Prenatal Attachment and Related Factors in Adolescent Pregnant Women

Year 2023, Volume: 9 Issue: 2, 42 - 49, 30.06.2023

Zehra İncedal Sonkaya , Gülseren Dağlar , Demet Çakır , Aysun Tekeli Taşkömür

https://doi.org/10.22399/ijcesen.1278600

Abstract

The aim of this study was to determine the level of prenatal attachment and related factors in adolescent pregnant women.
The study is cross-sectional descriptive type. The sample consisted of 34 adolescent pregnant women who applied to obstetrics outpatient clinics in a Training and Research Hospital. The data were collected between June 2018-June 2019.
The Personal Information Form was collected using the Prenatal Attachment Inventory (PAI), Marriage Life Scale (MLS) and Health Practices in Pregnancy Scale (HPPS).
The mean scores obtained from the scales are PAI 38.38±11.47; MLS is 32.74±8.16 and HPPS is 94.93±10.87. A significant negative correlation was found between PAI and HPPS mean score, and a positive and strong relationship between PAI and MLS score mean.
While the mean score of PAI and MLS in adolescent pregnants is below the average level, HPPS is above the average. Prenatal attachment level was found to be low in those who are secondary school graduates, married for 2 years, whose first pregnancy and gender of the baby were male, and who evaluated the relationship with their husband at a moderate level. Prenatal attachment increases as satisfaction with marriage increases, while prenatal attachment decreases as health practices during pregnancy increase. Midwives should especially evaluate the prenatal attachment level and related factors of adolescent pregnants, and perform applications to increase prenatal attachment.

Keywords

Adolescent Pregnant, Prenatal Attachment, Marriage Life, Health Practices

References

• [1] Arslan, S., Okçu, G., Coşkun, M.A., Temiz, F. (2019). Women’s perception of pregnancy and the affecting factors. Journal of Health Science and Profession. 6(1):179-192. DOI: 10.17681/hsp.432333
• [2] World Health Organization (2021, Jun 14). Adolescent health, 2021. https://www.who.int/southeastasia/health-topics/adolescent-health; Accessed Date: 10 Aug 2021.
• [3] Kabir, R., Ghosh, S., Shawly, A. (2019). Causes of early marriage and its effect on reproductive health of young mothers in Bangladesh. American Journal of Applied Sciences. 16(9):289-297. DOI: 10.3844/ajassp.2019.289.297
• [4] Keramat, A., Malary, M., Moosazadeh, M., Bagherian, N., Raiabi-Shakib, M.R. (2021). Factors influencing stress, anxiety, and depression among Iraian pregnant women: the role of sexual distress and genital self-image. BMC Pregnancy and Childbirth. 21:87. DOI:10.1186/s12884-021-03575-1
• [5] Kara Uzun, A., & Șimșek Orhon, F. (2013). Influences of adolescent pregnancy on maternal and infant health. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 66(1):19-23. DOI: 10.1501/Tipfak_0000000836
• [6] Yılmaz, D.S., & Kızılkaya Beji, N. (2013). Turkish version of prenatal attachment inventory: A study of reliability and validity. Journal of Anatolia Nursing and Health Sciences. 16(2):103-109.
• [7] Karakaş, M. N., & Dağlı Şahin, F. (2019). The importance of attachment in infant and influencing factors. Turkish Archives of Pediatrics. 54(2):76-81. DOI: 10.14744/TurkPediatriArs.2018.80269
• [8] Balkaya Akdolun, N., Vural, G., Eroğlu, K. (2014). Investigating problems related to the health of mothers and their babies resulting from risk factors determined during pregnancy. Journal of Duzce University Health Sciences Institute. 1(1):6-16.
• [9] Yedirir, S., & Hamarta, E. (2015). Emotional expression and spousal support as predictors of marital satisfaction: The case of Turkey. Educational Sciences: Theory and Practice. 15(6):1549-1558. DOI: 10.12738/estp.2015.6.2822
• [10] Dakin, J., & Wampler, R. (2007). Money doesn’t buy happiness, but it helps: marital satisfaction, psychological distress, and demographic differences between low- and middle-income clinic couples. The American Journal of Family Therapy. 36:300-311. DOI: 10.1080/01926180701647512
• [11] Vural Batık, M., & Kalkan, M. (2017). Perceived marital problem-solving skills and marital satisfaction. Journal of the Human and Social Science Researches, 6(5):2630-2646.
• [12] Muller, M.E. (1993). Development of the prenatal attachment inventory. Western J Nurs Res. 15(2):199-211.DOI: 10.1177/019394599301500205
• [13] Tezer, E. (1996). Satisfaction from marital relationship: Marital Life Scale. Turkish Psychological Counseling and Guidance Journal. 2(7):1-7.
• [14] Lindgren, K. (2005). Testing the Health Practices in Pregnancy Questionnaire-II. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN. 34(4):465–472. DOI: 10.1177/0884217505276308
• [15] Demir, E., Saatçioğlu, Ö., İmrol, F. (2016). Examination of educational researches published in international journals in terms of normality assumptions. Curr Res Educ. 2(3):130-149.
• [16] Alan Dikmen, H., & Çankaya, S. (2018). Effects of maternal obesity on prenatal attachment. Acıbadem University Health Sciences Journal. 9(2):118-123. DOI: 10.31067/0.2018.1
• [17] Küçükkaya, B., Kahyaoğlu Süt, H., Öz, S., Altan Sarıkaya, N. (2020). The relationship between dyadic adjustment and prenatal attachment in pregnancy. Acıbadem University Health Sciences Journal. 11(1):102-110. DOI:10.31067/0.2020.246
• [18] Badem, A., & Zeyneloğlu, S. (2021). Determination of prenatal attachment levels of pregnant women and affecting factors. Kırşehir Ahi Evran University Journal of Health Sciences. 1(1):37-47.
• [19] Eyüpoğlu, D., & Eyüpoğlu, M. (2020). Prenatal attachment, anxiety and depression in pregnant adolescents and the emotional availability of their parents. Anatolian Journal of Psychiatry. 21(2):124-132. DOI:10.5455/apd.56516
• [20] Dağlar, G., & Nur, N. (2018). Level of mother-baby bonding and influencing factors during pregnancy and postpartum period. Psychiatria Danubina. 30(4):433-440. DOI: 10.24869/psyd.2018.433
• [21] Ulu, P.G., & Bayraktar, S. (2018). Investigation of variables related to prenatal bonding levels in pregnant women. Yeni Symposium. 56(2):1-9. DOI: 10.5455/NYS.20180629015333
• [22] Tekin, H.H., & Karakuş, Ö. (2019). The relationship between childhood trauma, emotion regulation difficulties and marital satisfaction in pregnant adolescents. Turkish Journal of Family Medicine and Primary Care. 13(4):500-507. DOI:10.21763/tjfmpc.519969
• [23] Yıldız, M. A., & Baytemir, K. A. (2016). Mediation role of self-esteem in the relationship between marital satisfaction and life satisfaction in married individuals. Inonu University Journal of the Faculty of Education. 17(1):67-80. DOI: 10.17679/iuefd.17181627
• [24] Fincham, F. D., & Bradbury, T. N. (1987). The assessment of marital quality: A reevaluation. Journal of Marriage and the Family. 797-809. DOI: 10.2307/351973
• [25] Erbil, D. D., & Hazer, O. (2018) Examination of married and working individuals’ marital adjustment. International Journal of Eurasian Education and Culture. 3(5):99-116. DOI: 388/810
• [26] Haylı, R.G., Durmuş, E., Kış, A. (2017). Investigating the marital satisfaction in terms of gender: A meta-analysis study. International Journal of Human Sciences. 14(4):3328-3342. doi:10.14687/jhs.v14i4.4830
• [27] Yanikkerem, E., Goker, A., Ustgorul, S., Karakus, A. (2016). Evaluation of sexual functions and marital adjustment of pregnant women in Turkey. Int J Impot Res. 28(5):176–183. DOI: 10.1038/ijir.2016.26
• [28] Durualp, E., Kaytez, N., Aykanat Girgin, B. (2017). An analysis of the relation between marital satisfaction and maternal bonding. Anatolian Journal of Psychiatry. 18(2):129-138.
• [29] Sis Çelik, D., & Aksoy Derya, Y. (2019). Determining the self-care agency and the health practice levels of the pregnant women and the effective factors. Gümüşhane University Journal of Health Sciences. 8(1):111-119. [30] Beyaz, E., Gökçeoğlu, S., Özdemir, N. (2020). Determination the health practice levels of pregnant women in the Muş City Center. Van Health Sciences Journal. 13(2):9-16.
• [31] Hadian, T., Moosavi, S., Meedya, S., Mohammad-Alizadeh-Charandabi, S., Mohammadi, E., Mirghafourvand, M. (2021). Relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women: A prospective study. Archives of Psychiatric Nursing. 35(5):465–471. DOI: 10.1016/j.apnu.2021.06.011
• [32] Özcan, N., Boyacıoğlu, N., Dikeç, G., Dinç, H., Enginkaya, S., Tomruk, N. (2018). Prenatal and postnatal attachment among turkish mothers diagnosed with a mental health disorder. Journal Issues in Mental Health Nursing. 39(9):795-801. DOI:10.1080/01612840.2018.1455773