YENİDOĞAN BEBEĞİ HASTANEDE YATAN ANNELERİN POSTPARTUM DEPRESYON VE MATERNAL BAĞLANMA DÜZEYLERİNİN BELİRLENMESİ
Year 2025,
Volume: 34 Issue: 2, 215 - 221, 15.08.2025
Kübra Apaydın
,
Salime Mucuk
Abstract
Bu çalışmada, yenidoğan bebeği hastanede yatan annelerin postpartum depresyon ve maternal bağlanma düzeylerinin belirlenmesi amaçlanmıştır. Tanımlayıcı tipteki bu çalışma dahil edilme kriterlerine uyan 300 anne ile tamamlanmıştır.Çalışmada, doğumdan sonraki ilk 30 dakika içinde bebeğini gören, kucağına alan ve emziren annelerin doğum sonrası depresyon puanlarının düşük, maternal bağlanma puanlarının ise yüksek olduğu bulunmuştur (p<0.05). Edinburgh Doğum Sonrası Depresyon Ölçeği ve Maternal Bağlanma Envanteri'nin toplam ortalama puanları sırasıyla 13.49±6.65 ve 93.28±7.89'dur. Annelerin postpartum depresyon vematernal bağlanma ölçeği puanları arasında negatif yönde ve yüksek düzeyde anlamlı bir ilişki olduğu belirlenmiştir (p<0.01; r=-0.72). Bebekleriyle erken temas kuran annelerin doğum sonrası depresyon düzeylerinin düşük, maternal bağlanma düzeylerinin ise yüksek olduğu bulunmuştur. Yenidoğan ünitesinde hemşireler, anne-bebek etkileşimini sağlamada önemli bir role sahiptir. Bu nedenle, anne-bebek sağlığını iyileştirmek ve anne-bebek etkileşimi sağlayarak bağlanmayı teşvik etmek için hemşirelerin bebeği hastaneye yatırılan annelerin postpartum depresyon semptomlarını erken dönemde değerlendirmeleri önerilebilir.
Ethical Statement
Bu çalışma, Helsinki Bildirgesi ilkelerine uygun olarak yürütülmüştür. Etik kurul onayı Erciyes Üniversitesi Klinik Araştırmalar Etik Kurulu'ndan alınmıştır (Tarih: 25.07.2019, Karar No: 96681246) Erciyes Üniversitesi Sağlık Uygulama ve Araştırma Merkezi'nden kurum izni alınmıştır.
Supporting Institution
Yazar(lar) bu makalenin araştırılması, yazarlığı veya yayımlanması için hiçbir finansal destek almadılar.
Thanks
Yazarlar, bu çalışmaya katılmayı kabul eden tüm annelere teşekkür etmektedir.
References
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- ACOG Committee Opinion No. 757: Screening for Perinatal Depression. Obstet Gynecol. 2018;132(5):e208-e212. doi:10.1097/AOG.0000000000002927
- Özcan NK, Boyacıoğlu NE, Dinç H. Postpartum Depression Prevalence and Risk Factors in Turkey: A Systematic Review and Meta-Analysis. Arch Psychiatr Nurs. 2017;31(4):420-428. doi:10.1016/j.apnu.2017.04.006
- Badr LK, Ayvazian N, Lameh S, Charafeddine L. Is the Effect of Postpartum Depression on Mother-Infant Bonding Universal?. Infant Behav Dev. 2018;51:15-23. doi:10.1016/j.infbeh.2018.02.003
- Berns HM, Drake D. Postpartum Depression Screening for Mothers of Babies in the Neonatal Intensive Care Unit. MCN Am J Matern Child Nurs. 2021;46(6):323-329. doi:10.1097/NMC.0000000000000768
- Tahirkheli NN, Cherry AS, Tackett AP, McCaffree MA, Gillaspy SR. Postpartum depression on the neonatal intensive care unit: current perspectives. Int J Womens Health. 2014;6:975-987. doi:10.2147/IJWH.S54666
- Al Maghaireh DF, Abdullah KL, Chan CM, Piaw CY, Al Kawafha MM. Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit. J Clin Nurs. 2016;25(19-20):2745-2756. doi:10.1111/jocn.13259
- Mendu SB, Neela AR, Tammali S, Kotha R. Impact of Early Bonding During the Maternal Sensitive Period on Long-Term Effects: A Systematic Review. Cureus. 2024;16(1):e53318. doi:10.7759/cureus.53318
- Bieleninik Ł, Lutkiewicz K, Cieślak M, Preis-Orlikowska J, Bidzan M. Associations of maternal-ınfant bonding with maternal mental health, ınfant's characteristics and socio-demographical variables in the early postpartum period: A cross-sectional study. Int J Environ Res Public Health. 2021;18(16):8517. doi:10.3390/ijerph18168517
- Karakaş NM, Dağlı FŞ. The importance of attachment in infant and influencing factors. Turk Pediatri Ars. 2019;54(2):76-81. doi:10.14744/TurkPediatriArs.2018.80269
- Fraenkel JR, Wallen NE. How to Design and Evaluate Research in Education. 7th ed. New York, NY: McGraw-Hill; 2008.
- Öztürk R, Saruhan A. Investigation of the relationship between depression and maternal attach: ment of mothers whose premature babies were treated in hospital. Hemarg Dergisi. 2013;15(1):32-47.https://search.trdizin.gov.tr/yayin/detay/148268/
- Karaçam Z, Kitiş Y. The Postpartum Depression Screening Scale: its reliability and validity for the Turkish population. Turkish Journal of Psychiatry. 2008;19(2):187-196.
- Kavlak O, Şirin A. Maternal the Turkish version of maternal attachment inventory. Int J Hum Sci. 2009;6(1):188-202.
- Öztürk S, Erci B. Postpartum and postpartum care training for primiparous mothers increased maternal attachment: an educational study with a post-test control group. Balıkesir Sağlık Bilimleri Dergisi. 2016;5(3):129-134.
- Schober P, Boer C, Schwarte LA. Correlation coefficients: Appropriate use and ınterpretation. Anesth Analg. 2018;126(5):1763-1768. doi:10.1213/ANE.0000000000002864
- Fleck P. Connecting mothers and infants in the neonatal intensive care unit. Newborn and Infant Nursing Reviews. 2016;16(2):92-96. doi:10.1053/j.nainr.2016.03.007
- Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal ıntensive care unit: environmental stressors and supports. Int J Environ Res Public Health. 2018;15(1):60. doi:10.3390/ijerph15010060
- Mira A, Coo S, Bastías R. Mother's mental health and the interaction with her moderate preterm baby in the NICU. Journal of reproductive and infant psychology. 2002:1-16. doi:10.1080/02646838.2022.2077921
- Hye-Yul H, Shin-Jeong K, Wayne EK, Kyung-Ah K. Factors influencing the caregiving performance of mothers of hospitalized toddlers with acute respiratory diseases: A path analysis. J Child Health Care. 2018;22(4):591-605. doi:10.1177/1367493518767064
- Çankaya S, Dereli Yılmaz S, Can R, Değerli Kodaz N. Effect of postpartum depression on maternal attachment. ACU Sağlık Bil Derg. 2017;(4):232-240.
- Kokanalı D, Ayhan S, Devran A, Kokanalı MK, Taşçı Y. Sezaryen doğumun postpartum depresyona ve maternal bağlanmaya etkisi. J Contemp Med. 2018;8(2):148-152. doi:10.16899/gopctd.366181
- Küçükoğlu S, Çelebioğlu A, Coşkun D. Yenidoğan Kliniğinde Bebeği Yatan Annelerin Postpartum Depresyon Belirtileri Ve Emzirme Özyeterlilik Düzeylerinin Belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3(3):921-932.
- Soghier LM, Kritikos KI, Carty CL, et al. Parental Depression Symptoms at Neonatal Intensive Care Unit Discharge and Associated Risk Factors. J Pediatr. 2020;227:163-169.e1. doi:10.1016/j.jpeds.2020.07.040
- Leahy-Warren P, Coleman C, Bradley R, Mulcahy H. The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms. BMC Pregnancy Childbirth. 2020;20(1):260. doi:10.1186/s12884-020-02956-2
- Yılmaz MS, Kostak MA. Postpartum depression and maternal attachment levels of mothers with premature babies hospitalized in the neonatal intensive care unit. Eurasian Journal of Health Sciences. 2021;4(2):71-79.
.
DETERMINATION OF POSTPARTUM DEPRESSION AND MATERNAL ATTACHMENT LEVELS OF MOTHERS WHOSE NEWBORN BABIES ARE HOSPITALIZED
Year 2025,
Volume: 34 Issue: 2, 215 - 221, 15.08.2025
Kübra Apaydın
,
Salime Mucuk
Abstract
This studyaimed toinvestigate the postpartum depression and maternal attachment levels of mothers whose babies were hospitalized. This descriptive study was completed with 300 mothers who met the inclusion criteria. In the study, the postpartum depression scores of the mothers who saw, held and breastfed their baby in the first 30 minutes after birth were found to be low and their maternal attachment scores were high (p<0.05). The total mean scores of the Edinburgh Postpartum Depression Scale and the Maternal Attachment Inventory were 13.49±6.65 and 93.28±7.89, respectively. It was determined that there was a negative and highly significant relationship (p<0.01; r=-0.72) between the Edinburgh Postpartum Depression Scale and the Maternal Attachment Inventory scores of the mothers. The level of postpartum depression of the mothers who had early contact with their babies decreased and the level of attachment to the mother increased. Nurses are critical personnel providing mother-infant interaction in the neonatal unit. For this reason, it may be recommended that nurses evaluate early postpartum depression symptoms of mothers whose infants are hospitalized to improve mother-infant health and to encourage attachment by providing mother-infant interaction.
Ethical Statement
This study was performed in line with the principles of the Declaration of Helsinki. Ethics committee approval was obtained from the Erciyes University Clinical Research Ethics Committee (Date: 25.07.2019, Decision No: 96681246). Institutional permission was obtained from the Erciyes University Health Practice and Research Center.
Supporting Institution
The author(s) received no financial support for the research, authorship, or publication of this article.
Thanks
The authors thank all the mother who accepted to participate in this study.
References
- Brummelte S, Galea LA. Postpartum depression: Etiology, treatment and consequences for maternal care. Horm Behav. 2016;77:153-166. doi:10.1016/j.yhbeh.2015.08.008
- ACOG Committee Opinion No. 757: Screening for Perinatal Depression. Obstet Gynecol. 2018;132(5):e208-e212. doi:10.1097/AOG.0000000000002927
- Özcan NK, Boyacıoğlu NE, Dinç H. Postpartum Depression Prevalence and Risk Factors in Turkey: A Systematic Review and Meta-Analysis. Arch Psychiatr Nurs. 2017;31(4):420-428. doi:10.1016/j.apnu.2017.04.006
- Badr LK, Ayvazian N, Lameh S, Charafeddine L. Is the Effect of Postpartum Depression on Mother-Infant Bonding Universal?. Infant Behav Dev. 2018;51:15-23. doi:10.1016/j.infbeh.2018.02.003
- Berns HM, Drake D. Postpartum Depression Screening for Mothers of Babies in the Neonatal Intensive Care Unit. MCN Am J Matern Child Nurs. 2021;46(6):323-329. doi:10.1097/NMC.0000000000000768
- Tahirkheli NN, Cherry AS, Tackett AP, McCaffree MA, Gillaspy SR. Postpartum depression on the neonatal intensive care unit: current perspectives. Int J Womens Health. 2014;6:975-987. doi:10.2147/IJWH.S54666
- Al Maghaireh DF, Abdullah KL, Chan CM, Piaw CY, Al Kawafha MM. Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit. J Clin Nurs. 2016;25(19-20):2745-2756. doi:10.1111/jocn.13259
- Mendu SB, Neela AR, Tammali S, Kotha R. Impact of Early Bonding During the Maternal Sensitive Period on Long-Term Effects: A Systematic Review. Cureus. 2024;16(1):e53318. doi:10.7759/cureus.53318
- Bieleninik Ł, Lutkiewicz K, Cieślak M, Preis-Orlikowska J, Bidzan M. Associations of maternal-ınfant bonding with maternal mental health, ınfant's characteristics and socio-demographical variables in the early postpartum period: A cross-sectional study. Int J Environ Res Public Health. 2021;18(16):8517. doi:10.3390/ijerph18168517
- Karakaş NM, Dağlı FŞ. The importance of attachment in infant and influencing factors. Turk Pediatri Ars. 2019;54(2):76-81. doi:10.14744/TurkPediatriArs.2018.80269
- Fraenkel JR, Wallen NE. How to Design and Evaluate Research in Education. 7th ed. New York, NY: McGraw-Hill; 2008.
- Öztürk R, Saruhan A. Investigation of the relationship between depression and maternal attach: ment of mothers whose premature babies were treated in hospital. Hemarg Dergisi. 2013;15(1):32-47.https://search.trdizin.gov.tr/yayin/detay/148268/
- Karaçam Z, Kitiş Y. The Postpartum Depression Screening Scale: its reliability and validity for the Turkish population. Turkish Journal of Psychiatry. 2008;19(2):187-196.
- Kavlak O, Şirin A. Maternal the Turkish version of maternal attachment inventory. Int J Hum Sci. 2009;6(1):188-202.
- Öztürk S, Erci B. Postpartum and postpartum care training for primiparous mothers increased maternal attachment: an educational study with a post-test control group. Balıkesir Sağlık Bilimleri Dergisi. 2016;5(3):129-134.
- Schober P, Boer C, Schwarte LA. Correlation coefficients: Appropriate use and ınterpretation. Anesth Analg. 2018;126(5):1763-1768. doi:10.1213/ANE.0000000000002864
- Fleck P. Connecting mothers and infants in the neonatal intensive care unit. Newborn and Infant Nursing Reviews. 2016;16(2):92-96. doi:10.1053/j.nainr.2016.03.007
- Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal ıntensive care unit: environmental stressors and supports. Int J Environ Res Public Health. 2018;15(1):60. doi:10.3390/ijerph15010060
- Mira A, Coo S, Bastías R. Mother's mental health and the interaction with her moderate preterm baby in the NICU. Journal of reproductive and infant psychology. 2002:1-16. doi:10.1080/02646838.2022.2077921
- Hye-Yul H, Shin-Jeong K, Wayne EK, Kyung-Ah K. Factors influencing the caregiving performance of mothers of hospitalized toddlers with acute respiratory diseases: A path analysis. J Child Health Care. 2018;22(4):591-605. doi:10.1177/1367493518767064
- Çankaya S, Dereli Yılmaz S, Can R, Değerli Kodaz N. Effect of postpartum depression on maternal attachment. ACU Sağlık Bil Derg. 2017;(4):232-240.
- Kokanalı D, Ayhan S, Devran A, Kokanalı MK, Taşçı Y. Sezaryen doğumun postpartum depresyona ve maternal bağlanmaya etkisi. J Contemp Med. 2018;8(2):148-152. doi:10.16899/gopctd.366181
- Küçükoğlu S, Çelebioğlu A, Coşkun D. Yenidoğan Kliniğinde Bebeği Yatan Annelerin Postpartum Depresyon Belirtileri Ve Emzirme Özyeterlilik Düzeylerinin Belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014;3(3):921-932.
- Soghier LM, Kritikos KI, Carty CL, et al. Parental Depression Symptoms at Neonatal Intensive Care Unit Discharge and Associated Risk Factors. J Pediatr. 2020;227:163-169.e1. doi:10.1016/j.jpeds.2020.07.040
- Leahy-Warren P, Coleman C, Bradley R, Mulcahy H. The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms. BMC Pregnancy Childbirth. 2020;20(1):260. doi:10.1186/s12884-020-02956-2
- Yılmaz MS, Kostak MA. Postpartum depression and maternal attachment levels of mothers with premature babies hospitalized in the neonatal intensive care unit. Eurasian Journal of Health Sciences. 2021;4(2):71-79.
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