Impact of Family-Oriented Maternity Support on Mothers' Confidence and Early Postpartum Emotional Distress

Authors

  • Ika Novita Sari School of Nursing and Applied Science, Lincoln University College, Kelana Jaya, 47301 Petaling Jaya, Selangor, Malaysia
  • Tukimin bin Sansuwito Lecturer, Faculty of Nursing, Lincoln University College, Kelana Jaya, 47301 Petaling Jaya, Selangor, Malaysia

DOI:

https://doi.org/10.31674/mjn.2026.v17i04.002

Abstract

Background: A mother's self-efficacy and postpartum blues have a significant influence on the mother's ability to adapt and the quality of care provided to the baby. Another issue commonly observed in Indonesian health care, particularly in urban areas such as Batam, is the limited attention given to postpartum psychological problems in routine nursing care, which receives less attention. Family-Centered Maternity Care (FCMC) is a nurse-led, family-inclusive intervention to promote the mental health of mothers postpartum. Objectives: This research aims to determine the effectiveness of FCMC in increasing maternal self-efficacy and reducing postpartum blues among mothers who have given birth in Batam, Indonesia. Methods: A quasi-experimental pre-test post-test control group design was used to recruit 128 postpartum mothers (64 intervention, 64 control). The intervention was implemented through four structured FCMC sessions over two weeks, by maternal and child nurses, while the control group received routine care as usual. Maternal self-efficacy was assessed using the MEQ, whereas postpartum blues was assessed using the Postpartum Blues Questionnaire (PBQ). The Mann-Whitney U test, Wilcoxon signed-rank test, and Spearman's correlation were used for data analysis (p<0.05). Results: The intervention group had significantly higher post-intervention scores for maternal self-efficacy (mean= 69.72 ± 5.45) than the control group (mean= 38.25 ± 4.16; p<0.001), and lower postpartum blues scores (mean= 26.05 ± 3.66) than the control group (mean= 52.95 ± 4.13; p<0.001). Maternal self-efficacy and postpartum blues had a negative correlation (r =0.805, p < 0.001). Conclusion: FCMC has been shown to increase maternal self-efficacy and reduce postpartum blues significantly, making it a worthy addition to standard postpartum nursing practice.

Keywords:

Family-centred Maternity Care, Maternal-child Nursing, Maternal Self-efficacy, Postpartum Blues, Quasi-Experimental Study

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Published

02-04-2026

How to Cite

Sari, I. N. ., & bin Sansuwito, T. (2026). Impact of Family-Oriented Maternity Support on Mothers’ Confidence and Early Postpartum Emotional Distress. The Malaysian Journal of Nursing (MJN), 17(4), 11-21. https://doi.org/10.31674/mjn.2026.v17i04.002

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