Doğum Sonu Annelik Hüznü ve Emzirme Arasındaki İlişki

Year 2024, Volume: 7 Issue: 4, 651 - 661, 23.12.2024

Serap Öztürk Altınayak , Elif Velioğlu

https://doi.org/10.62425/esbder.1515726

Abstract

Amaç: Bu araştırmada doğum sonu annelik hüznü ile emzirme arasındaki ilişki ve aynı zamanda annelik hüznünün emzirme üzerindeki etkisinin araştırılması amaçlanmıştır.
Yöntemler: Kesitsel tasarımda olan bu araştırma; Mayıs-Aralık 2023 tarihleri arasında Taşköprü Devlet Hastanesine başvuran ve araştırma kriterlerini sağlayan 302 anne ile yürütülmüştür. Veriler “Sosyodemografik Bilgi Formu”, “Doğum Sonrası Annelik Hüznü Ölçeği” ve “Emzirme Tutumu Ölçeği” ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra t-testleri, ANOVA, pearson korelasyon analizi, basit doğrusal regresyon kullanıldı. Tüm istatistiksel testlerde p<,05 anlamlılık düzeyi ve %95 güven aralığı uygulandı.
Bulgular: Annelerin yaş ortalamasının 29,70±3,74 olduğu, %54,3’ünün lise mezunu olduğu, %77,8’inin çalışmadığı, %78,1’inin gelirinin giderine eşit olduğu ve %68,5’inin çekirdek ailede yaşadığı bulunmuştur. Annelerin doğum sonrası annelik hüznü ölçeği toplam puan ortalamasının 63,10±11,68 olduğu, emzirme tutumu değerlendirme ölçeği toplam puan ortalamasının ise 89,01±17,21 olduğu bulunmuştur. Doğum sonu annelik hüznü değerlendirme ölçeği ve emzirme tutumunu değerlendirme ölçeği puan ortalamaları arasında istatistiksel olarak anlamlı ve negatif yönde bir ilişki saptanmıştır (p<,05). Annelerin emzirme tutumunun %88,7’lik kısmı doğum sonu annelik hüznü düzeyi ile açıklanmaktadır.
Sonuç: Doğum sonu dönemde annelik hüznü arttıkça emzirme tutumu azalmaktadır.

Keywords

Annelik hüznü, emzirme tutumu, ebelik

The Relationship Between Postpartum Maternity Blues and Breastfeeding

Abstract

Objective: This study aims to investigate the relationship between postpartum maternity blues and breastfeeding and the effect of maternity blues on breastfeeding.
Methods: This cross-sectional was conducted with 302 mothers who applied to Taşköprü State Hospital between May and December 2023 and met the research criteria. Data were collected using a “Sociodemographic Information Form”, the “Postpartum Maternity Blues Assessment Scale”, and the “Breastfeeding Attitude Scale”. In the analysis of the data, descriptive statistics, as well as t-tests, ANOVA, Pearson correlation analysis, and simple linear regression were used. A significance level of p<.05 and a 95% confidence interval were applied in all statistical tests.
Results: The study found that the mean age of the mothers was 29.70±3.74 years, 54.3% were high school graduates, 77.8% were not employed, 78.1% had an income equal to their expenses, and 68.5% lived in a nuclear family. The mean total score on the Postpartum Maternity Blues Assessment Scale was 63.10±11.68, and the mean total score on the Breastfeeding Attitude Scale was 89.01±17.21. There was a statistically significant negative relationship between the scores on the Postpartum Maternity Blues Assessment Scale and the Breastfeeding Attitude Scale (p<.05). The level of postpartum maternity blues explained 88.7% of the variance in the breastfeeding attitudes of the mothers.
Conclusion: As maternal blues increases in the postpartum period, breastfeeding attitude decreases.

Keywords

Breastfeeding attitude, maternity blues, midwifery

References

• Aksoy, Y. E., Ünal, F., İnçke, G., Çil, G., Oruç, K., Yılmaz, T., ... & Yılmaz, S. D. (2016). The effects of postpartum depressıon on breastfeedıng. Journal of Gümüşhane Üniversity Health Sciences, 5(3), 90-96.
• Aydın Özkan, S., Bozkurt, A.M., Korkmaz, B., Yılmaz, G., & Şimşek Küçükkelepce, D. (2019). The relationship between depression and breastfeeding self-efficacy in the first month of postpartum. Journal of Hacettepe University Faculty of Nursing, 6(1), 235
• Akbarzadeh, M., Kiani Rad, S., Moattari, M., & Mokhtaryan, T. (2015). The effect of breastfeeding training based on BASNEF model on infants’ growth and development in the women with and without postpartum blues. Scholars Journal of Applied Medical Sciences, 3(4B),1712-1720.
• Ayhan Başer, D. (2018). The evaluation of the relationship between postpartum depression and breastfeeding. Ankara Med J. September, 18(3), 276-285.
• Arslan Özkan, H. (2015). Breastfeeding attitudes of the evaluation scale. Journal of Women’s Health Nursing Jowhen, 2, 53-58.
• Bölükbaşı, H., & Şanlıer, N. (2017). The effects of postpartum depression on breastfeeding success, breastfeeding self-sufficiency and breast milk. Türkiye Klinikleri Nutrition and Dietetics-Special Topics, 3(2), 111-116.
• Çankaya, S., & Ocaktan, C. (2022). The relationship of traumatic birth experiences and perceptions with breastfeeding attitudes in primiparous mothers in the early postpartum period. Balıkesir Health Sciences Journal, 11(2), 227-234.
• Çalışkanyürek, S.S.A., Yıldırım, D.İ., & İnanlı, İ. (2022). The effect of mental status of mothers aged 18-49 years on attitude to breastfeeding. Selçuk Med J, 38(1), 30-39
• Çakmak, S., Dengi, A.S.D. (2019). Postpartum evaluation of the mothers’ knowledge about breastfeeding and the importance of breast milk. Türk Aile Hekimliği Dergisi, 23(1), 9-19.
• Çınar, N., Topal, S., Çaka, S.Y., & Altınkaynak, S. (2023). Investigation of relationship between the postpartum depression, social support and breastfeeding self_efficacy in mothers. Journal of Continuing Meical Education, 32(2),113-122.
• Erdem, Ö., & Bez, Y. (2009). Postpartum blues and postpartum depression. Konuralp Medical Journal, 1(1), 32-37.
• Erdem, Ö., & Erten Bucaktepe, P.G. (2012). The prevalence and screening methods of postpartum depression. Dicle Medical Journal, 39(3), 458-461.
• Fooladi, M.M. (2006). Therapeutic tears and postpartum blues. Holistic Nursing Practice, 20(4), 204-211.
• Hain, S., Oddo-Sommerfeld, S., Bahlmann, F., Louwen, F., & Schermelleh-Engel, K. (2016). Risk and protective factors for antepartum and postpartum depression: a prospective study. Journal of Psychosomatic Obstetrics & Gynecology, 37(4),119-129.
• Hapgood, C.C., Gail, S., Elkind, W., Wright, J.J. (1988). Maternity blues: phenomena and relationship to later postpartum depression. Australian and New Zealand Journal of Psychiatry, 22(3), 299-306.
• Idaiani, S., & Basuki, B. (2012). Postpartum depression in Indonesia women: a national study. Health Science Journal of Indonesia, 3(1), 3-8.
• Kocamanoğlu, B., Şahin, A.R. (2011). Postpartum psychiatric disorders. Anatolian Journal of Psychiatry 12(3), 226-232.
• Küçükoğlu, S., Çelebioğlu, A., & Coşkun, D. (2014). Determınatıon of the postpartum depressıon symptoms and breastfeedıng self-effıcacy of the mothers who have theır babıes hospıtalızed ın newborn clınıc. Gümüşhane University Journal of health Sciences, 3(3), 921-932.
• Küçük, E. Doğum Sonrası Annelı̇k Hüznü Değerlendı̇rme Ölçeğı̇; Gelı̇ştı̇rı̇lmesı̇, Geçerlı̇lı̇k Ve Güvenı̇rlı̇k Çalışması. Yayınlanmamış Yüksek Lisans Tezi, Cumhuriyet Üniversitesi, Sivas, 2022
• Kurnaz, D., & Hazar, H.U. (2021). Factors ınfluencing the attitudes and successes related to mothers’ breastfeeding ın the early postpartum period. Journal of Nursing Science. 4(2), 76-86.
• Moyo, G.P.K., & Djoda, N. (2020). Relationship between the baby blues and postpartum depression: a study among Cameroonian women. American Journal of Psychiatry and Neuroscience, 8(1), 26-29.
• Muhida, V., & Umalilhayati, Q. (2021). Analisis faktor risiko terjadinya postpartum blues di ruang wijaya kuşuma. J Appl Heal Res Dev, 3(1), 1-16
• Özkan, H., Üst, Z.D., Gündoğdu, G., Çapık, A., Şahin, S.A. (2014). The relationship between breast feeding and depression in the early postpartum period. The Medical Bulletin of Şişli Etfal Hospital, 48(2),124-31.
• Özşahin, Z., & Güven Santur, S. (2021). Examining the relationship between childhood adverse experiences and postpartum depression and breastfeeding self-efficacy using structural equation modeling . Journal of Samsun Health Sciences, 6(2), 285-301.
• Özşahin, Z., Akça, E., & Gökbulut, N. (2020). The relationship between postpartum depression level and maternal attachment. Journal of İnönü University Health Services Vocational School, 8(3), 715-724.
• Silva, C.S., Lima, M.C., Sequeira-de-Andrade, L.A., Oliveira, J.S., Monteiro, J.S, Lima, N.M., ... & Lira, P.I. (2017). Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. Jornal de pediatria, 93(4), 356-364.
• Utami, F.P., & Nurfita, D. (2022). Postpartum blues reviewed by the risk factors in Indonesia. Journal of Ideas in Health, 5(4), 766-775.
• Varney, H., Kriebs, J.M., Gegor, C.L. (2004). Varney’s Midwifery; Massachusetts: Jones and Bartlett Publishers.
• Yavuz, M.Y., & Bilge, Ç. (2022). From baby blues to postpartum depression and psychosis. Haliç Uni J., 5(1), 1-10.