Primer ve Mükerrer Sezaryen Doğum Yapmanın Lohusalardaki Emzirme Başarısı ve Maternal Bağlanma Düzeyine Etkisi: Kesitsel ve Karşılaştırmalı Bir Çalışma

Year 2024, , 772 - 785, 21.10.2024

Ayşe Nur Yılmaz , Sümeyye Altıparmak , Yeşim Aksoy Derya

https://doi.org/10.33715/inonusaglik.1446096

Abstract

Bu araştırma, primer ve mükerrer sezaryen doğum yapmanın lohusalardaki emzirme başarısı ve maternal bağlanma düzeyine etkisini belirlemek amacıyla yapıldı. Kesitsel ve karşılaştırmalı tipte olan araştırmanın örneklemini, Türkiye’nin doğusunda bulunan bir kamu hastanesine başvuran 322 lohusa oluşturdu. Veriler, “Kişisel Tanıtım Formu”, “LATCH Emzirme Tanılama Ölçüm Aracı” ve “Maternal Bağlanma Ölçeği (MBÖ)” ile toplandı. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t testi ve pearson korelasyon analizi kullanıldı. Primer ve mükerrer doğum yapan lohusaların yaş ortalaması sırasıyla 28.14 ± 6.15, 30.56 ± 4.91 olarak belirlendi. Primer sezaryen doğum yapan lohusaların LATCH ve MBÖ toplam puan ortalamasının mükerrer sezaryen doğum yapan lohusalara göre daha düşüktü ve aralarındaki farkın istatistiksel olarak anlamlıydı (p=0.000). Primer ve mükerrer sezaryen doğum yapan kadınların MBÖ ve LATCH puan ortalamaları arasında pozitif yönde zayıf düzeyde anlamlı ilişki olduğu ve emzirme başarısı arttıkça bağlanma düzeyinin de arttığı saptandı. Primer sezaryen doğumlarda mükerrer sezaryen doğumlara oranla emzirme başarısı ve bağlanma düzeylerinin daha düşük olduğu ve her iki grupta elde edilen emzirme başarısı arttıkça bağlanma düzeyinde arttığı sonucuna varıldı.

Keywords

Bağlanma, Emzirme başarısı, Lohusa, Mükerrer sezaryen, Primer sezaryen

THE EFFECT OF PRIMARY AND REPEATED CESAREAN BIRTH ON BREASTFEEDING SUCCESS AND MATERNAL ATTACHMENT LEVEL IN POSTPARTUM: A CROSS-SECTIONAL AND COMPARATIVE STUDY

Abstract

This research was conducted to determine the effect of primary and repeated cesarean births on breastfeeding success and maternal attachment level in postpartum women. The cross-sectional and comparative study sample consisted of 322 postpartum women who applied to a public hospital in eastern Turkey. Data were collected with the "Personal Information Form", "LATCH Breastfeeding Assessment Tool" and “Maternal Attachment Scale(MAS)". Descriptive statistics, independent group’s t-test, and Pearson correlation analysis were used to analyze the data. The average age of the puerperants with primary and repeat births was determined as 28.14±6.15, and 30.56±4.91, respectively. The mean LATCH and MAS total scores of postpartum women who had primary cesarean delivery were lower than those of postpartum women who had repeated cesarean delivery, and the difference between them was statistically significant(p=0.000). It was found that there was a weak, positive relationship between the MAS and LATCH score averages of women who had primary and repeated cesarean deliveries, and as breastfeeding success increased, the level of attachment also increased. It was concluded that breastfeeding success and attachment levels were lower in primary cesarean births compared to repeated cesarean births, and as the breastfeeding success achieved in both groups increased, the level of attachment increased.

Keywords

Attachment, Breastfeeding success, Postpartum, Repeated cesarean, Primary cesarean

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