Pathways of Change
Vol. 13 No. s2 (2025): Pathways of Change, Part II
https://doi.org/10.4081/hls.2025.13552

The effectiveness of postpartum education and support models in enhancing mothers’ self-efficacy after cesarean section

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 30 December 2024
Accepted: 24 March 2025
Published: 19 June 2025
1106
Views
421
Downloads
12
HTML

Authors

Maternal self-efficacy refers to a parent’s belief in their ability to care for a child, which can be influenced by a lack of experience, knowledge, and physical condition after giving birth by cesarean section (CS). Education and postpartum support for mothers after a CS are essential for enhancing their knowledge, skills, and confidence in caring for their babies, helping them feel more prepared and capable. This study examined the effectiveness of a postpartum education and assistance model on the maternal self-efficacy of post-CS mothers. This research was conducted at Bogor City Hospital (Indonesia) using a quasi-experimental method with a non-equivalent control group design, employing pre-test and post-test assessments. The sample obtained through purposive sampling consisted of 44 post-CS mothers, with 22 in the intervention group and 22 in the control group. The Wilcoxon test was used for data analysis. Maternal self-efficacy in caring for babies was measured before and after education and assistance using the Perceived Maternal Parenting Self-Efficacy (PMPSE) questionnaire with a Likert scale. The results showed that the median self-efficacy of post-CS mothers before the intervention was 64.50 (range 48-79), while after education and mentoring, the median increased to 81 (range 61-93). Education and mentoring significantly influenced maternal self-efficacy in caring for infants (p<0.001). It is hoped that this education and mentoring model can be applied in health facilities, particularly hospitals, to enhance the readiness of post-CS mothers to care for their babies and strengthen their confidence.

Downloads

Download data is not yet available.
1. Baston H, Hall J. Midwifery Essentials: Antenatal: Volume 2. Jakarta: EGC; 2012.
2. Lindayani IK, Nurmala I, Puspitasari N. Influence of stressful life events in postpartum mothers on the incidence of postpartum depression. Afr J Reprod Health 2024;28:206-13.
3. Azizah N, Santoso B, Abdurachman, et al. A Study is Examining How Postpartum Pain after Cesarean Section (SC) Can be Reduced by Boosting Levels of β-endorphin Through Electroacupuncture Stimulation at The Specified Points LI4 and SP6. Pharmacogn J 2024;16:670-6.
4. Al Farizi S, Ernawati E, Ernawaty EW. Cesarean delivery Characteristics during JKN Implementation. Indones J Obstet Gynecol 2022;157-62.
5. Oetama EN, Laksana MAC, Pranadyan R. Optimizing emergency cesarean section response times in category I fetal distress: a pharmacological perspective. Pharmacogn J 2024;16.
6. WHO. Caesarean section rates continue to rise, amid growing inequalities in access : Rising rates suggest increasing numbers of medically unnecessary, potentially harmful procedures. 2021.
7. Farizi S Al. Reproductive health rights: a bibliometric analysis of childbirth. Global Knowledge, Memory and Communication. 2024.
8. Ahsan A. Nursing care model based on knowledge management in preventing nosocomial infection after caesarean section in hospital. J Ners 2014;9:236.
9. Al Farizi S, Setyowati D, Azyanti AF, et al. Maternal characteristics and outcomes affected by COVID-19 pandemic in Indonesia. J Obstet Gynecol India 2023;73:504-11.
10. Fan C, Guidolin D, Ragazzo S, et al. Effects of cesarean section and vaginal delivery on abdominal muscles and fasciae. Medicina (Kaunas) 2020;56:1-10.
11. Wittkowski A, Garrett C, Calam R, Weisberg D. Self-Report measures of parental self-efficacy: a systematic review of the current literature. J Child Fam Stud 2017;26:2960-78.
12. Nastiti AA. Postpartum fatigue: a critical challenge for new mothers. Pediomaternal Nurs J 2024;10:48-50.
13. Bandura A. Self-efficacy (the exercise of control.). New York: W.H. Freeman and Company; 1997.
14. Suherik OA, Hildayani R. Memahami Keyakinan Diri Ibu Berusia Remaja: Studi Kualitatif Mengenai Maternal Self-efficacy. Psyche 165 J 2024;17:172-80.
15. Botha E, Helminen M, Kaunonen M, Lubbe KJ W. Mothers’ parenting self-efficacy, satisfaction and perceptions of their infants during the first days postpartum. Midwifery 2020;88:102760.
16. Pramudianti DN, Raden A, Suryaningsih EK. Perubahan parenting self-efficacy pada ibu pasca sectio caesarea melalui edukasi postpartum dengan media booklet. J Ris Kebidanan Indones 2019;3:49-55.
17. Astutiningrum D, Hapsari ElD, Purwanta P. Peningkatan Parenting Self Efficacy pada Ibu Pasca Seksio Sesaria melalui Konseling. J Ners 2016;11:134-41.
18. Bandura A. Self-efficacy beliefs of adolescents. Psychol Rev 1977;84:191-215.
19. Noviani, A. and Maryana, N. Efektivitas Pendampingan Pada Ibu Nifas Pasca Operasi Sesar. Optimal Midwife J 2024;1:13-21
20. Glatz T, Lippold M, Chung G, Jensen TM. A systematic review of parental self-efficacy among parents of school-age children and adolescents. Adolesc Res Rev 2024;9:75-91.
21. Duran S, Vural G. Problems experienced by the mothers in post-cesarean period: a narrative review. Iran J Public Health 2023;52:2036-41.
22. Bazezew AM, Nuru N, Demssie TG, Ayele DG. Knowledge, practice, and associated factors of preoperative patient teaching among surgical unit nurses, at Northwest Amhara Comprehensive Specialized Referral Hospitals, Northwest Ethiopia, 2022. BMC Nurs 2023;22:1-13.
23. Astutiningrum DA, Hapsari El, Purwanta P. Pengaruh Konseling Terhadap Parenting Self Efficacy Pada Ibu Postpartum Dengan Sectio Caesarea. J Ners 2016;11:134.
24. Hamovitch EK, Acri MC, Bornheimer LA. An analysis of the relationship between parenting self-efficacy, the quality of parenting, and parental and child emotional health. J Fam Soc Work 2019;22:337-51.
25. Fierloos IN, Windhorst DA, Fang Y, et al. The association between perceived social support and parenting self-efficacy among parents of children aged 0–8 years. BMC Public Health 2023;23:1-12.
26. Wahyuni C. Efforts to improve postpartum maternal behavior through Family-Centered Maternity Care (FCMC) about postpartum care education. JCEH 2024;7:238-43.
27. Saharoy R, Potdukhe A, Wanjari M, Taksande AB. Postpartum depression and maternal care: exploring the complex effects on mothers and infants. Cureus 2023;15.
28. Patel K, Zakowski M. Obstetric anesthesia enhanced recovery after cesarean: current and emerging trends. Curr Anesthesiol Rep 2021;11:136-44.
29. Teigen NC, Sahasrabudhe N, Doulaveris G, et al. Enhanced recovery after surgery at cesarean delivery to reduce postoperative length of stay: a randomized controlled trial. Am J Obstet Gynecol 2020;222:372.e1-372.e10.
30. Sung S, Mikes BA, Martingano DJ, et al. Cesarean Delivery. [Updated 2024 Dec 7]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025.
31. Sam S. Role of media in education. Educ Technol 2019;1:7-18.
32. Ernawati, Sunarsih T, Daryanti MS. Pengaruh Self Efikasi Ibu Menyusui dalam Pemberian Asi Eksklusif Pada Ibu Hamil Trimester III. Med Respati J Ilm Kesehat 2020;15:217-26.
33. Singh J, Scime NV, Chaput KH. Association of Caesarean delivery and breastfeeding difficulties during the delivery hospitalization: a community-based cohort of women and full-term infants in Alberta, Canada. Can J Public Heal 2023;114:104-12.
34. Hobbs AJ, Mannion CA, McDonald SW, et al. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth 2016;16:1-9.
35. Simsek A, Balkan E, Caliskan E. Determination of mothers’ thoughts and adaptation behaviors regarding the infant: A descriptive study. Pediatr Neonatol 2022;63:276-82.
36. Djafar SR, Zakaria F, Dunggio R. Pengaruh Konseling Terhadap Peningkatan Parenting Self Efficacy Pada Ibu Post Partum Primipara Sectio Caesarea di Rsud Dr M.M Dunda Limboto. Madu Jurnal Kesehatan 2018;7:10-7.

How to Cite



The effectiveness of postpartum education and support models in enhancing mothers’ self-efficacy after cesarean section. (2025). Healthcare in Low-Resource Settings, 13(s2). https://doi.org/10.4081/hls.2025.13552