RESEARCH LETTER

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

Ignasius Yulianus Jagkson Bomba, Cok Bagus Jaya Lesmana, Ni Ketut Sri Diniari, Luh Nyoman Alit Aryani , Anak Ayu Sri Wahyuni, Ni Ketut Putri Ariani, Ida Ayu Kusuma Wardani, I Gusti Ayu Indah Ardani

Ignasius Yulianus Jagkson Bomba
Psychiatry Study Program, Faculty of Medicine, Universitas Udayana, Sanglah Central General Hospital, Denpasar, Indonesia

Cok Bagus Jaya Lesmana
Psychiatry Department, Faculty of Medicine, Universitas Udayana, Sanglah Central General Hospital, Denpasar, Indonesia

Ni Ketut Sri Diniari
Staff at Psychiatry Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia

Luh Nyoman Alit Aryani
Staff at Psychiatry Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia. Email: [email protected]

Anak Ayu Sri Wahyuni
Staff at Psychiatry Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia

Ni Ketut Putri Ariani
Staff at Psychiatry Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia

Ida Ayu Kusuma Wardani
Staff at Psychiatry Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia

I Gusti Ayu Indah Ardani
Staff at Psychiatry Department, Faculty of Medicine Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia
Online First: February 23, 2021 | Cite this Article
Bomba, I., Lesmana, C., Diniari, N., Aryani, L., Wahyuni, A., Ariani, N., Wardani, I., Ardani, I. 2021. 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. Bali Medical Journal 10(1): 21-25. DOI:10.15562/bmj.v10i1.2069


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.

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