Amalia NA, Andi Irhamniah Sakinah, Azizah Nurdin, Arlina Wiyata Gama, Mukhlis Mukhtar. Hubungan Kesehatan Mental dengan Maternal Functioning pada Ibu Postpartum. Alami J (Alauddin Islam Medical) J. 2023 Jul 31;7(2):67–74.
11. Pezley L, Cares K, Duffecy J, Koenig MD, Maki P, Odoms-Young A, et al. Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review. Int Breastfeed J. 2022 Dec 1;17(1).
12. Febriati E, Zakiah Z, Yuliastuti E, Hapisah H. Pengaruh Media Booklet Terhadap Pengetahuan dan Sikap dalam Pemilihan Kontrasepsi MKJP Pada Ibu Nifas di Wilayah Kerja UPT Puskesmas Sei Tatas Tahun 2025. J Penelit Multidisiplin Bangsa. 2025 Aug 14;2(3):542–8.
13. Anyanwu IS, Jenkins J. Effectiveness of digital health interventions for perinatal depression: a systematic review and meta-analysis. Oxford open Digit Heal. 2024 Jan 1;2.
14. Bjørnsen HN, Eilertsen MEB, Ringdal R, Espnes GA, Moksnes UK. Positive mental health literacy: development and validation of a measure among Norwegian adolescents. BMC Public Health. 2017 Sep 18;17(1).
15. Alhaj Ahmad M, Al Awar S, Sayed Sallam G, Alkaabi M, Smetanina D, Statsenko Y, et al. Biopsychosocial Predictors of Postpartum Depression: Protocol for Systematic Review and Meta-Analysis. Healthc. 2024 Mar 1;12(6):650.
16. Tosto V, Ceccobelli M, Lucarini E, Tortorella A, Gerli S, Parazzini F, et al. Maternity Blues: A Narrative Review. J Pers Med 2023, Vol 13, Page 154. 2023 Jan 13;13(1):154.
17. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016 Feb 1;191:62–77.
18. Meltzer-Brody S, Howard LM, Bergink V, Vigod S, Jones I, Munk-Olsen T, et al. Postpartum psychiatric disorders. Nat Rev Dis Prim. 2018 Apr 26;4:1–18.
19. Di Benedetto MG, Landi P, Mencacci C, Cattaneo A. Depression in Women: Potential Biological and Sociocultural Factors Driving the Sex Effect. Neuropsychobiology. 2024 Feb 1;83(1):2–16.
20. Ashford MT, Olander EK, Ayers S. Computer- or web-based interventions for perinatal mental health: A systematic review. J Affect Disord. 2016 Jun 1;197:134–46.
21. Cantwell R. Mental disorder in pregnancy and the early postpartum. Anaesthesia. 2021 Apr 1;76 Suppl 4(S4):76–83.