The strength of tendon suture with technique of Samu Modification SM

postpartum psychological disorders. Various predisposing factors are considered to contribute significantly to the onset of anxiety or depression postpartum Epifanio et al., 2015. One as one reason for the emergence of postpartum depression. Lack of family financial capabilities would make the mother more anxious in thinking of ways to fulfill the needs of the newborn. demographic factors affecting Anxiety lead the mother into a postpartum depression is age. Age who are at risk of experiencing postpartum depression is a young age 20 years and elderly 35 years. This is because, at a young age lack of experience and mood disorders are still common difficult adaptation to the new role that trigger the onset of parenting stress. While old age is a risk of gestational age contributed to stimulated perinatal anxiety. Pregnant women with older age are more focused on the risks postpartum depression if she can‟t handled well Basri et al, 2014. In addition to demographic factors, psychosocial factors also contribute significantly to the emergence of postpartum depression. The main psychosocial factors that lead to the emergence of depression is family support. Families support have a major impact for the mother postpartum because the family is the primary support system mother in adapting to her they face during pregnancy and new role. If the family support childbirth. This is exactly what contributes to cause anxiety or depression prenatal Wahyuni, Murwati, Supiati, 2014. The second demographic factors that increase the risk of postpartum depression is parity. Primiparous believed to have suffered postpartum depression tendency level of the multiparous. This is attributed to the lack of experience primiparity in adapting to a new role as a parent. The transition period to become parents will bring confusion for primiparous so can cause stress of parenting. Parenting stress would be a specific stressor thus increasing the risk of the emergence of postpartum depression Wahyuni et al, 2014. The third demographic factors contribute to postpartum depression is the mothers education. Low education is rated as one of the risk factors of inadequate, then the problem will lead postpartum depression occurs Urbayatun, 2010. The last factor considered to contribute to the emergence of postpartum depression is a history of prenatal anxiety or depression. Prenatal anxiety or depression is stressfull life event for postpartum mothers. The prenatal anxiety or depression will accumulate and make postpartum mothers become more vulnerable and sensitive to adaptation the roles changes Shlomi et al, 2014. DISCUSSION The first is the age demographic factors age 20 years and 35 years increase the risk of postpartum mothers experience depression. The prevalence of postpartum depression occurs in young mothers. Age is considered to contribute to increase the risk of postpartum depression. This is postpartum anxiety or depression associated with a lack of knowledge and because at a young age the greater limitations of the use of information that possibility of mood disorders. In would result in low postpartum maternal skills in adapting to her new role. Limitations that will have an impact on the increased risk of postpartum depression Wijayanti, Wijayanti, Nuryanti, 2013. addition, postpartum mothers at a young age have the skills that are lacking in managing the emotions associated with the changes that occur postpartum. The lack of skills is considered to contribute to the onset of postpartum depression The next demographic factor is Wijayanti, Wijayanti, Nuryanti, family income. Low family income seen 747 2013. Australian study also says that too young mothers, the risk of experiencing prenatal and postpartum depression will also increase Yelland, Sutherland, Brown, 2010. Research conducted in Blora showed that the incidence of postpartum depression experienced by the largest age group at risk, 83.33 of mothers with young age under 20 years experience postpartum depression, followed by 41.67 of mothers with older age over 35 years experiencing postpartum depression Wijayanti et al., 2013. Meanwhile different results presented by Wahyuni et al 2014 showed statistical result pvalue = 0.470 α = 0.05, which means age at childbirth not contribute primiparous. This is related to the increase in child then also increased economic burdens and responsibilities, triggering the onset of anxiety or depression postpartum Wahyuni, Murwati, Supiati, 2014. Economic status into third demographic factors that predispose to postpartum depression. Economic status increases the risk of postpartum depression according to Yelland et al 2010 which states that a low income family became one of the predisposing factors of postpartum depression. Low income families will complicate the financial willingness with increasing child. So that both long-term expenses substantially in postpartum depression. and short-term will be amended. Results were in accordance with the concept of the developmental tasks of young adulthood, the time when the case of adjustment to the changes of new life and new hope. Young adults have the ability to take responsibility, the role and make a new commitment Wahyuni et al, 2014. From literature above, the results is still a debate until now how much the mothers age affects postpartum depression. Research conducted Basri 2014 explains that 52.8 of respondents who experienced postpartum depression comes from the weak economic group. Maternal education factors stimulated postpartum depression is still being debated. Low education is believed to be one factor in the emergence of postpartum depression. This is because mothers with low education, have lacking of knowledge Parity is second factor that and skills in adapting to the roles assessed as having a role in postpartum changes Yelland et al., 2010. psychological adaptation. Primiparous judged to be the vulnerable groups who Wijayanti 2013, shows that respondents with low levels of education experience postpartum depression, more vulnerable to postpartum because of the transition to the role of new parents is a stressful condition. This transition can disrupt the pattern of family routine, changing priorities and increased responsibility. Changes in fulfill the needs of newborns with lack of experience resulted in the emergence of parenting stress would trigger postpartum depression Epifanio et al., 2015. According to research Wijayanti 2013 postpartum depression in primiparous mothers 17.4 higher than multiparous mothers. This is confirmed by various studies conducted that the primiparous more vulnerable to postpartum depression. However, research Basri 2014 showed different results that multiparas also has the same risk of postpartum depression with 748 depression. However, the results of different studies presented by Wahyu 2014 and Basri 2014 which states that higher education will increase the risk of postpartum depression. From the results, the data that 57.7 of respondents who experienced depression originating from the higher education level. The same thing was also mentioned by Shlomi 2014 that the level of higher education will lead to high psychological problems postpartum. This is because the high self ideal and too much exposure to the information, so that it actually makes postpartum mothers confused when carrying out the role as the gap between theory and reality.