Budi Joko Santosa
Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

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Association Between Anxiety And Labor PainIntensity During The First Stage Of Active Labor in Primigravidas Novi Danisia Ekayanti; Nurlailis Saadah; Astuti Setiyani; Budi Joko Santosa
International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i6.490

Abstract

Maternal anxiety during childbirth is widely recognized as a psychological factor that may intensify perceivedpain and affect labor progress; however, its specific association with pain levels in primigravidas during the first active stage of labor remains under-investigated, particularly in Indonesian clinical settings. This study aimed to examine the correlation between maternal anxiety and labor pain intensity among primigravida women in the active phase of first-stage labor. An analytical observational approach with a cross-sectional design was employed. A sample of 37 primigravidas was recruited using simple random sampling at RSUD Dr. Sayidiman Magetan. Anxiety levels were measured using the Pregnancy-Related Anxiety Questionnaire-Revised (PRAQ-R2), and labor pain intensity was assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Spearman Rank correlation test with a significance threshold of p < 0.05. The findings showed that the majority of respondents experienced severe anxiety, and all reported severe labor pain. Statistical testing demonstrated a moderate positive correlation between maternal anxiety and pain intensity (rho = 0.48; p = 0.002), indicating that higher anxiety was associated with heightened pain perception. In conclusion, maternal anxiety is significantly associated with increased labor pain during the first active stage in primigravidas, suggesting that psychological distress may amplify physiological pain responses during childbirth. These results highlight the importance of integrating psychological assessment and supportive interventions such as antenatal counseling, breathing regulation, structured emotional support, and relaxation techniques into maternity care practices. Future research should incorporate larger and more diverse cohorts, additional psychosocial determinants, and interventional analyses to further elucidate causal mechanisms and improve labor management strategies.
Effect of Breastfeeding Technique Education on Breastfeeding Success Among Primiparous Postpartum Mothers in Magetan Nunung Devi M; Nurlailis Saadah; Astuti Setiyani; Budi Joko Santosa
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.493

Abstract

Exclusive breastfeeding rates in Indonesia remain below national and global targets, with a substantial proportion of postpartum mothers experiencing breastfeeding difficulties, particularly among primiparous women. Inadequate breastfeeding technique is a major contributing factor, often resulting from limited experience, insufficient education, and lack of hands-on guidance during the early postpartum period. These challenges may compromise breastfeeding success, maternal confidence, and infant nutrition outcomes. This study aimed to examine the effect of structured breastfeeding technique education on breastfeeding success among primiparous postpartum mothers. A quantitative pre-experimental study with a onegroup pretest–posttest design was conducted at RSUD dr. Sayidiman Magetan. Forty primiparous postpartum mothers were recruited using non-probability sampling based on predefined inclusion criteria. The intervention consisted of structured breastfeeding technique education delivered by trained midwives through direct explanation, visual leaflets, practical demonstrations, and interactive discussion sessions. Breastfeeding success was assessed before and after the intervention using the LATCH scoring system, which evaluates latch, audible swallowing, nipple type, maternal comfort, and infant positioning. Data were analyzed using the Wilcoxon Signed-Rank Test. The results demonstrated a statistically significant improvement in breastfeeding success following the educational intervention (Z = −5.35, p < 0.005), with a large effect size (r = 0.85). Prior to education, 75% of mothers were classified in the “not successful” category, while none achieved a “good” score. After the intervention, 70% of participants attained good breastfeeding success, and the proportion of mothers with inadequate scores decreased to 2.5%. Improvements were consistently observed across all LATCH components. In conclusion, structured breastfeeding technique education significantly enhances breastfeeding success among primiparous postpartum mothers. Integrating systematic, hands-on breastfeeding education into routine postnatal care is strongly recommended to promote effective breastfeeding practices and support exclusive breastfeeding goals.