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COVID-19 SALGINININ POSTPARTUM DÖNEMDEKİ KADINLARIN PSİKOSOSYAL SAĞLIĞINA VE ANNE-BEBEK BAĞLANMASINA YANSIMALARI

Year 2023, Volume: 4 Issue: 3, 432 - 455, 31.12.2023

Abstract

Bu çalışma, doğum sonrası dönemde kadınların COVID-19'a yakalanma korkusu, anksiyete düzeyi ve anne-bebek bağlanması düzeylerini belirlemeyi amaçlamaktadır. Araştırma verileri Eylül-Kasım 2020 tarihleri arasında bir devlet hastanesinde doğum yapan 453 anneden toplanmıştır. Annelerin doğum sonu dönemde korku puan ortalaması 22.69  5.44, anksiyete puan ortalaması 14.97  11.47, anne-bebek bağlanma puan ortalaması 5.78  4.99 olarak belirlenmiştir. Araştırmada yapılan çoklu regresyon analizine göre, pandemi döneminde COVID-19 korkusu düzeyi, anksiyete durumu ve haber/sosyal medya takibi nedeniyle duyulan kaygı arasında istatistiksel olarak anlamlı bir ilişki bulunmaktadır (p< 0,0001). Modellemeye dahil edilen bağımsız değişkenler, COVİD-19 korku düzeyini %33 oranında açıklama gücüne sahip olduğu saptanmıştır. Araştırmada, pandemi döneminde doğum sonrası dönemdeki annelerin korku düzeylerinin yüksek, kaygı ve bağlanma düzeylerinin ise düşük olduğu belirlenmiştir. Anne-bebek bağlanmasını etkileyen faktörler arasında annelerin depresyon düzeyi, pandemi döneminde emzirme kaygısı, bebeğin sağlığına ilişkin endişeler, COVID-19'a yakalanma korkusu ve eğitim düzeyi yer almaktadır.

Supporting Institution

TÜBİTAK

Project Number

TUBITAK 120K416

References

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  • Boran, M., Boran, O.F., Korukcu, O., & Ozkaya, M. (2022). The psychological resilience and perceived stress of the frontline heroes in the pandemic in Turkey: A descriptive study of the COVID‐19 outbreak‐mutations‐normalization triad, Japan Journal of Nursing Science, 19(1), e12442.
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REFLECTIONS OF THE COVID-19 PANDEMIC ON THE PSYCHOSOCIAL HEALTH OF PUERPERAL WOMEN AND MOTHER-INFANT ATTACHMENT

Year 2023, Volume: 4 Issue: 3, 432 - 455, 31.12.2023

Abstract

This study aims to determine the level of fear of contracting COVID-19, anxiety, and mother-infant attachment of women in the postpartum period. Research data were collected from 453 mothers who gave birth in a public hospital between September and November 2020. The mean COV-19S score of the mothers in the postpartum period was 22.69  5.44, the mean BAI score was 14.97  11.47, and the mean MIAS score was 5.78  4.99. According to the multiple regression analysis conducted in the study, there is a statistically significant relationship between the level of fear of COVID-19, the state of anxiety, and the anxiety felt because of following news and social media during the pandemic period (p<0.0001). The independent variables included in the modeling have the power to explain the COVID-19 fear level by 33%. The study determined that the level of fear of the mothers in the postpartum period was high during the pandemic period, while the levels of anxiety and attachment were low. The factors that affect the mother-infant attachment are mothers' depression level, breastfeeding anxiety during the pandemic, concern about the baby's health, fear of contracting COVID-19, and education level.

Project Number

TUBITAK 120K416

References

  • Aktas, D., & Iskender, O. (2022). Investigation of postpartum anxiety levels of women in the COVID-19 pandemic process. Journal of Samsun Health Sciences, 7(2), 339-350.
  • Alothman, S.A., Alghannam, A.F., Almasud, A.A., Altalhi, A.S., Al-Hazzaa, H.M. (2021). Lifestyle behaviors trend and their relationship with fear level of COVID-19: Cross-sectional study in Saudi Arabia, Plos One, 6(10), e0257904.
  • Anjum, S., Ullah, R., Rana, M.S., Ali Khan, H., Memon, F.S., Ahmed, Y., et al. (2020). COVID-19 pandemic: A serious threat for public mental health globally, Psychiatria Danubina, 32(2), 245-250.
  • Avery, A.R., Tsang, S., Seto, E.Y., & Duncan, G.E. (2021). Differences in stress and anxiety among women with and without children in the household during the early months of the COVID-19 pandemic, Frontiers in Public Health, 9, 688462.
  • Avraham, L., Tamar, W., Eyal, S., & Gali, P. (2020). Perinatal outcomes and offspring long-term neuropsychiatric hospitalizations of mothers with anxiety disorder, Archives of Womens Mental Health, 23, 681-688.
  • Bendau, A., Petzold, M.B., Pyrkosch, L., Maricic, L.M., Betzler, F., Rogoll, J., et al. (2021) Associations between COVID-19 related media consumption and symptoms of anxiety, depression and COVID-19 related fear in the general population in Germany, European Archives of Psychiatry Clinical Neuroscience, 271, 283-291.
  • Boran, M., Boran, O.F., Korukcu, O., & Ozkaya, M. (2022). The psychological resilience and perceived stress of the frontline heroes in the pandemic in Turkey: A descriptive study of the COVID‐19 outbreak‐mutations‐normalization triad, Japan Journal of Nursing Science, 19(1), e12442.
  • Bostan, S., Erdem, R., Öztürk, Y.E, Kılıç, T., & Yılmaz, A. (2020). The effect of COVID-19 pandemic on the Turkish society, Electronic Journal of General Medicine, 17(6), em237
  • Cagan, E.S., Alis, B., & Eksioglu, A. (2022). The relationship between mothers' Covid-19 fear levels and baby care behaviors, Karya Journal of Health Science, 3(3), 176-181.
  • Cankaya, S., Yılmaz, S.D., Ruveyde, C., & Kodaz, N.D. (2017). Postpartum depresyonun maternal bağlanma üzerine etkisi, Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 2017(4), 232-240.
  • Ceulemans, M., Hompes, T., & Foulon, V. (2020). Mental health status of pregnant and breastfeeding women during the COVID‐19 pandemic: A call for action, International Journal of Gynecology & Obstetrics, 151(1), 146-147.
  • Drouin, M., McDaniel, B.T, Pater, J., & Toscos, T. (2020). How parents and their children used social media and technology at the beginning of the COVID-19 pandemic and associations with anxiety, Cyberpsychology Behavior, and Social Networking, 23(11), 727-736.
  • Duarte, G., Coutinho, C.M., Rolnik, D.L., Quintana, S.M., e Silva, A.C.R., Poon, L.C., et al. (2021). Perspectives on administration of COVID-19 vaccine to pregnant and lactating women: a challenge for low-and middle-income countries, AJOG Global Reports, 1(4), 100020.
  • Dubber, S., Reck, C., Müller, M.. & Gawlik, S. (2015). Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy, Archives of Women’s Mental Health, 18, 187-195.
  • Erdem, Y. (2010). Anxiety levels of mothers whose infants have been cared for in unit level‐I of a neonatal intensive care unit in Turkey, Journal of Clinical Nursing, 19(11-12), 1738-1747.
  • Esteban-Gonzalo, S., Caballero-Galilea, M., González-Pascual, J.L., Álvaro-Navidad, M., & Esteban-Gonzalo, L. (2021). Anxiety and worries among pregnant women during the COVID-19 pandemic: a multilevel analysis, International Journal of Environmental Research and Public Health, 18(13), 6875.
  • Fakari, F.R., & Simbar, M. (2020). Coronavirus pandemic and worries during pregnancy; a letter to editor, Archives of Academic Emergency Medicine, 8(1), e21-e21.
  • Fernandes, D. V., Canavarro, M. C., & Moreira, H. (2021). Postpartum during COVID-19 pandemic: Portuguese mothers' mental health, mindful parenting, and mother–infant bonding. Journal of Clinical Psychology, 77, 1997–2010.
  • Garg, I., Shekhar, R., Sheikh, A.B. & Pal, S. (2021). COVID-19 vaccine in pregnant and lactating women: a review of existing evidence and practice guidelines, Infectious Disease Reports, 13(3), 685-699.
  • Guvenc, G., Yesilcinar, I., Ozkececi, F., Oksuz, E., Ozkececi, C.F., Konukbay, D. et al. (2021). Anxiety, depression, and knowledge level in postpartum women during the COVID-19 pandemic, Perspectives in Psychiatric Care, 57(3), 1449-1458.
  • Gumussoy, S., Çelik, N.A., Guner, O., Kiratli, D., Atan, S.U., & Kavlak, O. (2020). Investigation of the relationship between maternal attachment and breastfeeding self-efficacy and affecting factors in Turkish sample, Journal of Pediatric Nursing, 54, e53-e60.
  • Gunay, O., Sevinc, N., & Arslantas, E.E. (2017). State and trait anxiety levels among mothers of inpatient children and related factors, Turkish Journal of Public Health, 15(3), 176.
  • Haktanir, A., Seki, T., & Dilmaç, B. (2022). Adaptation and evaluation of the Turkish version of the fear of COVID-19 scale, Death Studies, 46(3): 719-727.
  • Helmy, H.K., Elbastawes, Y.S., & Ahmed, S.I. (2020). Fear and anxiety impacts of the Covid-19 among primigravida versus multigravida pregnant women, Assiut Scientific Nursing Journal, 8(23), 75-85.
  • Hermann, A., Fitelson, E.M., & Bergink, V. (2021). Meeting maternal mental health needs during the Covid-19 pandemic, JAMA Psychiatry, 78(2), 123-124.
  • Hermon, N., Wainstock, T., Sheiner, E., Golan, A., & Walfisch, A. (2019). Impact of maternal depression on perinatal outcomes in hospitalized women: a prospective study, Archives of Women’s Mental Health, 22, 85-91.
  • Kirca, A., and Savaser, S. (2017). The effect of number of birth on mother-baby attachment, Journal of Health Sciences and Professions, 4(3), 236-243.
  • Kocak, D.Y., & Ozcan, H. (2018). Postnatal maternal attachment: a retrospective study, Perinatal Journal, 26(2), 78-86.
  • Korukcu, O. (2019). Psycho-adaptive changes and psychological growth after childbirth in primiparous women, Perspective in Psychiatric Care. 56(1), 213-221.
  • Korukcu, O., Ozkaya, M., Boran, O.F., & Bakacak, M. (2022). Factors associated with antenatal depression during the COVID‐19 (SARS‐CoV2) pandemic: A cross‐sectional study in a cohort of Turkish pregnant women, Perspective in Psychiatric Care, 58(1), 61-70.
  • Liu, C.H., Hyun, S., Mittal, L., & Erdei, C. (2022). Psychological risks to mother–infant bonding during the COVID-19 pandemic, Pediatric Research, 91(4), 853-861.
  • Liu, X., Chen, M., Wang, Y., Sun, L., Zhang, J., Shi, Y., & Qi, H. (2020). Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID‐19 outbreak: a cross‐sectional study, BJOG, 127(10), 1229-1240.
  • Lok, K.Y.W., Ko, R.W.T., Fan, H.S.L., Wong, J.Y., Choi, E.P., Shek, N.W.M., & Fong, D.Y.T. (2021). International survey on fear and childbirth experience in pregnancy and the postpartum period during the COVID-19 pandemic: study protocol, BMJ Open, 11(8), e050132.
  • Matsushima, M., Tsuno, K., Okawa, S., Hori, A., & Tabuchi, T. (2021). Trust and well-being of postpartum women during the COVID-19 crisis: Depression and fear of COVID-19. SSM-Population Health, 15, 100903.
  • Matvienko Sikar, K., Meedya, S., & Ravaldi, C. (2020). Perinatal mental health during the COVID-19 pandemic, Women Birth, 33(4), 309.
  • Merewood, A., Bode, L., Davanzo, R., & Perez-Escamilla, R. (2021). Breastfeed or be vaccinated- An unreasonable default recommendation, The Lancet, 397(10274): 578.
  • Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I.M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020, Journal of Anxiety Disorders, 74, 102258.
  • Mizrak, B., Deniz, A.O., & Acikgoz, A. (2015). Anxiety levels of mothers with newborns in a neonatal intensive care unit in Turkey, Pakistan Journal of Medical Sciences, 31(5), 1176.
  • Mukhtar, S., & Rana, W. (2021). Biopsychosocial-spiritual model of COVID-19 for healthcare practitioners amidst and post-COVID-19, Psychiatria Danubina, 33(4), 595-599.
  • Mutlu, C., Yorbik, O., Tanju, I.A., Celikel, F., & Sezer, R.G. (2015). Association of prenatal, natal, and postnatal factors with maternal attachment, Anatolian Journal of Psychiatry, 16(6): 442-450.
  • Nanjundaswamy, M.H., Shiva, L., Desai, G., Ganjekar, S., Kishore, T., Ram, U., et al. (2020). COVID-19-related anxiety and concerns expressed by pregnant and postpartum women-a survey among obstetricians, Archives of Women’s Mental Health, 23, 787-790.
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There are 60 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Research Articles
Authors

Öznur Körükcü 0000-0001-5840-9114

Ömer Faruk Boran 0000-0002-0262-9385

Meltem Özkaya 0000-0002-1004-6040

Çağrı Elmas 0000-0002-8194-3523

Nurşen Adak 0000-0001-8748-9678

Murat Bakacak 0000-0003-4398-7055

Ebru Fındıklı 0000-0003-3076-6982

Kamile Kabukcuoğlu 0000-0002-7479-833X

Project Number TUBITAK 120K416
Publication Date December 31, 2023
Submission Date September 28, 2023
Acceptance Date December 22, 2023
Published in Issue Year 2023 Volume: 4 Issue: 3

Cite

APA Körükcü, Ö., Boran, Ö. F., Özkaya, M., Elmas, Ç., et al. (2023). REFLECTIONS OF THE COVID-19 PANDEMIC ON THE PSYCHOSOCIAL HEALTH OF PUERPERAL WOMEN AND MOTHER-INFANT ATTACHMENT. Selçuk Sağlık Dergisi, 4(3), 432-455.