Fiziksel Engelli Annelerde Emzirme ve Anne-Bebek Bağlanması: Sosyal Hizmet ve Ebelik Perspektiflerinden ‘BAĞ-Modül’ Model Önerisi

Year 2025, Volume: 5 Issue: 3, 81 - 96, 30.11.2025

Feyza Ervüz , Vasviye Eroğlu

https://doi.org/10.57114/jswrpub.1793462

Abstract

Bu makale, fiziksel engelli annelerin emzirme ve anne-bebek bağlanma süreçlerini literatürdeki mevcut bulgular ışığında incelemektedir. Emzirmenin yalnızca biyolojik bir beslenme işlevi olmadığı; aynı zamanda güvenli bağlanmayı destekleyen, anne duyarlılığını artıran ve psikososyal gelişimi güçlendiren temel bir etkileşim biçimi olduğu vurgulanmaktadır. Ancak fiziksel engelli anneler açısından emzirme deneyimleri hareket kısıtlılıkları, uygun pozisyon bulma güçlüğü, danışmanlık eksiklikleri ve toplumsal önyargılar nedeniyle çeşitli engellerle şekillenmektedir. Literatür, bu engellerin yalnızca emzirme pratiğini değil, anne-bebek arasındaki etkileşimin niteliğini ve güvenli bağlanma sürecini de doğrudan etkileyebileceğini ortaya koymaktadır. Mevcut araştırmaların büyük ölçüde sağlık odaklı olduğu, sosyal hizmet perspektifini ise sınırlı biçimde ele aldığı görülmektedir. Bu boşluğu doldurmak amacıyla geliştirilen “BAĞ-Modül” modeli ebelik hizmetlerinin klinik katkılarını, sosyal hizmetin psikososyal ve hak temelli destek mekanizmalarıyla bütünleştiren yenilikçi bir model önerisi sunmaktadır. Modelin, fiziksel engelli annelerin ebeveynlik kapasitelerini güçlendirmeye, sosyal destek ağlarını etkinleştirmeye ve anne-bebek bağlanmasını sürdürülebilir biçimde desteklemeye katkı sağlayacağı düşünülmektedir.

Keywords

Fiziksel engellilik , Emzirme , Anne-bebek bağlanması , Psikososyal destek , Ergonomik çözümler. , Sosyal Hizmet , Ebelik

Breastfeeding and Mother-Infant Attachment in Physically Disabled Mothers: A Proposal for the ‘Attachment, Adaptation, Empowerment-Module’ Model from Social Work and Midwifery Perspectives

Abstract

Abstract
This article examines breastfeeding and mother-infant bonding processes among mothers with physical disabilities in light of existing findings in the literature. It emphasizes that breastfeeding is not merely a biological feeding function; it is also a fundamental form of interaction that supports secure attachment, increases maternal sensitivity, and strengthens psychosocial development. However, breastfeeding experiences for mothers with physical disabilities are shaped by various barriers due to mobility limitations, difficulty finding a suitable position, lack of counseling, and social prejudices. The literature also reveals that these barriers can directly affect not only breastfeeding practices but also the quality of mother-infant interaction and the secure attachment process. Current research is largely health-focused and addresses the social work perspective only to a limited extent. The “Attachment, Adaptation, Empowerment (Attachment Module)” model, developed to fill this gap, proposes an innovative model that integrates the clinical contributions of midwifery services with the psychosocial and rights-based support mechanisms of social services. The model is expected to contribute to strengthening the parenting capacities of mothers with physical disabilities, activating their social support networks, and sustainably supporting mother-infant bonding.

Keywords

Physical disability , breastfeeding , mother-infant attachment , psychosocial support , ergonomic solutions. , social work , midwifery

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