Abstract
Background: Episiotomy rates are high in low- and middle-income countries, specifically in Southeast Asia, which affects maternal health. Breastfeeding self-efficacy reduces the perception of episiotomy pain. Nurses can play a significant role in improving breastfeeding self-efficacy, which contributes to a lower perception of episiotomy pain. Objectives: This study aims to assess the levels of breastfeeding self-efficacy and episiotomy pain, and examine their relationship among postpartum mothers in Bangladesh. Methods: A correlational study was conducted among 148 postpartum mothers in Bangladesh. The structured questionnaire was developed by the researcher, containing 67 items and consisting of three sections: Socio-Demographic Questionnaire (12 items), Breastfeeding Self-Efficacy related Questionnaire (30 items) and Episiotomy Pain related Questionnaire (25 items). The data was analyzed by SPSS using descriptive and inferential statistics. Results: Study results showed that 72.3% of participants had a medium level of breastfeeding self-efficacy (expectancy dimension), and 98.6% had a moderate level of pain. The study also revealed a significant negative correlation between breastfeeding self-efficacy and episiotomy pain (r=-.740, P=.000), suggesting that higher levels of breastfeeding self-efficacy are associated with lower levels of episiotomy pain perception. Conclusion: The study suggested that enhancing breastfeeding self-efficacy among postpartum mothers helps to lower the level of episiotomy pain perception. In order to improve breastfeeding self-efficacy, it is necessary to emphasize ANC, enhance nurse-midwives’ knowledge, and reduce unnecessary episiotomy practices.