The relationship between self-esteem and husband support with body image perception in post-vaginal delivery primiparous mother in independent Delima midwife practice in Denpasar

Abstract

Background: Childbirth is a big, happy event for a mother. In post-partum mothers, physical changes and psychological changes can occur. It is reported that 50% to 70% of post-partum mothers experience psychological disorders, such as a mother can feel uncomfortable with body image perception changes, which result in feelings of lack of husband support. Body image perception itself can cause an effect on self-esteem. This study aimed to analyze the relationship between self-esteem and husband's support with body image perception among primiparous mothers after vaginal delivery.Methods: An observational analytic study was conducted among 30 post-vaginal delivery primiparous mothers in independent Delima midwife practice in Denpasar. Data regarding respondents’ characteristics, self-esteem, husband’s support and body image perception were obtained using the Rosenberg self-esteem questionnaire, the Revised Dyadic Adjustment Scale (R-DAS) questionnaire Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ-AS). The relationship between self-esteem and husband's support with body image perception was analyzed using SPSS version 23 for Windows.Results: The average age of the respondents were 24.73 years old, and most of them were graduated from high school (50%), employed (53.3%) and have no conflict in their marriage (80%), have normal self-esteem (96.6%), didn’t get enough husband’s support (56.7%) and have positive perception regarding the evaluation of physical appearance (96.6%). We found a significant relationship between self-esteem and body image perception (p = 0.001), husband's support and body image perception (p = 0.001) and husband's support and self-esteem (p = 0.010) in post-vaginal delivery primiparous mother in independent Delima midwife practice in Denpasar.Conclusion: Self-esteem, husband's support and body image perception were essentials factors that contributed to post-partum woman mental health stability that should be understood by family and health workers to avoid psychological disorder in post-partum woman.

Peran Dukungan Sosial dalam meningkatkan Harga Diri Ibu Primipara

“…Citra tubuh ini ke depannya dapat memengaruhi harga diri ibu (Robins & Trzesniewski, 2005). Penjelasan tersebut diperkuat oleh penelitian dari Bomba et al (2021), bahwa harga diri yang rendah pada ibu pasca melahirkan dapat memengaruhi kepuasan fisik dan menyebabkan perubahan persepsi akan citra tubuh, dan hal tersebut mengakibatkan perasaan tidak puas dengan tubuhnya.…”

“…Selain harga diri berperan penting dalam menentukan perilaku ibu setelah melahirkan dan penerimaan terhadap dirinya sendiri, harga diri ibu akan berpengaruh terhadap persepsinya apakah mereka layak, berharga, berguna dan mampu menjalankan tugas sebagai ibu dan istri (Bomba, et al, 2021). Sayangnya, riset-riset yang membicarakan mengenai perubahan positif pada ibu primipara masih sangat sedikit dibahas, penelitian terdahulu seringkali menggambarkan ibu yang baru pertama kali melahirkan dengan respon yang negatif seperti stres atau depresi pasca melahirkan (Palupi, 2020;Vismara, 2016;Epifanio et al, 2015).…”

“…Selain itu juga dikarenakan sebesar 66% responden tinggal bersama suami dan anak saja, sehingga dukungan suami paling dirasakan oleh responden dibandingkan dengan sumber dukungan lainnya. Beberapa penelitian sebelumnya juga menegaskan bahwa dukungan dari orang terdekat khususnya suami dapat berpengaruh terhadap harga diri ibu (Bomba et al, 2021;Rahayu & Sugiarti 2022). Pandanganpandangan positif yang diberikan suami terhadap peran baru ibu primipara akan membuat mereka yakin atas potensi yang dimiliki, sehingga timbul perasaan berharga dan mampu dalam diri ibu.…”

Postpartum Body Image and Self-Esteem

“…The mother's self-esteem will be related to how she feels worthy, valuable, useful, and capable of fulfilling her duties as a mother and wife. A low self-esteem in the postpartum period can affect body satisfaction and lead to changes in the perception of body image (Bomba et al, 2021). However, the feeling of fulfilment and of a fulfilled life can be influenced by other factors too, including: people's financial situation, the social reputation, the lack of worries or the amount of knowledge acquired (Coman, 2018, p.245).…”

Gambaran Citra Tubuh Pada Ibu Pasca Persalinan Di Kota Jambi Tahun 2022

“…Hal lain juga karena faktor kesibukan pada ibu multipara dalam mengurus anak yang lain sehingga tidak sempat berpikir banyak tentang citra tubuh mereka sehingga mereka lebih cenderung mempunyai citra tubuh yang positif. 15 Berdasarkan penelitian ini terlihat pada penelitian bahwa ibu yang lebih banyak memberikan perhatian terhadap citra tubuh adalah pada ibu primipara dibandingkan dengan ibu multipara. Hal…”