Doğum Sonrası Maternal Anksiyete ve Bağlanmayı Etkileyen Faktörler

Year 2021, Volume: 30 Issue: 1, 60 - 68, 28.02.2021

Fadime Bayri Bingol Meltem Demirgöz Bal

https://doi.org/10.17942/sted.887220

Abstract

Amaç: Doğum sonrası maternal anksiyete kadının kendisi, bebeği ve ailesi için önemli bir sağlık sorunudur. Bu çalışma, doğum sonrası maternal anksiyete ve bağlanma ilişkisini incelemek amacıyla yapılmıştır.
Gereç ve Yöntemler: Bu tanımlayıcı çalışma Ocak-Aralık 2019 tarihleri arasında, aile sağlığı merkezlerine başvuran, postpartum dönemde olan kadınlarla yapılmıştır. Veriler bilgi formu, Postpartum Anksiyete Ölçeği ve Doğum Sonrası Bağlanma Ölçeği ile elde edilmiştir.
Bulgular: Kadınların %37,4’ünün anksiyetesinin yüksek olduğu (113,5 üstü puan aldığı) belirlendi. Eş/annesi ile ilişkisini kötü olan, postpartum döneme uyum güçlüğü yaşayan, primipar ve son iki haftada kendisini üzgün/mutsuz hisseden kadınların anksiyete puanının daha yüksek olduğu belirlendi. (p<0,05). Bebeğini emzirmeyen, bebeği ve kendisi uyku sorunu yaşayan, annesi ve eşi ile ilişkileri kötü olarak tanımlayan, acil sezaryen olan ve primipar kadınların daha fazla bağlanma sorunu olduğu belirlendi (p<0,05). Yapılan korelasyon analizine göre doğum sonrası maternal anksiyete ile doğum sonrası bağlanma arasında ilişki olmadığı görüldü (p>0,05).
Sonuç: Doğum sonrası dönemde risk grubunda yer alan anneler anksiyete ve bağlanma belirtileri açısından daha yakından izlenmelidir.

Keywords

Postpartum,, Anksiyete,, Anne sağlığı,, Bağlanma,

Factors Affecting Postpartum Maternal Anxiety and Bonding

Abstract

Objective: Postpartum maternal anxiety is an important health problem for the new-born, family and for the woman herself. This study was carried out to explore the relationship between postpartum maternal anxiety and attachment.
Tools and Methods: This descriptive study was conducted with women who applied to family healthcare centers in their postpartum period during January-December 2019. The study data were collected using the information form, the Postpartum Anxiety Scale and the Postpartum Bonding Scale.
Findings: 37.4% of women were found to have high anxiety (above 113.5 points). It was determined that women who had a bad relationship with their husband/mother, had difficulty in adapting to the postpartum period, primipara and felt sad/unhappy in the last two weeks had higher anxiety scores (p<0.05). It was determined that women who were unable to breast-feed the baby, had trouble sleeping (and also whose babies had trouble sleeping), had emergency cesarean section and primipara were more bonding problems (p>0.05). As per the relevant correlation analysis, no relationship between postpartum maternal anxiety and postpartum bonding was found (p>0.05).
Result: Postpartum mothers in risk group must be monitored closely in terms of anxiety and bonding issues.

Keywords

Postpartum, Anxiety, Maternal health, Bonding

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