Novita Toding, Elia Firda Mufidah, Rury Muslifar, Alya Nurmaya, Agus Setiawan
Neonatal anemia is traditionally examined through biomedical factors such as antepartum hemorrhage, Rh incompatibility, and subgaleal bleeding. Emerging evidence in medical psychology suggests that maternal cognitive–emotional regulation may influence fetal physiological vulnerability through stress-related biological pathways. Maternal stress affects cortisol dynamics, inflammatory activity, and uteroplacental perfusion, potentially shaping hematologic and neurodevelopmental processes associated with neonatal risk. Neuroimaging studies and randomized controlled trials demonstrate that cognitive reframing, mindfulness-based programs, and emotional regulation techniques can improve maternal psychophysiological stability. In the Indonesian context, these mechanisms parallel the cultural concept of sangserekan , a Torajan relational ethic emphasizing shared emotional burden, reassurance, and collective steadiness. While culturally rooted, sangserekan illustrates how relational co-regulation may buffer maternal stress responses. Integrating maternal psychophysiology with culturally informed coping may broaden understanding of neonatal vulnerability and offer actionable implications for neonatal nursing practice. Copyright © 2026. Published by Elsevier Ltd.
Institut Agama Kristen Negeri Toraja, Indonesia; Universitas PGRI Adi Buana Surabaya, Indonesia; Universitas Mulawarman, Indonesia; Universitas Nggusuwaru Bima (UNSWA), Indonesia; Universitas Persatuan Guru Republik Indonesia Semarang (UPGRIS), Indonesia
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