Empowering Mothers through Health Education to Increase Breastfeeding Self-Efficacy and Early Detection of Postpartum Blues
DOI:
https://doi.org/10.37287/ijghr.v8i5.2731Keywords:
breastfeeding self-efficacy, e-booklet, health education, postpartum bluesAbstract
Pregnant women experience physical and psychological changes that can be influenced by an unsupportive environment. Mothers who are unable to adapt during the postpartum period may experience psychological distress, which also affects breast milk production. This is highly dangerous as it will impact breastfeeding self-efficacy. The objective of this study was to determine the effectiveness of providing health education via e-booklets on breastfeeding self-efficacy and the early detection of postpartum blues in pregnant women. A quasi-experimental design was utilized with a pre-test and post-test control group approach. The study population consisted of third-trimester primigravida mothers. The sampling technique used purposive sampling, yielding a total sample of 64 respondents (32 respondents in the intervention group and 32 in the control group). This study utilized instruments in the form of questionnaires on breastfeeding self-efficacy and the Edinburgh Postnatal Depression Scale (EPDS). The collected data were analyzed to determine the effectiveness of maternal empowerment through health education via e-booklets on breastfeeding self-efficacy and postpartum blues using the Independent Sample T-test, as the data were normally distributed. The results showed that empowering mothers through health education using e-booklets was proven effective in increasing breastfeeding self-efficacy and reducing the incidence of early detection of postpartum blues among pregnant women in the intervention group, with a p-value of ρ = 0.000 (< 0.05) for each. In conclusion, empowering pregnant women through health education using e-booklets significantly affects breastfeeding self-efficacy and EPDS scores.
References
Davie, P., Chilcot, J., Jones, L., Bick, D., & Silverio, S. A. (2021). Indicators of “good” feeding, breastfeeding latch, and feeding experiences among healthy women with healthy infants: A qualitative pathway analysis using grounded theory. Women and Birth, 34(2), e170–e179. https://doi.org/10.1016/j.wombi.2020.08.004
Bekasi City Health Office. (2020). Profil kesehatan Kota Bekasi tahun 2020. Bekasi City Health Office.
Dule, A. (2021). Psychological distress among Ethiopian pregnant women during COVID-19: Negative correlation with self-efficacy. Psychology Research and Behavior Management, 14, 1001–1010.
Farida, Fitriani, R. K., Nafisah, M., & Indrawati, R. (2022). Hubungan antara pendidikan dan pekerjaan ibu terhadap pemberian ASI eksklusif di Desa Pelem, Kecamatan Purwosari, Kabupaten Bojonegoro. Media Gizi Kesmas, 11.
Great Nusa. (2023). Self efficacy. Gagas Edukasi Anantara.
Indriyani, D., Asmuji, & Wahyuni, S. (2016). Edukasi postnatal dengan pendekatan Family Centered Maternity Care (FCMC). Trans Medika.
Karakuş Selçuk, A., Yanıkkerem, E., & Ünalmış Erdoğan, S. (2025). The factors affecting breastfeeding self-efficacy, LATCH scores and effect of postnatal breastfeeding education on mothers' self-efficacy. Revista da Escola de Enfermagem da USP, 59, e2024-0281. https://doi.org/10.1590/1980-220X-REEUSP-2024-0281en
Ministry of Health of the Republic of Indonesia. (2023). Profil kesehatan Indonesia tahun 2022. Ministry of Health of the Republic of Indonesia.
Maimunah, S., & Masita, E. D. (2019). Efektivitas metode Double D terhadap depresi postpartum pada ibu nifas fase letting go di Kelurahan Wonokromo Surabaya. Jurnal Ners dan Kebidanan, 6(3), 320–325.
Metin, A., & Yanıkkerem, E. (2024). The effects of video-assisted breastfeeding education given to primiparous pregnant women on breastfeeding self-efficacy: Randomized control study. BMC Pregnancy and Childbirth, 24, 142. https://doi.org/10.1186/s12884-024-06317-1
Mohamed, A. H., Abobaker, R. M., Ibrahim, M. I. T., AlHseinat, M. M., Ali, H. M., Abdel Razek, R. A., Albougami, A., Berdida, D. J. E., & Elrefaey, S. R. I. (2025). Effect of nursing intervention based on Ratu's model for preventing postpartum blues and depression among primiparous women: A treatment-control design. SAGE Open Nursing. https://doi.org/10.1177/17455057251323155
Norazman, C. W., & Lee, L. K. (2024). The influence of social support in the prevention and treatment of postpartum depression: An intervention-based narrative review. SAGE Open Nursing. https://doi.org/10.1177/17455057241275587
Oggero, M. K., Rozmus, C. L., & LoBiondo-Wood, G. (2024). Effects of prenatal breastfeeding education on breastfeeding duration beyond 12 weeks: A systematic review. Health Education & Behavior. https://doi.org/10.1177/10901981231220668
Rochana, S., Aksari, S. T., & Alfiani, T. (2022). Pengaruh edukasi kesehatan dengan e-booklet terhadap breastfeeding self efficacy dan maternal depressive symptom di masa pandemi Covid-19. Jurnal Kesehatan Al-Irsyad, 15(1), 104–115. https://doi.org/10.36760/jka.v15i1.337
Titaley, C. R., Dibley, M. J., Ariawan, I., Mu'asyaroh, A., Alam, A., Damayanti, R., Do, T. T., Ferguson, E., Htet, K., Li, M., Sutrisna, A., & Fahmida, U. (2021). Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months: Results from the BADUTA study in East Java, Indonesia. International Breastfeeding Journal, 16, 12. https://doi.org/10.1186/s13006-021-00357-5
Wong, M. S., Mou, H., & Chien, W. T. (2021). Effectiveness of educational and supportive intervention for primiparous women on breastfeeding-related outcomes and breastfeeding self-efficacy: A systematic review and meta-analysis. International Journal of Nursing Studies, 117, 103874. https://doi.org/10.1016/j.ijnurstu.2021.103874
World Health Organization. (2017). World health statistics 2017: Monitoring health for the SDGs, Sustainable Development Goals. World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
