ARIKESIARIKESI

International Journal of Health and MedicineInternational Journal of Health and Medicine

This study aimed to examine the relationship between maternal anxiety levels and the timing of Early Initiation of Breastfeeding (EIBF) among primiparous mothers. EIBF, also known as Inisiasi Menyusu Dini (IMD), is a vital procedure that supports the establishment of effective breastfeeding and is recommended globally. Nevertheless, various maternal factors, particularly psychological conditions, may influence the implementation of EIBF. The main objective of this research was to determine whether increased anxiety during the peripartum period is associated with delays in initiating breastfeeding. A correlational analytic design with a cross-sectional approach was utilized in this investigation. The study population consisted of 77 eligible participants, while the final sample included 69 primiparous mothers who met the inclusion and exclusion criteria. Participants were chosen through purposive sampling. The independent variable was the maternal anxiety level, and the dependent variable was the timing of EIBF implementation. Data were gathered using a structured self-administered questionnaire designed to measure both variables. Statistical analysis was conducted using the Mann-Whitney U test. The findings demonstrated a p-value of 0.0389, which was below the significance threshold of 0.05 (p < 0.05), indicating the rejection of the null hypothesis. Therefore, the results revealed a significant relationship between anxiety levels and the timing of EIBF among primiparous mothers. Elevated anxiety was identified as a factor contributing to delayed initiation of breastfeeding. These findings highlight the importance of regular psychological screening and effective anxiety management for first-time mothers during childbirth to facilitate optimal postnatal care, particularly the timely initiation of EIBF.

The study established a statistically significant association between maternal anxiety and the duration to initiate breastfeeding among primiparous mothers.The findings indicate that heightened anxiety during the peripartum period contributes to delays in the successful and prompt commencement of breastfeeding.This underscores the necessity of integrating psychological assessment and anxiety management strategies into standard postnatal care protocols to ensure optimal maternal and newborn health outcomes.

Future research should investigate the specific physiological mechanisms linking maternal anxiety to delayed EIBF, such as measuring stress hormone levels during the critical first hour postpartum. Additionally, studies are needed to evaluate the effectiveness of different anxiety reduction interventions, like mindfulness training or cognitive behavioral therapy, specifically tailored for first-time mothers in the immediate postpartum period. Finally, research could explore the role of healthcare provider communication and support in mitigating anxiety and promoting successful EIBF, focusing on creating a more psychologically safe and supportive birthing environment. These investigations will contribute to the development of evidence-based guidelines for comprehensive maternal care, ultimately improving breastfeeding rates and infant health outcomes by addressing the often-overlooked psychological factors influencing this crucial practice.

  1. State‐Trait Anxiety Inventory - Spielberger - Major Reference Works - Wiley Online Library.... doi.org/10.1002/9780470479216.corpsy0943StateyAAAaTrait Anxiety Inventory Spielberger Major Reference Works Wiley Online Library doi 10 1002 9780470479216 corpsy0943
  2. Association of Anxiety Levels with the Duration Taken to Initiate Breastfeeding (EIBF) in Primiparous... doi.org/10.62951/ijhm.v2i4.539Association of Anxiety Levels with the Duration Taken to Initiate Breastfeeding EIBF in Primiparous doi 10 62951 ijhm v2i4 539
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