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GEBELERDE DOĞUM ve POSTPARTUM DÖNEME İLİŞKİN ENDİŞELER; BİR ÖLÇEK GELİŞTİRME VE VALİDASYON ÇALIŞMASI

Year 2008, Volume: 9 Issue: 1, 47 - 54, 01.04.2008

Abstract

Bu çalışmanın amacı, kadınların doğum ve doğum sonrası döneme ilişkin endişelerinin belirlenmesidir. Kesitselve analitik olarak planlanan bu çalışma Manisa'da bir sağlık ocağı bölgesinde yaşayan 203 gebe ile Haziran 2006Ocak 2007 tarihleri arasında gerçekleştirilmiştir. Veriler iki bölümden oluşan soru formuyla toplanmıştır. Birincibölüm kadınların sosyo-demografik özelliklerini içeren soru formu, ikinci bölüm araştırmacılar tarafındangeliştirilen doğum ve doğum sonrası döneme ilişkin endişeler ölçeğinden oluşmaktadır. Doğum ve doğumsonrası döneme ilişkin endişeler ölçeğinin geçerlilik ve güvenilirlik analizi yapılmıştır. Faktör analizindevarimax rotasyon sonucu 10 faktör elde edilmiştir. Geçerlilik analizinde çoğul uzman görüşü ve faktör analizi,güvenilirlik analizinde Cronbach alpha bakılmıştır. İstatistiksel paket programı kullanılarak verilerdeğerlendirilmiştir. Sağlık çalışanlarının gebe kadınlara gebelik, doğum ve doğum sonrası döneme ilişkinendişelerini ve hissettiklerini sorması çok önemlidir

References

  • 1. Wuitchik M, Hesson K, Bakal DA. Perinatal predictors of pain and distress during labor. Birth 1990; 17: 18691.
  • 2. Ryding EL, Wijma B, Wijma K, Rydhstrom H. Fear of childbirth during pregnancy may increase the risk of emergency cesarean section. Acta Obstet Gynecol Scand 1998; 77: 54247.
  • 3. Areskog B, Uddenberg N, Kjessler B. Postnatal emotional balance in women with and without antenatal fear of childbirth. J Psychosom Res 1984; 28: 21320.
  • 4. Knight RG, Thirkettle JA. The relationship between expectations of pregnancy and birth, and transient depression in the immediate post-partum period. J Psychosom Res 1987; 31: 35157
  • 5. Kennerley H, Gath D. Maternity blues III: Associations with obstetric, psychological, and psychiatric factors. Br J Psychiatry 1989; 155: 36773.
  • 6. Saisto T, Salmela-Aro K, Nurmi J-E, Halmesmäki E. Psychosocial predictors of disappointment with delivery and puerperal depression: A longitudinal study.Acta Obstet Gynecol Scand 2001; 80:3945.
  • 7. Ryding EL. Psychosocial indications for cesarean section: A retrospective study of 43 cases. Acta Obstet Gynecol Scand 1991; 70:479
  • 8. Ryding EL. Investigation of 33 women who demanded a cesarean section for personal reasons. Acta Obstet Gynecol Scand 1993; 72: 2805.
  • 9. Atiba EO, Adeghe AJ-H, Murphy PJ, et al. Patient's expectation and caesarean section rate. Lancet 1993; 341 (8839): 246.
  • 10. Melender H-L, Lauri S. Fears associated with pregnancy and childbirthexperiences of women who have recently given birth. Midwifery 1999; 15: 17782.
  • 11. Bernazzani O, Saucier J-F, David H, et al. Psychosocial factors related to emotional disturbances during pregnancy. J Psychosom Res 1997; 42: 391402.
  • 12. Hofberg K, Brockington I. Tokophobia: an unreasoning dread of childbirth.A series of 26 cases. Br J Psychiatry 2000; 176: 835
  • 13. Johnson RC, Slade P. Obstetric complications and anxiety during pregnancy: is there a relationship? J Psychosom Obstet Gynaecol. 2003 Mar; 24(1): 1-14.
  • 14. Areskog B, Uddenberg N, Kjessler B. Fear of childbirth in late pregnancy. Gynecol Obstet Invest 1981; 12: 2626.
  • 15. Searle J. Fearing the worst-why do pregnant women feel “at risk”? Aust N Z J Obstet Gynaecol 1996; 36: 279-86.
  • 16. Szeverenyi P, Poka R, Hetey M, Torok Z. Contents of childbirth-related fear among couples wishing the partner's presence at delivery. J Psychosom Obstet Gynaecol 1998 Mar; 19 (1): 38-43.
  • 17. Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma.Acta Obstet Gynecol Scand 2003; 82: 201-8.
  • 18. Melender HL. Experiences of fears associated with pregnancy and childbirth: A study of 329 pregnant women. Birth 2002 29(2): 101- 11.
  • 19. Hayran M, Özdemir O. Bilgisayar İstatistik ve Tıp. Hekimler Yayın Birliği Medikal Araştırma Grubu, 1995.
  • 20. Akgül A. Tıbbi araştırmalarda istatistiksel analiz teknikleri ”SPSS uygulamaları” Yüksek Öğretim Kurulu Matbaası,Ankara, 1997.
  • 21. Portney LG, Watkins MP. Foundations of clinical research : Applications to practice. Appleton and Lange , 1993 .
  • 22. Dowson Saunders B, Trpp RG. Basic and clinical statistics. Second Edition: A Lange Medical Book, 1994
  • 23. Sjögren B. Reasons for anxiety about childbirth in 100 pregnant women. J Psychosom Obstet Gynaecol 1997; 18: 26672
  • 24. DiRenzo G, Polito P, Volpe A, Anceschi M, Guidetti R. A multicentric study on fear of childbirth in pregnant women at term. J Psychosom Obstet Gynecol 1984; 3: 15563
  • 25. Saisto T, Ylikorkala O, Halmesmaki E. Factors associated with fear of delivery in second pregnancies. Obstet Gynecol 1999; 94: 67982.
  • 26. Levin JS, The factor structure of the pregnancy anxiety scale. J Health Soc Behav 1991; 32: 36981.

Fear of Childbirth and The Postpartum Period: A Scale Development and Validation Study

Year 2008, Volume: 9 Issue: 1, 47 - 54, 01.04.2008

Abstract

The aim of the study was identification of women with fear of childbirth and the postpartum period. This crosssectional analytic study was conducted in a primary health care center of Manisa between June 2006 and January 2007. 203 women were included. Data were collected via a questionnaire consisting of two parts. The first part included demographic and reproductive characteristics, the second part was a fear of childbirth and postpartum period questionnaire which had been developed by the researchers. Validity and reliability analysis of the fear of childbirth and postpartum period questionnaire was positive. Factor analysis, primary component analysis and varimax were used for validity. The principle component analysis used for factor analysis with a varimax rotation produced 10 factors. Internal reliability of the questionnaire was determined by the use of the Cronbach coefficient alpha. Statistical package program was used for calculation and analysis of the data. It is important for health practitioners to ask pregnant women about their feelings and fears concerning the current pregnancy, expected childbirth, and postpartum period.

References

  • 1. Wuitchik M, Hesson K, Bakal DA. Perinatal predictors of pain and distress during labor. Birth 1990; 17: 18691.
  • 2. Ryding EL, Wijma B, Wijma K, Rydhstrom H. Fear of childbirth during pregnancy may increase the risk of emergency cesarean section. Acta Obstet Gynecol Scand 1998; 77: 54247.
  • 3. Areskog B, Uddenberg N, Kjessler B. Postnatal emotional balance in women with and without antenatal fear of childbirth. J Psychosom Res 1984; 28: 21320.
  • 4. Knight RG, Thirkettle JA. The relationship between expectations of pregnancy and birth, and transient depression in the immediate post-partum period. J Psychosom Res 1987; 31: 35157
  • 5. Kennerley H, Gath D. Maternity blues III: Associations with obstetric, psychological, and psychiatric factors. Br J Psychiatry 1989; 155: 36773.
  • 6. Saisto T, Salmela-Aro K, Nurmi J-E, Halmesmäki E. Psychosocial predictors of disappointment with delivery and puerperal depression: A longitudinal study.Acta Obstet Gynecol Scand 2001; 80:3945.
  • 7. Ryding EL. Psychosocial indications for cesarean section: A retrospective study of 43 cases. Acta Obstet Gynecol Scand 1991; 70:479
  • 8. Ryding EL. Investigation of 33 women who demanded a cesarean section for personal reasons. Acta Obstet Gynecol Scand 1993; 72: 2805.
  • 9. Atiba EO, Adeghe AJ-H, Murphy PJ, et al. Patient's expectation and caesarean section rate. Lancet 1993; 341 (8839): 246.
  • 10. Melender H-L, Lauri S. Fears associated with pregnancy and childbirthexperiences of women who have recently given birth. Midwifery 1999; 15: 17782.
  • 11. Bernazzani O, Saucier J-F, David H, et al. Psychosocial factors related to emotional disturbances during pregnancy. J Psychosom Res 1997; 42: 391402.
  • 12. Hofberg K, Brockington I. Tokophobia: an unreasoning dread of childbirth.A series of 26 cases. Br J Psychiatry 2000; 176: 835
  • 13. Johnson RC, Slade P. Obstetric complications and anxiety during pregnancy: is there a relationship? J Psychosom Obstet Gynaecol. 2003 Mar; 24(1): 1-14.
  • 14. Areskog B, Uddenberg N, Kjessler B. Fear of childbirth in late pregnancy. Gynecol Obstet Invest 1981; 12: 2626.
  • 15. Searle J. Fearing the worst-why do pregnant women feel “at risk”? Aust N Z J Obstet Gynaecol 1996; 36: 279-86.
  • 16. Szeverenyi P, Poka R, Hetey M, Torok Z. Contents of childbirth-related fear among couples wishing the partner's presence at delivery. J Psychosom Obstet Gynaecol 1998 Mar; 19 (1): 38-43.
  • 17. Saisto T, Halmesmäki E. Fear of childbirth: a neglected dilemma.Acta Obstet Gynecol Scand 2003; 82: 201-8.
  • 18. Melender HL. Experiences of fears associated with pregnancy and childbirth: A study of 329 pregnant women. Birth 2002 29(2): 101- 11.
  • 19. Hayran M, Özdemir O. Bilgisayar İstatistik ve Tıp. Hekimler Yayın Birliği Medikal Araştırma Grubu, 1995.
  • 20. Akgül A. Tıbbi araştırmalarda istatistiksel analiz teknikleri ”SPSS uygulamaları” Yüksek Öğretim Kurulu Matbaası,Ankara, 1997.
  • 21. Portney LG, Watkins MP. Foundations of clinical research : Applications to practice. Appleton and Lange , 1993 .
  • 22. Dowson Saunders B, Trpp RG. Basic and clinical statistics. Second Edition: A Lange Medical Book, 1994
  • 23. Sjögren B. Reasons for anxiety about childbirth in 100 pregnant women. J Psychosom Obstet Gynaecol 1997; 18: 26672
  • 24. DiRenzo G, Polito P, Volpe A, Anceschi M, Guidetti R. A multicentric study on fear of childbirth in pregnant women at term. J Psychosom Obstet Gynecol 1984; 3: 15563
  • 25. Saisto T, Ylikorkala O, Halmesmaki E. Factors associated with fear of delivery in second pregnancies. Obstet Gynecol 1999; 94: 67982.
  • 26. Levin JS, The factor structure of the pregnancy anxiety scale. J Health Soc Behav 1991; 32: 36981.
There are 26 citations in total.

Details

Other ID JA98JB88KR
Journal Section Short Report
Authors

Gül Kitapçıoğlu This is me

Emre Yanıkkerem This is me

Ümran Sevil This is me

Derya Yüksel This is me

Publication Date April 1, 2008
Published in Issue Year 2008 Volume: 9 Issue: 1

Cite

EndNote Kitapçıoğlu G, Yanıkkerem E, Sevil Ü, Yüksel D (April 1, 2008) Fear of Childbirth and The Postpartum Period: A Scale Development and Validation Study. Meandros Medical And Dental Journal 9 1 47–54.