Preeklampsili Gebelerde Gebelikle İlişkili Anksiyetenin Prenatal Bağlanmaya Etkisi

Year 2021, Volume: 18 Issue: 3, 907 - 915, 25.09.2021

Mesude Duman , Özlem Doğan Yüksekol , Yeter Durgun Ozan

https://doi.org/10.38136/jgon.795735

Cited By: 1

Abstract

Amaç: Bu araştırma, preeklampsili gebelerde gebelik anksiyesitesi ile prenatal bağlanma arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Tanımlayıcı nitelikte tasarlanan bu araştırma Türkiye’nin doğusunda bulunan bir Üniversite Hastanesi Kadın Doğum polikliniklerinde yürütülmüştür. Araştırma toplam 121 preeklampsili gebe ile yapılmıştır. Verilerin toplanmasında Tanıtıcı Özellikler Formu, Gebelik Anksiyete Ölçeği ve Prenatal Bağlanma Envanteri kullanılmıştır.
Bulgular: Araştırmada eğitim durumu, gebelik anksiyetesi, preeklampsi düzeyi, gebelik sayısının prenatal bağlanma için önemli yordayıcılar olduğu tespit edilmiştir (R=0.323, R2=0.105, F=11.313, p<0.001)
Sonuç: Araştırmamızın sonucunda preeklampsili gebelerde gebelikle ilişkili anksiyetenin prenatal bağlanmanın önemli bir yordayıcısı olduğu bulunmuştur. Ebe ve hemşirelerin özellikle, preeklampsili gebelerde prenatal bağlanmayı olumsuz etkilyebilecek eğitim seviyesi ve gebelik sayısı gibi faktörleri bilmesi, sorunun erken dönemde tanılanmasına olanak sağlayarak, hem kadının, hem bebeğin sağlığının olumsuz yönde etkilenmesini önleyecektir.

Keywords

Gebe, Gebelik Anksiyetesi, Preeklampsi, Prenatal Bağlanma

Supporting Institution

YOK

Project Number

DEĞİL

Thanks

Çalışmaya katılmayı gönüllü olarak kabul eden gebelere teşekkürler

The Effect of Pregnancy-Related Anxiety on Prenatal Attachment in pregnant women with preeclampsia

Abstract

Aim: This study aimed at determining the relationship between the pregnancy related anxiety and prenatal attachment in pregnant women with preeclampsia.
Materials and Method: This descriptive study, was conducted in the obstetric polyclinics of a university hospital in the Eastern Turkey. The study was conducted on 121 pregnant women with preeclampsia. The Descriptive Properties Form, Pregnancy Related Anxiety Questionnaire-R2 and Prenatal Attachment Inventory were used in data collection.
Results: In the study, it was determined that educational level, pregnancy related anxiety, severity of preeclampsia and parity were important predictors for the prenatal attachment (R=0.624, R2=0.389, F=18.458, p<0.001).
Conclusions: It was determined that pregnancy related anxiety wasimportant predictors for the prenatal attachment in pregnant women with preeclampsia. The fact that midwives and nurses know the factors such as the level of education and the number of pregnancies that may adversely affect prenatal attachment in pregnant women with preeclampsia will prevent the health of both the woman and the baby from being adversely affected.

Keywords

Pregnancy, Preeclampsia, Pregnancy Related Anxiety, Prenatal Attachment

Project Number

DEĞİL

References

• 1. Oats J, Abraham S, Jones L. Fundamentals of Obstetrics and Gynaecology. 10th edn. Chapter 6, Antenatal care. China, Elsevier Co, 2017; pp. 40,54,87.
• 2. Ölçer Z, Oskay Ü. Yüksek riskli gebelerin yaşadığı stresörler ve stresle baş etme yöntemleri. HEAD. 2015; 12: 85- 92.
• 3. Aksoy YE, Turfan EÇ, Yılmaz SD. Assessment of health-promoting lifestyle habits in normal and high-risk pregnancies. Perinat J. 2017; 25: 26–31.
• 4. World Health Organization. Maternal Mortality. 2018 update. http://www.who.int/en/news-room/fact-sheets/detail/maternal-mortality. 30 Nisan 2018.
• 5. Macedo TC, Montagna E, Trevisan CM, Zaia V, de Oliveira R, Barbosa CP, Bianco B. Prevalence of preeclampsia and eclampsia in adolescent pregnancy: a systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. Eur J Obstet Gynecol Reprod Biol. 2020; 248:177-186. doi: 10.1016/j.ejogrb.2020.03.043.
• 6. Olié V, Moutengou E, Deneux-Tharaux C, Kretz S, Vallée A, Blache, J, Plu-Bureau, G. Prevalence of hypertensive disorders during pregnancy and post-partum in France. Arch Cardiovasc Dis. 2020;12:155-156.doi: 10.1016/j.acvdsp.2019.09.321.
• 7. August P, Sibai BM. Preeclampsia: Clinical features and diagnosis. In: Up To Date Hypertensive Emergency [online]. Available at: https://www.uptodate.com/contents/preeclampsia-clinical-features-and diagnosis?search=preeclampsia&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1. Accessed March 22, 2020.
• 8. de Castro Rezende KB, Bornia RG, dos Santos Esteves APV, da Cunha AJLA, Junior JA. Preeclampsia: prevalence and perinatal repercussions in a University Hospital in Rio de Janeiro, Brazil. Pregnancy Hypertension: An ınternational journal of women's cardiovascular health. 2016;6:253-255.doi: 10.1016/j.preghy.2016.08.229.
• 9. Filipek A, Jurewicz E. (2018). Preeclampsia-a disease of pregnant women. Postepy biochemii, 64(4), 232-229.doi: 10.18388/pb.2018_146.
• 10. Phipps EA, Thadhani R, Benzing T, Karumanchi SA. Preeclampsia: pathogenesis, novel diagnostics and therapies. Nature Reviews Nephrology. 2019;1.doi: 10.1038/s41581-019-0119-6.
• 11. Burgess A, McDowell W, Ebersold S. Association between lactation and postpartum blood pressure in women with preeclampsia. MCN: The American Journal of Maternal/Child Nursing. 2019;44:86-93. doi: 10.1097/NMC.0000000000000502.
• 12. Strapasson MR, Ferreira CF, Ramos JGL. Feeding practices in the first 6 months after delivery: Effects of gestational hypertension. Pregnancy Hypertension. 2018;13:254-259. doi:10.1016/j.preghy.2018.07.002.
• 13. Abazarnejad T, Ahmadi A, Nouhi E, Mirzae M, Atghai M. Effectiveness of psycho-educational counseling on anxiety in preeclampsia, Trends Psychiatry Psychother. AHEAD.2019.doi: 10.1590/2237-6089-2017-0134.
• 14. Kehler S, Ashford K, Cho M, Dekker RL. Experience of preeclampsia and bed rest: Mental health implications. Issues in mental health nursing. 2016;37:674-681.doi: 10.1080/01612840.2016.1189635.
• 15. Krishnamurti T, Davis AL, Simhan HN. Worrying yourself sick? Association between pre-eclampsia onset and health-related worry in pregnancy. Pregnancy hypertension. 2019;18:55-57.doi: 10.1016/j.preghy.2019.09.003.
• 16. Yüksekol ÖD, Başer, M. The effect of music on arterial blood pressure and anxiety levels in pregnant women hospitalized due to mild preeclampsia: A pilot randomized controlled trial. EuJIM. 2020;35:101093. doi:10.1016/j.eujim.2020.101093.
• 17. Askarizadeh G, Karamoozian M, Darekordi A, Validation of Iranian version ofpregnancy related anxiety questionnaire. International Journal of Preventive Medicine, 2017;8-17.doi: 10.4103/ijpvm.IJPVM_63_16.
• 18. Bann CM, Parker CB, Grobman WA, Willinger M, Simhan HN, Wing DA, Wapner RJ. Psychometric properties of stress and anxiety measures among nulliparous women. J Psychosom Obstet Gynaecol. 2017;38:53-62. doi: 10.1080/0167482X.2016.1252910.
• 19. Koelewijn JM, Sluijs AM, Vrijkotte TG. Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study. BMJ open. 2017;7:1-13.
• 20. Huizink AC, Delforterie MJ, Scheinin NM, Tolvanen M, Karlsson L, Karlsson H. Adaption of pregnancy anxiety questionnaire–revised for all pregnant women regardless of parity: PRAQ-R2. Arch Womens Ment Health 2016; 19:125–132.doi: 10.1007/s00737-015-0531-2.
• 21. Lucas A. Promoting maternal-fetal attachment with women affected by HIV and/or substance use. National Abandoned Infants Assistance Resource Center. 2013;1-12.
• 22. Alan Dikmen H, Çankaya S. Maternal Obezitenin Prenatal Bağlanma Üzerine Etkisi. ACU Sağlık Bilimleri Dergisi. 2018;9:118-123.
• 23. Şolt Kırca A, Savaşer S. Doğum Sayısının Anne-Bebek Bağlanmasına Etkisi. Sağlık Bilimleri ve Meslekleri Dergisi. 2017;4:236-243.
• 24. Topaç Tunçel N, Kahyaoğlu Süt H. Gebelikte yaşanan anksiyete, depresyon ve prenatal distres düzeyinin doğum öncesi bebeğe bağlanmaya etkisi. Jinekoloji - Obstetrik Ve Neonatoloji Tıp Dergisi. 2019;16: 9-17.
• 25. Rubertsson C, Pallant J, Sydsjöc G, Haines HM, Hildingssona I. Maternal depressive symptoms have a negative impact on prenatal attachment – findings from a swedish community sample. J Reprod Infant Psychol. 2015; 33:153–164.doi: 10.1080/02646838.2014.992009.
• 26. Çınar N, Köse D, Altınkaynak S. Yenidoğanın anne ve baba ile bağlanma süreci. Sürekli Tıp Eğitimi Dergisi. 2013; 22:6.
• 27. Akbarzadeh M, Moattari M, Abootalebi M. Effect of the basnef model on maternal-fetal attachment in the pregnant women referring to the prenatal clinics affiliated to shiraz university of medical sciences. Iranian Journal of Neonatology. 2017;8:3.doi: 10.22038/ijn.2017.20521.1229.
• 28. Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Risk and protective factors in maternal-fetal attachment development. Early Hum Dev 2014; 9:45-46.doi: 10.1016/S0378-3782(14)50012-6.
• 29. Höbek Akarsu R, Oskay Ü. Yüksek riskli gebelerin tehlike belirtileri hakkında bilgi ve prenatal bağlanma düzeylerinin belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2017;33(2):16-26.
• 30. Çınar N, Caka S, Topal S, Yuvaci HU, Erkorkmaz Ü. Relationship of pregnant women with health related practices, fatigue and prenatal attachment. Journal of The College of Physicians and Surgeons. 2017;27:693-698.
• 31. Derya YA, Taşhan ST, Duman M, Ozan YD. Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: Validity and reliability study in multiparous and primiparous pregnancy. Midwifery, 2018; 62:61-68. doi: 10.1016/j.midw.2018.03.006.
• 32. Muller ME. Development of the prenatal attachment ınventory. Western J Nurs Res 1993;15:199-211.doi: 10.1177/019394599301500205.
• 33. Yılmaz S, Beji NK. Prenatal bağlanma envanteri’nin türkçe’ye uyarlanması: güvenilirlik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16:103-109.
• 34. Tunçel NT, Süt HK. Gebelikte yaşanan anksiyete, depresyon ve prenatal distres düzeyinin doğum öncesi bebeğe bağlanmaya etkisi. Jinekoloji Obstetrik ve Neonatoloji Tıp Dergisi. 2019;16:9-17.
• 35. Mcfarland J, Salisbury AL, Battle CL, Hawes K, Halloran K, Lester BM. Major depressive disorder during pregnancy and emotional attachment to the fetus. Arch Womens Ment Health 2011;14:425-434.doi: 10.1007/s00737-011-0237-z.
• 36. Parsa P, Saeedzadeh N, Masoumi SZ, Roshanaei G. The effectiveness of counseling in reducing anxiety among nulliparous pregnant women. J Family Reprod Health. 2016; 6;15:3419-3427. doi: 10.2147/NDT.S233094.
• 37. Chang H-C, Yu C-H, Chen S-Y, et al. The effects of music listening on psychosocial stress and maternal-fetal attachment during pregnancy. Complement Ther Med.2015;23(4):509-15. doi: 10.1016/j.ctim.2015.05.002.
• 38. Bülbül M, Dilbaz B, Koyuncu SB, Yağmur Y. Is ıncreased stress affecting prenatal attachment in high risk pregnancies?. Journal of Medical Practice and Review 2018; 2:08.
• 39. Kesebir S, Özdoğan-Kavzoğlu S, Üstündağ MF. Bağlanma ve psikopatoloji. Psikiyatride Güncel Yaklaşımlar. 2011;3:321-342.
• 40. Eswi A, Khalil A. Prenatal attachment and fetal health locus of control among low risk and high risk pregnant women. World Applied Sciences Journal. 2012;18:462-471.
• 41. Üstünsöz A, Güvenç G, Akyüz A, Oflaz F. Comparison of maternal and paternal-fetal attachment in turkish couples. Midwifery. 2010;26(2):e1-9. doi: 10.1016/j.midw.2009.12.006.
• 42. Mohamadirizi S, Kordi M. The relationship between multi-dimensional self-compassion and fetal-maternal attachment in prenatal period in referred women to Mashhad Health Center. J Educ Health Promot. 2016; 23;5:21.doi: 10.4103/2277-9531.184550.
• 43. Elkin, N. Gebelerin prenatal bağlanma düzeyleri ve bunları etkileyen faktörler. Sürekli Tıp Eğitim Dergisi. 2015;24 (6): 230-236.
• 44. Aksoy YE, Yılmaz SD, Aslantekin F. Riskli gebeliklerde prenatal bağlanma ve sosyal destek. Turkiye Klinikleri Journal of Health Sciences. 2016;1:163-169.
• 45. Rubertsson C, Pallant J, Sydsjöc G, Haines HM, Hildingssona I. Maternal depressive symptoms have a negative impact on prenatal attachment – findings from a swedish community sample. J Reprod Infant Psychol. 2015; 33:153–164.doi: 10.1080/02646838.2014.992009.