Effectiveness of Mind–Body–Based Psychoeducation in Strengthening Midwives’ Role and Enhancing Breastfeeding Self-Efficacy Among Postpartum Mothers: A Quasi-Experimental Study

Authors

  • Rasmi Manullang Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia
  • Imarina Tarigan Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia
  • Anna Waris Nainggolan Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia
  • Lasria Yolivia Aruan Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia
  • Yesica Geovany Sianipar Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia
  • Lira Agnes Monica Damanik Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia
  • Sastra Amelia Siahaan Department of Midwifery, STIKes Mitra Husada Medan, North Sumatra, Indonesia

DOI:

https://doi.org/10.55018/janh.v7i3.423

Keywords:

Breastfeeding Self-Efficacy, Mind-Body-Approach, Postpartum Mothers, Psychoeducational Applications, The Role of Midwives

Abstract

Background: Breast milk is the best nutrition for babies and has long-term benefits for both mother and child health. A critical factor in successful breastfeeding is breastfeeding self-efficacy (BSE), a mother's confidence in her ability to breastfeed.

Methods: This quasi-experimental study employed a pre-test and post-test design with a control group and purposive sampling. The sample comprised 60 postpartum mothers: 30 in the intervention group and 30 in the control group. The intervention involved using the PIANA application for four weeks. Statistical tests were performed using SPSS 26 for univariate and bivariate data analysis. Outcomes were measured using the Wilcoxon and Mann-Whitney U tests to assess whether psychoeducation could increase postpartum mothers' confidence in breastfeeding.

Results: Bivariate analyses of the variables were conducted using statistical tests after the application, namely the Midwife's Role variable (p = 0.023), the Psychoeducation variable (p = 0.032), and the BSE variable (p = 0.012). The results of the bivariate analysis of the three variables showed that the Midwife's Role with BSE psychoeducation positively affected postpartum mothers' confidence in breastfeeding.

Conclusion: Psychoeducational applications using a mind-body approach have been shown to improve breastfeeding self-efficacy in postpartum mothers. Optimizing the role of midwives through this medium can serve as an effective, flexible educational tool to support postpartum mothers in achieving breastfeeding success.

Downloads

Download data is not yet available.

References

Ames, S. R., Lotoski, L. C., & Azad, M. B. (2023). Comparing Early Life Nutritional Sources and Human Milk Feeding Practices: Personalized and Dynamic Nutrition Supports Infant Gut Microbiome Development and Immune System Maturation. Gut Microbes, 15(1). https://doi.org/10.1080/19490976.2023.2190305

Ayran, G., & Çelebioğlu, A. (2022). Education of Parents in Increasing Breastfeeding Rates, Success, and Self-Efficacy Levels. The Journal of Pediatric Research, 9(2), 175–183. https://doi.org/10.4274/jpr.galenos.2022.56514

Camacho-Morales, A., Caba, M., García-Juárez, M., Caba-Flores, M. D., Viveros-Contreras, R., & Martínez-Valenzuela, C. (2021). Breastfeeding Contributes to Physiological Immune Programming in the Newborn. Frontiers in Pediatrics, 9. https://doi.org/10.3389/fped.2021.744104

Çetindemir, E. O., & Cangöl, E. (2024). The Effect of Breastfeeding Education Given Through the Teach-Back Method on Mothers’ Breastfeeding Self-Efficacy and Breastfeeding Success: a Randomized Controlled Study. BMC Pregnancy and Childbirth, 24(1), 453. https://doi.org/10.1186/s12884-024-06601-0

Chan, K. L., Leung, W. C., Tiwari, A., Or, K. L., & Ip, P. (2019). Using Smartphone-Based Psychoeducation to Reduce Postnatal Depression Among First-Time Mothers: Randomized Controlled Trial. JMIR MHealth and UHealth, 7(5), e12794. https://doi.org/10.2196/12794

Chipojola, R., Chiu, H.-Y., Huda, M. H., Lin, Y.-M., & Kuo, S.-Y. (2020). Effectiveness of Theory-Based Educational Interventions on Breastfeeding Self-Efficacy and Exclusive Breastfeeding: A Systematic Review and Meta-Analysis. International Journal of Nursing Studies, 109, 103675. https://doi.org/10.1016/j.ijnurstu.2020.103675

Daehn, D., Martens, C., Loew, V., Kemmler, L., Rudolf, S., Kochen, E., Renneberg, B., & Pawils, S. (2023). SmartMoms – a Web Application to Raise Awareness and Provide Information on Postpartum Depression. BMC Pregnancy and Childbirth, 23(1), 402. https://doi.org/10.1186/s12884-023-05680-9

Dagla, M., Mrvoljak-Theodoropoulou, I., Vogiatzoglou, M., Giamalidou, A., Tsolaridou, E., Mavrou, M., Dagla, C., & Antoniou, E. (2021). Association between Breastfeeding Duration and Long-Term Midwifery-Led Support and Psychosocial Support: Outcomes from a Greek Non-Randomized Controlled Perinatal Health Intervention. International Journal of Environmental Research and Public Health, 18(4), 1988. https://doi.org/10.3390/ijerph18041988

Dağlı, E., & Aktaş Reyhan, F. (2024). The Effect of Online Hypno-Breastfeeding and Solution-Focused Psychoeducation on Mothers’ Breastfeeding Motivation and Perception of Insufficient Milk: Randomize Controlled Study. Health Care for Women International, 45(7), 796–810. https://doi.org/10.1080/07399332.2023.2244903

Fahim, S. H., Kazemi, F., Masoumi, S. Z., & Refaei, M. (2023). The Effect of Midwife-Oriented Breastfeeding Counseling on Self-Efficacy and Performance of Adolescent Mothers: a Clinical Trial Study. BMC Pregnancy and Childbirth, 23(1), 672. https://doi.org/10.1186/s12884-023-05982-y

Graciliano, N. G., Goulart, M. O. F., & de Oliveira, A. C. M. (2025). Impact of Maternal Exposure to SARS-CoV-2 on Immunological Components of Breast Milk. International Journal of Molecular Sciences, 26(6), 2600. https://doi.org/10.3390/ijms26062600

Greenthal, K., & Spatz, D. (2023). The Effects of Mindfulness on Lactation: An Integrative Review. Breastfeeding Medicine, 18(11), 822–841. https://doi.org/10.1089/bfm.2023.0170

Hussain-Shamsy, N., Shah, A., Vigod, S. N., Zaheer, J., & Seto, E. (2020). Mobile Health for Perinatal Depression and Anxiety: Scoping Review. Journal of Medical Internet Research, 22(4), e17011. https://doi.org/10.2196/17011

Koli, H. B., Nair, M. G., & Shah, M. C. (2021). Impact of Structured Pre-Natal Counselling on Early Initiation of Breast Feeding and Adherence to Exclusive Breast Feeding: a Comparative Interventional Study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 10(7), 2699. https://doi.org/10.18203/2320-1770.ijrcog20212654

Lokossou, G. A. G., Kouakanou, L., Schumacher, A., & Zenclussen, A. C. (2022). Human Breast Milk: From Food to Active Immune Response With Disease Protection in Infants and Mothers. Frontiers in Immunology, 13. https://doi.org/10.3389/fimmu.2022.849012

McGovern, L. M., O’Toole, L., Laws, R. A., Skinner, T. C., McAuliffe, F. M., & O’Reilly, S. L. (2024). An Exploration of Prenatal Breastfeeding Self-Efficacy: a Scoping Review. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 95. https://doi.org/10.1186/s12966-024-01641-3

Meher, C., & Zaluchu, F. (2024). Cultural Influences of Early Food Introduction on Exclusive Breastfeeding Rates in the Nias Islands, Indonesia. Journal of Multidisciplinary Healthcare, Volume 17, 5653–5663. https://doi.org/10.2147/JMDH.S478448

Namasivayam, V., Dehury, B., Prakash, R., Becker, M., Avery, L., Sankaran, D., Ramesh, B. M., Blanchard, J., Kumar, P., Anthony, J., Kumar, M., Boerma, T., & Isac, S. (2021). Association of Prenatal Counselling and Immediate Postnatal Support with Early Initiation of Breastfeeding in Uttar Pradesh, India. International Breastfeeding Journal, 16(1), 26. https://doi.org/10.1186/s13006-021-00372-6

Palmeira, P., & Carneiro-Sampaio, M. (2016). Immunology of Breast Milk. Revista Da Associação Médica Brasileira, 62(6), 584–593. https://doi.org/10.1590/1806-9282.62.06.584

Rodríguez-Gallego, I., Corrales-Gutierrez, I., Gomez-Baya, D., & Leon-Larios, F. (2024). Effectiveness of a Postpartum Breastfeeding Support Group Intervention in Promoting Exclusive Breastfeeding and Perceived Self-Efficacy: A Multicentre Randomized Clinical Trial. Nutrients, 16(7), 988. https://doi.org/10.3390/nu16070988

Seyyedi, N., Rahmatnezhad, L., Mesgarzadeh, M., Khalkhali, H., Seyyedi, N., & Rahimi, B. (2021). Effectiveness of a Smartphone-Based Educational Intervention to Improve Breastfeeding. International Breastfeeding Journal, 16(1), 70. https://doi.org/10.1186/s13006-021-00417-w

Tseng, J.-F., Chen, S.-R., Au, H.-K., Chipojola, R., Lee, G. T., Lee, P.-H., Shyu, M.-L., & Kuo, S.-Y. (2020). Effectiveness of an Integrated Breastfeeding Education Program to Improve Self-Efficacy and Exclusive Breastfeeding Rate: A Single-Blind, Randomised Controlled Study. International Journal of Nursing Studies, 111, 103770. https://doi.org/10.1016/j.ijnurstu.2020.103770

Vassilopoulou, E., Feketea, G., Koumbi, L., Mesiari, C., Berghea, E. C., & Konstantinou, G. N. (2021). Breastfeeding and COVID-19: From Nutrition to Immunity. Frontiers in Immunology, 12. https://doi.org/10.3389/fimmu.2021.661806

Wang, T., Shang, M., & Chow, K. M. (2023). Effects of Breastfeeding Training Programmes for Midwives on Breastfeeding Outcomes: a Systematic Review and Meta-Analysis. BMC Pregnancy and Childbirth, 23(1), 262. https://doi.org/10.1186/s12884-023-05540-6

Xu, L. (2025). The Impact of Psychological Resilience Support Combined with Midwife Integrated Full-course Care on Breastfeeding of Primiparous Women. Journal of Clinical and Nursing Research, 9(3), 106–112. https://doi.org/10.26689/jcnr.v9i3.10110

Zulkarnaini, Z., Hernita, H., & Ardilla, A. (2023). The Relationship Between Breastfeeding Self-Efficacy and The Success of Exclusive Breastfeeding. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 7(1), 1–7. https://doi.org/10.46749/jiko.v7i1.121

Published

2025-11-30

How to Cite

Manullang, R., Tarigan, I. ., Nainggolan, A. W. ., Aruan, L. Y. ., Sianipar, Y. G. ., Damanik, L. A. M. ., & Siahaan, S. A. . (2025). Effectiveness of Mind–Body–Based Psychoeducation in Strengthening Midwives’ Role and Enhancing Breastfeeding Self-Efficacy Among Postpartum Mothers: A Quasi-Experimental Study. Journal of Applied Nursing and Health, 7(3), 775–785. https://doi.org/10.55018/janh.v7i3.423