BACKGROUND:
Maternal emotional support during the perinatal period is a critical yet underexplored aspect of quality maternity care in Indonesia. Emotional well-being, respectful care, informed consent, breastfeeding support, and postnatal information influence birth satisfaction. However, national data on these support elements remain limited.

OBJECTIVES:
To examine the influence of maternal emotional support on birth satisfaction of women who gave birth in Indonesian health facilities, and to increase understanding of how the responsiveness of the health system affects maternal experience outcomes.

METHODS:
This cross-sectional study used data from the IMAgiNE Global survey, aligned with WHO quality standards. Women aged ≥18 years who gave birth in Indonesian health facilities (2020 onward) completed an anonymous online questionnaire. Associations between maternal emotional support and birth satisfaction indicators were explored with a bivariate and multivariate logistic regression models, adjusting for facility type and provider type.

RESULTS:
Preliminary analysis of 2,095 respondents indicates that maternal emotional support significantly enhances birth satisfaction. Women who received emotional support (61%; OR=7.50, 95%CI: 6.16–9.15), were treated with dignity (77%; OR=10.17, 95%CI: 7.88–13.26), involved in decision-making (59%; OR=6.31, 95%CI: 5.21–7.67), and experienced no abuse (93%; OR=15.91, 95%CI: 9.30–29.71) reported higher satisfaction (all p < 0.001). Breastfeeding support (66%; OR=4.73, 95%CI: 3.90–5.75), and information on maternal (58%; OR=3.63) and neonatal danger signs (55%; OR=3.67) were also linked to positive outcomes. Multivariate analysis confirmed significance for dignity, decision-making, emotional support, freedom from abuse, and neonatal information. Facility type was marginal after adjustment (p=0.078); provider type remained non-significant.

CONCLUSIONS:
Integrating maternal emotional support into routine facility-based maternity care is essential. Respectful, emotionally supportive practices that promote informed choice and emotional well-being can enhance maternal outcomes in the Indonesian health system.

KEY MESSAGE:
Embedding emotional support into childbirth services enhances maternal experiences and aligns with health system goals for respectful and high-quality care. Poster session 2 (Group A)