COVID-19 Pandemisinde Annelerin Maternal Bağlanma, Emzirme Öz Yeterlilik ve Yetersiz Süt Algısının Belirlenmesi

Year 2025, Volume: 14 Issue: 2, 488 - 495, 30.08.2025

Sibel Küçükoğlu , Gamzegül Altay , Hasibe Canan Yılmaz , Duygu Arıkan

Abstract

Amaç: Bu çalışma, COVID-19 salgınının kısıtlamaları karşısında yenidoğan yoğun bakım ünitesine (YYBÜ) yerleştirilen bebeklerin annelerinin anneye bağlanma, emzirme öz yeterliliği ve algılanan yetersiz süt tedarikini belirlemeyi amaçladı. Gereç ve Yöntem: Bu çalışma tanımlayıcı ve kesitsel tiptedir. Çalışma Türkiye'nin doğusundaki bir devlet hastanesinin YYBÜ'sünde gerçekleştirildi. Örneklem YYBÜ'de tedavi gören, zamanında doğmuş bebeği olan 292 anneden oluşuyordu. Veriler sosyodemografik özellikler anketi, Maternal Bağlanma Ölçeği, Emzirme Öz Yeterlilik Ölçeği ve Yetersiz Süt Algısı anketi kullanılarak toplandı. Bulgular: Katılımcıların ortalama maternal bağlanma, emzirme öz yeterliliği ve yetersiz süt algısı skorları sırasıyla 61.80±14.60, 43.88±11.52 ve 24.53±13.61 idi. Emzirme öz yeterliliği maternal bağlanmayı artıran anlamlı bir açıklayıcı değişken iken, yetersiz süt algısını düşüren anlamlı bir açıklayıcı değişkendi (p<0,05). Bebeği yoğun bakımdayken COVID-19 testi pozitif çıkan katılımcıların maternal bağlanmalarının daha düşük olduğu bulundu. Pandemi sürecinde bebeklerinden ayrılan ve yeterince emziremediklerini düşünen katılımcıların yetersiz süt algısı puan ortalaması daha düşüktü (p<0,05). Sonuç: Pandemi kısıtlamalarının anneye bağlanma üzerinde olumsuz etkisi vardır. Emzirme öz-yeterliği ve yetersiz süt algısı maternal bağlanmayı açıklayan etkili değişkenlerdir.

Keywords

Bağlanma , COVID-19 , Emzirme , Yenidoğan Yoğun Bakım

Determination of Maternal Attachment, Breastfeeding Self-Efficacy, and Insufficient Milk Perception of Mothers in COVID-19 Pandemic

Abstract

Objective: This study aimed to determine the maternal attachment, breastfeeding self-efficacy, and perceived insufficient milk supply of mothers of babies placed in a neonatal intensive care unit in the face of restrictions of the COVID-19 pandemic. Materials and Methods: This was a descriptive and cross-sectional study. The study was conducted at the neonatal intensive care unit of a public hospital in eastern Turkey. The sample consisted of 292 mothers of term babies treated in the neonatal intensive care unit. Data were collected using a sociodemographic characteristics questionnaire, the Maternal Attachment Inventory, the Breastfeeding Self-Efficacy Scale, and the Perception of Insufficient Milk Questionnaire. Results: Participants had a mean maternal attachment, breastfeeding self-efficacy, and the perception of insufficient milk score of 61.80±14.60, 43.88±11.52, and 24.53±13.61, respectively. While the breastfeeding self-efficacy score was a significant explanatory variable that increased the maternal attachment score, the perception of insufficient milk score was a significant explanatory variable that decreased it (p<0.05). Participants with a positive COVID-19 test while their baby is in intensive care have a lower maternal attachment score. Participants who were separated from their babies during the pandemic and thought that they could not breastfeed sufficiently had a lower mean perception of insufficient milk score (p<0.05). Conclusion: Pandemic restrictions have a negative effect on maternal attachment. Breastfeeding self-efficacy and perception of insufficient milk are effective variables that explain maternal attachment.

Keywords

Attachment , Breastfeeding , COVID-19 , Neonatal Intensive Care

Ethical Statement

The study was approved by a Regional Ethical Review Board in Turkey (No: B.30.2.ATA.0.01.00/115, Date: 25.03.2021). Permission was obtained from the hospital. All mothers were informed about the research purpose and procedure. Informed consent was obtained from those who agreed to participate in the study.

Supporting Institution

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Thanks

The authors would like to extend their sincere thanks to anyone who contributed to this study.

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