Doğum Tipi ve Anksiyetenin Erken Anne Bebek Etkileşimine Etkisi: Türkiye’den Bir Çalışma

Year 2022, , 463 - 474, 29.08.2022

Ayse Arasan Seval Cambaz Ulaş

https://doi.org/10.47115/jshs.1081458

Abstract

Amaç: Kadınların doğum şekli ve kaygısının erken anne-bebek etkileşimi üzerindeki etkisini araştırmaktır.
Yöntem: Kesitsel bir çalışmadır. Araştırmanın örneklemini bir devlet hastanesi doğumhanesine Eylül 2015 Ağustos 2016 tarihleri arasında başvuran gebe kadınlar oluşturmuştur (n:324). Araştırmada sosyodemografik form, durumluk kaygı ölçeği ve anne-bebek etkileşim ölçeği kullanılmıştır.
Bulgular: Annelerin %54.9’unun normal doğum yaptığı, %48.1’inin yüksek kaygıya sahip olduğu ve durumluk kaygı ölçeği puan ortalamasının 41.73±6.79 olduğu belirlenmiştir. Annelerin anne-bebek etkileşimi ölçeği ilk temas puan ortalaması 8.39 ± 1.92 iken, ikinci gün temas puanı 8.94 ± 1.67 olarak bulunmuştur. Ayrıca annelerin anne-bebek etkileşimi ilk temasta %28.1’inin, ikinci gün temasta ise, %19.8’inin ebe/hemşire desteğine ihtiyaç duyduğu belirlenmiştir. Doğum şekli ile anne-bebek etkileşim ölçeği ilk temas puanları arasında istatistiksel olarak anlamlı fark bulunurken (p<0.05), ikinci gün temas puanı ile anlamlı fark bulunmamıştır (p>0.05). Annelerin kaygı puanı ile anne bebek etkileşim ölçeği puanı arasında anlamlı düzeyde negatif bir ilişki saptanmıştır (p<0.05).
Sonuçlar ve Öneriler: Araştırmada doğum şeklinin anne bebek etkileşimini etkilemediği, kaygı düzeyi yükseldikçe anne bebek etkileşim puanlarının düştüğü belirlenmiştir. Prenatal durumluk kaygısı yüksek gebelerin doğum sonrası anne-bebek etkileşimini artıracak girişimler planlanması önerilebilir.

Keywords

Anksiyete, Sezaryen doğum, Normal doğum, Anne bebek etkileşimi

Supporting Institution

yok

The Effect of Women’s Mode of Delıvery and Anxiety on Early Mother-Infant Interactıon: A Study from Turkey

Abstract

Aim: The aim of this study was to investigate the effect of women’s mode of delivery and anxiety on early mother-infant interaction.
Method: This was a cross-sectional study. The sample of the study consisted of pregnant women who applied to the delivery room of a state hospital between September 2015 and August 2016 (n:324). Sociodemographic form, state anxiety scale and mother-infant interaction form were used in the study.
Results: It was determined that 54.9% of the mothers gave birth normally, 48.1% had high anxiety and the mean score of the state anxiety scale was 41.73±6.79. The mother-infant interaction scale first contact mean score was 8.39 ± 1.92, while the second day contact score was 8.94 ± 1.67. In addition, it was determined that 28.1% of mothers in the mother-infant interaction needed midwife/nurse support at the first contact and 19.8% at the second day of contact. A statistically significant difference was found between mode of delivery and mother-baby first contact scores (p<0.05), but no significant difference was found with the second day contact score (p>0.05). A significant negative correlation at a medium level was determined between the mothers’ anxiety score and their scores on the mother-baby interaction scale for first contact and second day contact (p<0.05).
Conclusion and Suggestions: It was determined in the study that mode of delivery did not affect mother baby interaction, but as anxiety levels rose, so mother-baby interaction scores fell. Interventions to increase mother-infant interaction after delivery of pregnant women with high prenatal state anxiety can be planned.

Keywords

Anxiety, Cesarean birth, Normal birth, Mother-baby interaction

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