GEBELERDE DOĞUM ve POSTPARTUM DÖNEME İLİŞKİN ENDİŞELER; BİR ÖLÇEK GELİŞTİRME VE VALİDASYON ÇALIŞMASI
Year 2008,
Volume: 9 Issue: 1, 47 - 54, 01.04.2008
Gül Kitapçıoğlu
Emre Yanıkkerem
Ümran Sevil
Derya Yüksel
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
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childbirth during pregnancy may increase the risk of
emergency cesarean section. Acta Obstet Gynecol
Scand 1998; 77: 54247.
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depression in the immediate post-partum period. J
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Br J Psychiatry 1989; 155: 36773.
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Psychosocial predictors of disappointment with
delivery and puerperal depression: A longitudinal
study.Acta Obstet Gynecol Scand 2001; 80:3945.
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section: A retrospective study of 43 cases. Acta Obstet
Gynecol Scand 1991; 70:479
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a cesarean section for personal reasons. Acta Obstet
Gynecol Scand 1993; 72: 2805.
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pregnancy and childbirthexperiences of women who
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pregnancy. J Psychosom Res 1997; 42: 391402.
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dread of childbirth.A series of 26 cases. Br J Psychiatry
2000; 176: 835
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anxiety during pregnancy: is there a relationship? J
Psychosom Obstet Gynaecol. 2003 Mar; 24(1): 1-14.
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in late pregnancy. Gynecol Obstet Invest 1981; 12:
2626.
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feel “at risk”? Aust N Z J Obstet Gynaecol 1996; 36:
279-86.
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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.
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Hekimler Yayın Birliği Medikal Araştırma Grubu,
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teknikleri ”SPSS uygulamaları” Yüksek Öğretim
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Lange , 1993 .
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pregnant women. J Psychosom Obstet Gynaecol 1997;
18: 26672
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A multicentric study on fear of childbirth in pregnant
women at term. J Psychosom Obstet Gynecol 1984; 3:
15563
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associated with fear of delivery in second pregnancies.
Obstet Gynecol 1999; 94: 67982.
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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
Gül Kitapçıoğlu
Emre Yanıkkerem
Ümran Sevil
Derya Yüksel
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.