Annelerde depresyon ve yaşam kalitesi: erken doğumun psikososyal sonuçları

Öz

Amaç: Erken doğan ve tam süreli doğum yapan anneler arasında doğum sonrası yaşam kalitesini ve doğum sonrası depresyonu karşılaştırmak ve erken doğumun doğum sonrası dönemde annenin refahındaki farklılıklarla ilişkili olup olmadığını araştırmak. Gereç ve Yöntem: Bu kesitsel karşılaştırmalı çalışmaya 64 anne (32'si tam süreli, 32'si prematüre doğum yapmış) dahil edildi. Doğum sonrası yaşam kalitesi, Doğum Sonu Yaşam Kalitesi Ölçeği (DSYKÖ) kullanılarak değerlendirildi; depresif belirtiler ise Edinburgh Doğum Sonrası Depresyon Ölçeği (EPDÖ) kullanılarak değerlendirildi. Sosyodemografik ve obstetrik özellikler de kaydedildi. Bulgular: Gruplar, anne yaşı, eğitim düzeyi, istihdam durumu ve gebe kalma şekli açısından benzerdi (hepsi p > 0,05). Erken doğum grubundaki annelerin gebelik yaşı daha düşüktü, YBÜ’de kalış süreleri daha uzundu ve sezaryen doğum oranı daha yüksekti (hepsi p < 0,01). Tam zamanında doğum yapan annelerle karşılaştırıldığında, erken doğum yapan anneler DSYKÖ’nün sosyoekonomik, ilişkisel/eş-partner, sağlık ve işlevsellik ile psikolojik alanlarında istatistiksel olarak anlamlı derecede daha düşük puanlar alırken (tümü p < 0,01), ilişkisel/aile-arkadaşlar alanında herhangi bir fark gözlenmemiştir (p = 0,953). EPDÖ puanları, erken doğum grubunda istatistiksel olarak anlamlı derecede daha yüksekti (p < 0,01). Sonuç: Erken doğum yaşayan anneler, tam süreli doğum yapan annelere kıyasla çeşitli alanlarda daha düşük doğum sonrası yaşam kalitesine ve daha yüksek doğum sonrası depresyon puanlarına sahipti. Bu bulgular, erken doğum geçiren annelere kapsamlı bir doğum sonrası destek sağlanmasının önemini vurgulamaktadır.

Anahtar Kelimeler

• erken doğum
• doğum sonrası depresyon
• yaşam kalitesi
• anneler
• doğum sonrası dönem

Destekleyen Kurum

Yazarlar, bu makalenin araştırması, yazımı ve/veya yayını için herhangi bir finansal destek almamışlardır.

Etik Beyan

Çalışma protokolü, Üsküdar Üniversitesi Etik Kurulu tarafından onaylanmış ve 29 Temmuz 2024 tarihinde Üsküdar Üniversitesi Girişimsel Olmayan Araştırmalar Etik Kurulu'ndan etik onay almıştır (Onay No. 61351342/020-246).

Teşekkür

Yazarlar, bu çalışmaya katılan tüm annelere ayırdıkları zaman, iş birliği ve değerli katkıları için içtenlikle teşekkür ederler.

Depression and quality of life in mothers: psychosocial consequences of preterm birth

Öz

Aim: To compare postpartum quality of life and postpartum depression between mothers with preterm and full-term births and to investigate whether preterm birth is associated with differences in maternal well-being during the postpartum period. Materials and methods: This cross-sectional comparative study included 64 mothers (32 full-term and 32 preterm). Postpartum quality of life was assessed using the Maternal Postpartum Quality of Life Questionnaire (MPQOL-I), and depressive symptoms were evaluated using the Edinburgh Postnatal Depression Scale (EPDS). Sociodemographic and obstetric characteristics were also recorded. Results: The groups were similar regarding maternal age, education, employment status, and mode of conception (all p > 0.05). Mothers in the preterm birth group had lower gestational age, longer NICU stay, and a higher rate of cesarean delivery (all p < 0.01). Compared with mothers who delivered at term, mothers with preterm births had significantly lower scores in the socioeconomic, relational/husband-partner, health and functioning, and psychological domains of the MPQOL-I (all p < 0.01), while no difference was observed in the relational/family-friends domain (p = 0.953). EPDS scores were significantly higher in the preterm birth group (p < 0.01). Conclusion: Mothers who experienced preterm birth had poorer postpartum quality of life in several domains and higher postpartum depression scores than mothers with full-term births. These findings emphasize the importance of providing comprehensive postpartum support for mothers following preterm birth.

Anahtar Kelimeler

• premature birth
• postpartum depression
• quality of life
• mothers
• postpartum period

Destekleyen Kurum

The authors received no financial support for the research, authorship, and/or publication of this article.

Etik Beyan

The study protocol was approved by the Ethics Committee of Üsküdar University and received ethical approval from the Non-Interventional Research Ethics Committee of Üsküdar University on July 29, 2024 (Approval No. 61351342/020-246).

Teşekkür

The authors sincerely thank all the mothers who participated in this study for their time, cooperation, and valuable contribution.

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