Gebe Kalma Şekillerine Göre Kadınların Doğum Öncesi Ve Sonrası Sağlıklı Yaşam Biçimi Davranışlarının İncelenmesi

Year 2024, Volume: 5 Issue: 2, 60 - 65, 29.07.2024

Esin Dalyan Yeliz Kaya

Abstract

Giriş: Üreme çağındaki kadınlar arasında obezitenin artan yaygınlığı ve buna eşlik eden olası riskler, gebelik ve doğum sonrası dönem boyunca sağlığı geliştirici yaşam tarzı profilleri üzerine yapılan çalışmaları hızlandırmıştır. Bu profilleri infertilite tedavisi gören kadınlar üzerinde değerlendirmeyi amaçlayan çalışmalar çoğunlukla gebe kalma öncesi döneme odaklanmakta ve bu davranışların tedavi sonuçları ve üreme performansı üzerindeki etkilerini incelemektedir. Bu çalışmada, gebe kalma yöntemine göre sağlığı geliştiren yaşam tarzı profillerinde istatistiksel olarak anlamlı bir fark olup olmadığını araştırmak amaçlanmıştır.
Yöntemler: Çalışmaya kendiliğinden gebe kalan 89 gebe kadın ve Yardımcı Üreme Teknolojileri uygulandıktan sonra gebe kalan 89 gebe kadın dahil edilmiştir. Sağlıklı Yaşam Biçimi Davranışları Ölçeği-II perinatal ve postpartum dönemde iki kez doldurulmuştur.
Bulgular: Perinatal dönemde iki grup arasında Fiziksel Aktivite, Stres Yönetimi ve toplam Sağlıklı Yaşam Biçimi Davranışları Ölçeği-II puan ortalamalarında anlamlı farklılıklar bulunurken, postpartum dönemde iki grup arasında sadece Kişilerarası İlişkiler ve Stres Yönetimi puan ortalamalarında anlamlı farklılıklar bulunmuştur. Tüm alt tiplerin puan ortalamalarının (grup 1 için Sağlık Sorumluluğu hariç) ve toplam Sağlıklı Yaşam Biçimi Davranışları Ölçeği-II puanının doğum sonrası dönemde anlamlı şekilde azaldığı bulunmuştur.
Sonuçlar: Sağlık profesyonelleri, gebe kalmayı planlayan ve doğum yapmak üzere olan tüm kadınları sağlıklı yaşam tarzları ve yaşam kalitesini etkileyen durumlarla başa çıkma stratejileri hakkında bilgilendirmelidir.

Keywords

Sağlığın geliştirilmesi, Gebe kadın, Sağlıklı yaşam biçimi davranışları, Yardımcı üreme teknikleri

Supporting Institution

This article has been prepared based on the master’s thesis entitled “Examination of Prenatal and Postnatal Health Promoting Lifestyle Profiles of Women on the Basis of Modals of Conception” published by Esin Dalyan in 2020 at Eskişehir Osmangazi University Faculty of Health Sciences under the supervision of Yeliz Kaya.

An Examination of Prenatal and Postnatal Health Promoting Behaviors of Women Based on the Mode of Conception

Abstract

Introduction: The increasing prevalence of obesity among women of reproductive age and the accompanying possible risks has expedited studies on health-promoting lifestyle profiles throughout pregnancy and the postpartum period. Studies aiming to evaluate these profiles on women undergoing infertility treatment are mostly focused on the preconception period and examine the effects of these behaviors on treatment outcomes and reproductive performance. This study, the aim was to investigate whether there was a statistically significant difference in the health-promoting lifestyle profiles according to the type of conception method.
Methods: 89 pregnant women who had conceived by spontaneous and 89 pregnant women who had conceived after undergoing Assisted Reproductive Technologies (ARTs) were included to the study. The Health Promoting Lifestyle Profiles Scale (HPLP-II) was completed twice in the perinatal and postpartum period.
Findings: There were significantly differences at the mean scores of the Physical Activity, Stress Management and the total HPLP- II score between two group at the perinatal period while there were significantly differences only at the mean scores Interpersonal Relationships and Stress Management between two groups at the postpartum period. It was found that the all-subtypes’ mean scores (except Health Responsibility for group 1) and total HPLP- II score were significantly decreased at the postpartum period.
Results: Health professionals should inform all women who intend to become pregnant and are about to give birth about healthy lifestyles and strategies for coping with situations that affect quality of life.

Keywords

Health Promotion, Pregnant Women, Health Promoting Lifestyle Profiles, Assisted Reproductive Techniques

References

• 1. Aşcı Ö, Rathfisch G. Effect of lifestyle interventions of pregnant women on their dietary habits, lifestyle behaviors, and weight gain: a randomized controlled trial. J Health Popul Nutr 2016;35:7.
• 2. Onat G, Aba YA. Health-promoting lifestyles and related factors among pregnant women. Turk J Public Health 2014;12:69-79.
• 3. Olander EK, Smith DM, Darwin Z. Health behaviour and pregnancy: A time for change. J Repro Infant Psych 2018;36:1-3.
• 4. Lin YH, Tsai EM, Chan TF, Chou FH, Lin YL. Health promoting lifestyles and related factors in pregnant women. Chang Gung Med J 2009;32:650-61.
• 5. WHO recommendations on postnatal care of the mother and newborn. 2013. Available at: http://apps.who.int/iris/bitstream/10665/97603/1/9789241506 649_eng.pdf Accessed November, 2019.
• 6. Hajimiri K, Shakibazadeh E, Mehrizi AAH, Shab-Bidar S, Sadeghi R. The role of perceived barrier in the postpartum women's health promoting lifestyle: A partial mediator between self-efficacy and health promoting lifestyle. J Edu Health Promot 2018;7:38.
• 7. Chen CM, Kuo SF, Chou YH, Chen HC. Postpartum Taiwanese women: Their postpartum depression, social support and health‐promoting lifestyle profiles. J Clin Nurs 2007;16:1550-60.
• 8. Aksoy YE, Turfan EÇ, Yılmaz SD. Assessment of health-promoting lifestyle habits in normal and high-risk pregnancies. Perinatal journal 2017;25:26-31.
• 9. Walker LO, Murphey CL, Nichols F. The broken thread of health promotion and disease prevention for women during the postpartum period. J Perinat Educ 2015;24:81-92.
• 10. Aşcı Ö, Oskay Ü. Obese Women Pregnancy And Weight Management, International Peer-Reviewed Journal of Nutrition Research 2015;2:56-67.
• 11. Soltani H, Smith D, Olander E. Weight, lifestyle, and health during pregnancy and beyond. J Pregnancy 2017; 4981283.
• 12. Khosrorad T, Dolatian M, Riazi H, Mahmoodi Z, Alavimajd H, Shahsavari S et al. Comparison of lifestyle in fertile and infertile couples in Kermanshah during 2013. Iran J Reprod Med 2015;13:549-56.
• 13. Youness EM. Lifestyle factors between fertile and infertile women at Assiut Women’s Health Hospital. Egypt Nurs J 2018;15:9-20.
• 14. Amanak K, Ünay V. Üçüncü trimester gebelerin doğuma yönelik endişeleri: Nitel bir çalışma. Mersin Üniv Saglık Bilim Derg 2020;13:348-60.
• 15. Gharaibeh M, Al‐Ma’aitah R, Al Jada N. Lifestyle practices of Jordanian pregnant women. Int Nurs Rev 2005;52:92-100.
• 16. Crozier SR, Robinson SM, Borland SE, et al. Do women change their health behaviours in pregnancy? Findings from the Southampton Women's Survey. Paediatr Perinat Epidemiol 2009;23:446-53.
• 17. Gökyıldız S, Alan S, Elmas E, Bostancı A, Küçük E. Health‐promoting lifestyle behaviours in pregnant women in Turkey. Int J Nurs Pract 2014;20:390-7.
• 18. Onat G, Aba YA. The effects of a healthy lifestyle and of anxiety levels on IVF outcomes. Afr J Reprod Health 2015;19:92-101.
• 19. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res 1987;36:76-81.
• 20. Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Healthy Life Style Behavior Scale II:A Reliability And Validity Study . C.Ü. Hemşirelik Yüksekokulu Dergisi 2008;12:1-13.
• 21. Gul B, Riyaz MA, Batool N, Yasmin H, Riaz MN. Social support and health related quality of life among pregnant women. J Pak Med Assoc 2018;68:872-5.
• 22. Kanığ M, Eroğlu K. Investigation of the relationship between the level of perceived social support and healthy lifestyle behaviors of pregnant women. J Psychiatric Nurs 2020;11:333-40.
• 23. Yadollahi P, Davazdahemami S, Bromandfar K, Fathizadeh N. The relationship between life style and individual reproductively characteristics of pregnant woman. Iran J Nurs Midwifery Res 2007;12:75-9.
• 24. Kazemi AF, Hajian S, Ebrahimi-Mameghani M, Khob MK. The perspectives of pregnant women on health-promoting behaviors: an integrative systematic review. Int J Womens Health Reprod Sci 2018;6:97-105.
• 25. Aksoy T, Uçar H. Healthy Lifestyle Behaviors of Nursing Students. JOHUFON 2014;1:53-67.
• 26. Wang LH, Lee TY. Assisted pregnancy after infertility: Taiwanese women's experience. J Med Sci 2004;24:49-256.
• 27. Ranjbar F, Behboodi-Moghadam Z, Borimnejad L, Ghaffari SR, Akhondi MM. Experiences of infertile women seeking assisted pregnancy in Iran: A qualitative study. J Reprod Infertil 2015;16:221-8. 28. Fowles ER, Cheng HR, Mills S. Postpartum health promotion interventions: A systematic review. Nurs Res 2012;61:269-82.