Flash Card-Based Education on Maternal Depressive Symptoms and Breastfeeding Techniques on Postpartum Mothers’ Motivation

https://doi.org/10.33860/jbc.v7i2.4216

Authors

  • Sumarni Department of Midwifery, Universitas Megarezky, South Sulawesi, Indonesia
  • Minarti Department of Midwifery, Politeknik Baubau, Southeast Sulawesi, Indonesia

Keywords:

Breastfeeding technique, Maternal Depressive Symptoms, motivation, postpartum

Abstract

Background: Postpartum changes occur in the body and mind for six weeks. This study examines how flashcard-based instruction affects maternal depression and fosters breastfeeding in postpartum mothers. Methods: The method used was quantitative research using the pre-experimental research design in one group (one-group pretest-posttest). The intensity of education on maternal depression and breastfeeding techniques using flash cards was measured through a pre-test before the intervention and a post-test after education. The sample used was 62 postpartum mothers. The method of collecting data is observation and a questionnaire. Data analysis and presentation through univariate and bivariate analysis. Results: The results indicated that the majority of postpartum moms were aged 20–35 years, possessed a senior high school education, were housewives, had many previous births, and experienced a normal delivery. The motivation to breastfeed rose markedly from a modest level in the pre-test (mean 41.58) to a much greater level at the post-test (mean 88.16). The Wilcoxon test results (p = 0.001 < 0.05) validated that educating mothers about depression symptoms and nursing procedures through flashcards significantly enhanced their motivation for exclusive breastfeeding during the first 3–14 days postpartum. Conclusion: This study concludes that there is an influence of maternal depressive symptoms and breastfeeding techniques on the motivation to provide breast milk to postpartum mothers during 3-14 days. Practical application: Midwives can use flash card-based teaching in postpartum care to improve maternal understanding, minimize depression symptoms, and motivate exclusive breastfeeding, improving maternal and infant health.

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References

Abuhammad, S., Hamaideh, S., Almaaitah, R., Kharaba, Z., Alhawatmeh, H., Hijazi, H., Yateem, N. A., Seshan, V., Subu, M. A., & Mehrass, A. A.-K. O. (2025). Breastfeeding Experiences of Covid-19 Survivor Multipara Mothers During Pre- and Post-Covid-19: A Comparative Phenomenological Study. BMC Pregnancy and Childbirth, 25(1), 502. https://doi.org/10.1186/s12884-025-07610-3

Arkkelin, D. (2014). Using SPSS to Understand Research and Data Analysis. Psychology Curricular Materials.

Avalos, L. A., Aghaee, S., Kurtovich, E., Quesenberry Jr, C., Nkemere, L., McGinnis, M. K., & Kubo, A. (2020). A Mobile Health Mindfulness Intervention for Women With Moderate to Moderately Severe Postpartum Depressive Symptoms: Feasibility Study. JMIR Mental Health, 7(11), e17405. https://doi.org/10.2196/17405

Babii, A. (2020). Important Aspects of the Experimental Research Methodology. Scientific Journal of the Ternopil National Technical University, 97(1), 77–87. https://doi.org/10.33108/visnyk_tntu2020.01.077

Bali, S. B. U., Bali, S. B. U., & Bali, S. B. U. (2022). Postnatal Education Package for Breastfeeding Motivation and Self- Efficacy among Mother with Early Stage Postpartum. International Journal of Nursing and Health Services (IJNHS), 5(2).

Camarneiro, A. P., & De Miranda Justo, J. M. R. (2022). Emotional States and Psychopathological Symptoms in Couples During Pregnancy and Post-Partum. Journal of Reproductive and Infant Psychology, 40(4), 384–398. https://doi.org/10.1080/02646838.2020.1814226

Cameron, L. D., Fleszar-Pavlović, S. E., Yepez, M., Manzo, R. D., & Brown, P. M. (2022). Beliefs About Marijuana Use During Pregnancy and Breastfeeding Held by Residents of a Latino-Majority, Rural Region of California. Journal of Behavioral Medicine, 45(4), 544–557. https://doi.org/10.1007/s10865-022-00299-1

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

Dessì, A., Pianese, G., Mureddu, P., Fanos, V., & Bosco, A. (2024). From Breastfeeding to Support in Mothers’ Feeding Choices: A Key Role in the Prevention of Postpartum Depression? Nutrients, 16(14), 2285. https://doi.org/10.3390/nu16142285

Dodt, R. C. M., Joventino, E. S., Aquino, P. S., Almeida, P. C., & Ximenes, L. B. (2015). An Experimental Study of an Educational Intervention to Promote Maternal Self-Efficacy in Breastfeeding. Revista Latino-Americana de Enfermagem, 23(4), 725–732. https://doi.org/10.1590/0104-1169.0295.2609

Franco-Antonio, C., Santano-Mogena, E., Chimento-Díaz, S., Sánchez-García, P., & Cordovilla-Guardia, S. (2022). A Randomised Controlled Trial Evaluating the Effect of a Brief Motivational Intervention to Promote Breastfeeding in Postpartum Depression. Scientific Reports, 12(1), 373. https://doi.org/10.1038/s41598-021-04338-w

Henshaw, E., Cooper, M., Wood, T., Krishna, S., Lockhart, M., & Doan, S. (2024). A Randomized Controlled Trial of the Happy, Healthy, Loved Personalized Text-Message Program for New Parent Couples: Impact on Breastfeeding Self-Efficacy and Mood. BMC Pregnancy and Childbirth, 24(1), 506. https://doi.org/10.1186/s12884-024-06684-9

Kestler-Peleg, M., Shamir-Dardikman, M., Hermoni, D., & Ginzburg, K. (2015). Breastfeeding motivation and Self-Determination Theory. Social Science & Medicine, 144, 19–27. https://doi.org/10.1016/j.socscimed.2015.09.006

Khaeriyah, H. N., Sudirman, S., & Hendriyani, H. (2023). Combination of Woolwich massage and hydrogel made from red ginger for breastfeeding mothers to increase baby weight. MEDISAINS, 21(3), 74. https://doi.org/10.30595/medisains.v21i3.18609

Kossakowska, K., & Bielawska-Batorowicz, E. (2022). Postpartum Depressive Symptoms and Their Selected Psychological Predictors in Breast-, Mixed and Formula-Feeding Mothers. Frontiers in Psychiatry, 13, 813469. https://doi.org/10.3389/fpsyt.2022.813469

Mercan, Y., & Tari Selcuk, K. (2021). Association Between Postpartum Depression Level, Social Support Level and Breastfeeding Attitude and Breastfeeding Self-Efficacy in Early Postpartum Women. PLOS ONE, 16(4), e0249538. https://doi.org/10.1371/journal.pone.0249538

Neupane, S., De Oliveira, C. V. R., Palombo, C. N. T., & Buccini, G. (2024). Association Between Breastfeeding Cessation Among Under Six-Month-Old Infants and Postpartum Depressive Symptoms in Nevada. PLOS ONE, 19(1), e0297218. https://doi.org/10.1371/journal.pone.0297218

Nilsson, I. M. S., Kronborg, H., Rahbek, K., & Strandberg‐Larsen, K. (2020). The Significance of Early Breastfeeding Experiences on Breastfeeding Self‐Efficacy One Week Postpartum. Maternal & Child Nutrition, 16(3), e12986. https://doi.org/10.1111/mcn.12986

Ong, M. H. A., & Puteh, F. (2017). Quantitative Data Analysis: Choosing Between SPSS, PLS and AMOS in Social Science Research. 3(1).

Radzi, W. M. C. W. J. B., Salarzadeh Jenatabadi, H., & Samsudin, N. (2021). Postpartum Depression Symptoms in Survey-Based Research: A Structural Equation Analysis. BMC Public Health, 21(1), 27. https://doi.org/10.1186/s12889-020-09999-2

Shiddiqoh, F., Wijayanti, K., & Ramlan, D. (2025). The Impact Of Breastfeeding Compenion to Increase Breastfeeding Self- Efficacy And Motherly Ability to Breastfeed. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 10(1), 01–11. https://doi.org/10.30604/jika.v10i1.3038

Siqueira, L. S., Santos, F. S., Santos, R. M. D. M. S., Santos, L. F. S., Santos, L. H. D., Pascoal, L. M., & Santos Neto, M. (2023). Factors Associated with Breastfeeding Self-Efficacy in the Immediate Puerperium in a Public Maternity Hospital. Cogitare Enfermagem, 28, e84086. https://doi.org/10.1590/ce.v28i0.88970

Šuvaković, U. (2011). On Exceeding Of Division For Qualitative And Quantitative Researches In Contemporary Scientific Methodology. Srpska Politička Misao, 34(4), 395–420. https://doi.org/10.22182/spm.3442011.20

Thomas, C. G. (2021). Research Methodology and Scientific Writing. Springer International Publishing. https://doi.org/10.1007/978-3-030-64865-7

Weinberg, Y. (2023). The Impact of Maternal Health on Breastfeeding Duration. The Science Journal of the Lander The Science Journal of the Lander College of Arts and Sciences College of Arts and Sciences, 17(1), 107–116.

Yulianti, H., Mirong, I. D., & Kristin, D. M. (2023). The Influence Of Family Support In Exclusive Breastfeeding On Breastfeeding Self-Efficacy Status In Postpartum Mothers. Jurnal Health Sains, 4(9), 24–31. https://doi.org/10.46799/jhs.v4i9.1074

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Published

2025-09-30

How to Cite

Sumarni, S., & Minarti, M. (2025). Flash Card-Based Education on Maternal Depressive Symptoms and Breastfeeding Techniques on Postpartum Mothers’ Motivation. Jurnal Bidan Cerdas, 7(2), 279–290. https://doi.org/10.33860/jbc.v7i2.4216

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