The Effect of Women’s Personality Traits on Traumatic Birth Perception

Öz

Backround: Birth is a unique experience, women are often perceived as a positive life event. Objectives: This study was conducted to determine the effect of personality traits on the perception.of traumatic birth in women between the ages of 18-65. Methods: This cross-sectional descriptive and relational study the universe of living in Turkey, women in 18-65 age, the sample of living in Istanbul, can read and understand Turkish created voluntary participation of 300 women in the study. "Participant introduction form", "Cervantes Personality Scale (CPS)" and "Traumatic Birth Perception Scale (TBPS)" were used as data collection tools. Descriptive statistics, One-Way ANOVA test, independent sample t test, Spearman correlation tests and multiple regression analysis were used to evaluate the data. Results: While 17.3% of the participants in the study had negative birth experience, 77% listened to negative birth stories from others. Women who stated that they had negative birth experiences had more extroverted personality traits than others. The total score of TBPS in the study was 64.57 ± 31.48. CPS subscale scores; extraversion/introversion was 17.06 ± 3.51, emotional balance was 17.27 ± 5.51, and consistency/inconsistency was 17.00 ± 4.33. It was determined that there is weakly significant positive relationship between the emotional balance sub-dimension of the personality scale and the consistency/inconsistency sub-dimension. According to this analysis, total of 38.6% change in the "emotional balance" sub-dimension of the CPS sub-dimensions was found to be effective in increasingthe level of traumatic birth perception. Conclusion: Women's personality traits affect the perception traumatic birth. It is recommended to examine personality traits of women with high perception of traumatic birth and consider results obtained in care and treatment processes.

Anahtar Kelimeler

• Birth
• Female
• Personality Traits
• Traumatic

Kadınların Kişilik Özelliklerinin Travmatik Doğum Algısına Etkisi

Öz

Giriş: Kadın yaşamında eşsiz bir deneyim olan doğum genellikle olumlu bir olay olarak algılanmaktadır. Amaç: Bu çalışma 18-65 yaş arasındaki kadınların kişilik özelliklerinin travmatik doğum algısına etkisini belirlemek amacıyla yapıldı. Yöntem: Kesitsel tanımlayıcı ve ilişki arayıcı tipteki çalışmanın evrenini Türkiye’de yaşayan 18-65 yaş aralığındaki kadınlar, örneklemini ise İstanbul’da yaşayan, Türkçe dilini okuyup anlayabilen ve çalışmaya katılımda gönüllü 300 kadın oluşturdu. Veri toplama aracı olarak “Katılımcı Tanıtım Formu”, “Cervantes Kişilik Ölçeği (CKÖ)” ve “Travmatik Doğum Algısı Ölçeği (TDAÖ)” kullanıldı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Tek Yönlü ANOVA testi, bağımsız örneklem t testi, Spearman korelasyon testleri ve çoklu regresyon analizinden yararlanıldı. Bulgular: Çalışmada katılımcıların %17.3’ünün olumsuz doğum deneyimi varken, %77’si başkalarından olumsuz doğum hikayeleri dinlemişti. Olumsuz doğum deneyimi olduğunu ifade eden kadınlar diğerlerine göre daha dışa dönük kişilik özelliğine sahipti. Çalışmada TDAÖ toplam puanı 64.57 ± 31.48 idi. CKÖ alt boyut puanları; dışa/içe dönük olma 17.06 ± 3.51, duygusal denge 17.27 ± 5.51 ve tutarlı/tutarsız olma 17.00 ± 4.33 bulundu. Kişilik ölçeği alt boyutlarından duygusal denge alt boyutu ile tutarlı/tutarsız olma alt boyutu arasında pozitif yönde zayıf derecede anlamlı bir ilişki olduğu belirlendi. Bu analize göre CKÖ alt boyutlarından “duygusal denge” alt boyutundaki toplam %38.6’lık değişim, travmatik doğum algısı düzeyini artırmada etkili bulundu. Sonuç: Kadının kişilik özellikleri travmatik doğum algısını etkilemektedir. Travmatik doğum algısı yüksek olan kadınların kişilik özelliklerinin incelenmesi ve elde edilen sonuçların bakım ve tedavi süreçlerinde dikkate alınması önerilmektedir.

Anahtar Kelimeler

• DOĞUM
• KADIN
• KİŞİLİK ÖZELLİKLERİ
• TRAVMATİK

Kaynakça

1. 1. Namujju J, Muhindo R, Mselle LT, Waiswa P, Nankumbi J, Muwanguzi P. Childbirth experiences and their derived meaning: a qualitative study among postnatal mothers in Mbale regional referral hospital, Uganda. Reproductive Health. 2018;15(1):183-194.
2. 2. Elmir R, Schmied V, Wilkes L, Jackson D. Women's perceptions and experiences of a traumatic birth: a meta-ethnography. Journal of Advanced Nursing. 2015;66:2142-2153.
3. 3. Furuta M, Horsch A, Ng ES, Bick D, Spain D, Sin J. Effectiveness of trauma-focused psychological therapies for treating post-traumatic stress disorder symptoms in women following childbirth: a systematic review and meta-analysis. Frontiers in Psychiatry. 2018;9:591-608.
4. 4. Karaman ÖE, Yıldız H. Doğum eylemi travay sürecinde hareket serbestliği: Nasıl? Ne sağlar? Kadın doğum hemşiresinin rolü nedir? Turkiye Klinikleri Journal of Nursing Sciences. 2018;10(1):78-87.
5. 5. Beck CT. Middle range theory of traumatic childbirth: The ever-widening ripple effect. Global Qualitative Nursing Research. 2015;. 2015;2:1-13.
6. 6. World Health Organization. Recommendations: Intrapartum care for a positive childbirth experience [online]. URL:https://www.who.int/reproductivehealth/publications/intrapartum-care- guidelines/en/ 11 Temmuz 2020
7. 7. Yalnız Dilcen H, Genc R. The effects of psychoeducation on the traumatic perception of the birth phenomenon in women with substance-use disorders. Substance Use & Misuse. 2019;1-9.
8. 8. Taheri M, Takian A, Taghizadeh Z, Jafari N, Sarafraz, N. Creating a positive perception of childbirth experience: Systematic review and meta-analysis of prenatal and intrapartum interventions. Reproductive Health. 2018;15(1):73-86.

9. 9. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. Journal of Affective Disorders. 2016;191:62-77.
10. 10. Grekin R, O’Hara MW. Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analsis. Clinical Psychology Review. 2014;34:389-401.
11. 11. Walker AL, Gamble J, Creedy DK, Ellwood DA. Impact of traumatic birth on Australian obstetricians: A pilot feasibility study. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2020;60(4):555-560.
12. 12. Rondung E, Thomtén J, Sundin Ö. Psychological perspectives on fear of childbirth. J Anxiety Disord. 2016;44:80‐91.
13. 13. Date C, van der Veen, Silvia DM, van Dijk, Hannie C, Comijs, et al. The importance of personality and lifeevents in anxious depression: from trait to state anxiety, Aging & Mental Health. 2017;21(11):1177-1183.
14. 14. Mccrae RR, Costa Jr PT. Understanding persons: From Stern's personalistics to Five-Factor Theory. Personality and Individual Differences. 2020;109816.
15. 15. Gönenç İM, Aker MN, Güven H, Moraloğlu Tekin Ö. The effect of the personality traits of pregnant women on the fear of childbirth. Perspectives in psychiatric care. 2020;56(2):347-354.
16. 16. Türkiye İstatistik Kurumu (TÜİK). Adrese dayalı nüfus kayıt sistemi. [online]. URL: https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayal%C4%B1-N%C3%BCfus-Kay%C4%B1t- Sistemi-Sonu%C3%A7lar%C4%B1-2019-33705&dil=1 4 Ocak 2020
17. 17. Bal M, Sahin N. Adaptation of cervantes personality scale into Turkish: Validity and reliability study. Journal of Nursing Education and Research. 2011;8(1):39-45.
18. 18. Yalnız H, Canan F, Genç R, Kuloğlu MM. Development of the traumatic birth perception scale. Turkish Journal Of Medical Sciences. 2016;8(3):81-88.
19. 19. Murphy H, Strong J. Just another ordinary bad birth? A narrative analysis of first time mothers' traumatic birth experiences. Health Care for Women International. 2018;39(6):619-643.
20. 20. Ghanbari-Homayi S, Fardiazar Z, Meedya S, Mohammad-Alizadeh-Charandabi S, Asghari- Jafarabadi M, Mohammadi E, et al. Predictors of traumatic birth experience among a group of Iranian primipara women: A cross sectional study. BMC Pregnancy and Childbirth. 2019;19(1):182-191.
21. 21. Henriksen L, Grimsrud E, Schei B, Lukasse M. Bidens study group: Factors related to a negative birth experience–a mixed methods study. Midwifery. 2017;51:33-39.
22. 22. Bernitz S, Øian P, Rolland R, Sandvik L, Blix E. Oxytocin and dystocia as risk factors foradverse birth outcomes: a cohort of low-risk nulliparous women. Midwifery. 2014;30(3):364-370.
23. 23. Jardim DMB, Modena CM. Obstetric violence in the daily routine of care and its characteristics. Revista Latino-americana de Enfermagem. 2018;26:e3069.
24. 24. Aktaş S. Multigravidas’ perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience. Medicine Sience. 2018;7(1):203-209.
25. 25. Downe S, Finlayson K, Oladapo OT, Bonet M, Gülmezoglu AM. What matters to women during childbirth: A systematic qualitative review. PLoS One. 2018;13(4):e0194906.
26. 26. Nilsson L, Thorsell T, Hertfelt Wahn E, Ekström A. Factors influencing positive birthexperiences of first-time mothers. Nursing Research and Practice. 2013;1-7.
27. 27. Rouhe H, Salmela-Aro K, Toivanen R, Tokola M, Halmesmäki E, Ryding EL, et al. Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience–a randomised controlled trial. Journal of Psychosomatic Obstetrics & Gynecology. 2015;36(1):1-9.
28. 28. Lazzerini M, Mariani I, Semenzato C, Valente EP. Association between maternal satisfaction and other indicators of quality of care at childbirth: A cross-sectional study based on the WHO standards. BMJ Open. 2020;10(9):e037063.
29. 29. Adewuya AO, Ologun YA, Ibigbami OS. Post-traumatic stress disorder after childbirth in Nigerian women: prevalence and risk factors. BJOG: An International Journal of Obstetrics and Gynaecology. 2019;284-288.
30. 30. Ergin IO, Yağmur Y. The correlation between menopausal complaints and personality traits. 2018;1-6.
31. 31. Aydin Ozkan S, Kucukkelepce DS. Do university students' personality traits affect their attitudes towards gender roles? Perspectives in Psychiatric Care. 2019;55(4):562-569.
32. 32. Ölçer Z, Bakır N, Aslan E. Üniversite öğrencilerinde kişilik özelliklerinin premenstrual şikâyetlere etkisi. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017;1(1):30-37.
33. 33. Erdemoğlu Ç, Altıparmak S, Özşahin Z. The effect of personality traits of pregnants and their ways of coping with stress on the fear of childbirth. The Journal of Turkish Family Physician. 2019;10(3):130-139.
34. 34. Murray L, O’Neill L. Neuroticism and extraversion mediate the relationship between having a sibling with developmental disabilities and anxiety and depression symptoms. Journal of Affective Disorders. 2019;243:232-240.
35. 35. Dursun E, Kızılırmak A, Mucuk S. The relationship between personality characteristics and fear of childbirth: A descriptive study. Archives of Psychiatric Nursing. 2021;35(3):296-302.
36. 36. Saisto T, Salmela‐Aro K, Nurmi JE, Halmesmäki E. Psychosocial characteristics of women and their partners fearing vaginal childbirth. BJOG: An International Journal of Obstetrics and Gynaecology. 2001;108:492-498.
37. 37. Spice K, Jones SL, Hadjistavropoulos HD, Kowalyk K, Stewart SH. Prenatal fear of childbirth and anxiety sensitivity. Journal of Psychosomatic Obstetrics & Gynecology. 2009;30(3):168-174.