Research Paper
Year: 2020 | Month: November | Volume: 7 | Issue: 11 | Pages: 295-303
Relation between Serum Cortisol Hormone Levels and Parenting Self-Efficacy (PSE) in Postpartum Sectio Caesarea Mothers
Leza Fidyah Restiana1, Rosfita Rasyid, M. Kes2, Andi Friadi, SpOG (K)3
1Postgraduate Student, Midwifery Science Department, Medical Faculty, Andalas University, Padang, Indonesia
2Lecturer, Biomedical Department, Medical Faculty, Andalas University, Padang, Indonesia
3Lecturer, Obstetrics and Gynecology Department, Medical Faculty, Andalas University, Padang, Indonesia
Corresponding Author: Leza Fidyah Restiana
ABSTRACT
Delivery with Sectio Caesarea(SC) can trigger an increase in the Hypothalamic Pituitary Adrenal (HPA) Axis and have an impact on the release of cortisol by the adrenal cortex. The hormone cortisol increases when the body feels any kind of response that occurs both physically and psychologically so that it triggers a stress stimulus and increases the secretion of Adrenocorticotropic Hormone (ACTH). This can cause various problems in postpartum mothers. One of them is changes in the mother's mood which will affect the care of her baby with Parenting Self-Efficacy (PSE) and can also reduce the mother's confidence in caring for newborns. This study aimed to determine the relation between cortisol and parenting self-efficacy (PSE) in postpartum mothers with Sectio Caesarea (SC). This research used correlative analytic method with cross sectional design on 26 postpartum mothers with Sectio Caesarea (SC) in Dr. Reksodiwiryo Hospital in March-June 2020 with consecutive sampling technique. Cortisol levels were measured by using the ELISA method in the Cell Culture Laboratory of Pharmacy Faculty, Andalas University and the calculation of the Parenting Self-Efficacy (PSE) score was done by using the questionnaire of Salonen et al, 2008, 2009. The results of the study used the Spearman correlation test. The results showed that the median serum cortisol level in postpartum mothers with Sectio Caesarea was 621.899 ng/ml. The mean level of Parenting Self-Efficacy (PSE) was 6.11 ± 1.04. The results of the study with the Spearman correlation test showed that there was no relation between cortisol and Parenting Self-Efficacy (PSE) and the p value = 0.38, the value of r = -0.177, which showed the strength of the extremely weak relation between cortisol levels and Parenting Self-Efficacy (PSE). It can be concluded that there was no significant relation between serum cortisol levels and parenting self-efficacy (PSE) in postpartum mothers with Sectio Caesarea (SC).
Keywords: Cortisol, Parenting Self-Efficacy, Sectio Caesarea.
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