Gebelikteki Yakınmaların Yaşam Kalitesine Etkisi ile Doğum Korkusu ve Stres Arasındaki İlişki

Öz

Amaç: Bu araştırma gebelikteki yakınmaların yaşam kalitesine etkisi ile doğum korkusu ve stres arasındaki ilişki durumlarının belirlenmesi amacıyla yürütülmüştür. Örneklem ve Yöntem: Araştırma, 1 Kasım-31 Aralık 2023 tarihleri arasında Türkiye’nin doğusundaki bir hastanenin NST (Non Stres Test) polikliniğinde yürütülmüştür. Araştırmanın evrenini NST polikliniğine başvuru yapan 20 hafta ve üzeri gebeler oluşturmuştur. Araştırmanın verileri araştırmacı tarafından yüz yüze görüşme yöntemiyle ve yaklaşık 10 dk süreyle tek oturum halinde toplanmıştır. Örneklem büyüklüğü %5 yanılgı düzeyi, çift yönlü önem düzeyinde %95 güven aralığında, %80 güç ile en az 367 gebe olarak hesaplanmış, ancak veri kaybı göz önünde bulundurularak 386 gebeye ulaşılmıştır. Bulgular: W-DEQ puan ortalamasının eğitim düzeyi arttıkça arttığı, TGDÖ puan ortalamasının ise gebeliği plansız olan ve kız bebek bekleyen gebelerde arttığı ve gruplar arası farkın önemli olduğu belirlenmiştir (p<0.05). Gebelerin GYYKEÖ ile W-DEQ, TGDÖ toplam puan ve olumsuz duygulanım alt boyutu arasında pozitif yönde düşük düzeyde ilişki olduğu ve bu ilişkinin istatistiksel olarak önemli olduğu belirlenmiştir (p<0.001). W-DEQ ile TGDÖ toplam puan, eş katılımı ve olumsuz duygulanım alt boyut puanları arasında pozitif yönde düşük düzeyde ilişki olduğu ve bu ilişkinin istatistiksel olarak önemli olduğu belirlenmiştir (p<0.001). Sonuç: Gebelikteki yakınmaların yaşam kalitesine etkisi ile doğum korkusu ve stres arasında ilişki olduğu, eğitim düzeyi arttıkça doğum korkusunun arttığı, gebeliği plansız olan ve kız bebek bekleyen gebelerde stresin arttığı belirlenmiştir.

Anahtar Kelimeler

• Doğum
• ebe
• gebe
• korku
• stres
• yakınma

The Relationship Between the Effect of Complaints During Pregnancy on Quality of Life and Fear of Childbirth and Stress

Öz

Aim: This study was conducted to determine the effects of complaints during pregnancy on quality of life and the relationship between fear of childbirth and stress. Subjects and Methods: The study was conducted in the NST (Non Stress Test) polyclinic of a hospital in eastern Turkey between November 1 and December 31, 2023. The universe of the study consisted of pregnant women who were 20 weeks or older and applied to the NST polyclinic. The data of the study were collected by the researcher in a single session of approximately 10 minutes using a face-to-face interview method. The sample size was calculated as at least 367 pregnant women with a 5% error level, a two-way significance level, a 95% confidence interval, and 80% power. However, considering the loss of data, 386 pregnant women were reached. Results: It was determined that the mean W-DEQ score increased as the level of education increased, while the mean TPDS score increased in pregnant women whose pregnancies were unplanned and who were expecting a girl, and the difference between the groups was significant (p<0.05). It was determined that there was a low level positive relationship between the PCILQ and W-DEQ, TPDS total score and negative affect sub-dimension and this relationship was statistically significant (p<0.001). It was determined that there was a low level positive relationship between W-DEQ and TPDS total score, spouse involvement and negative affect sub-dimension scores, and this relationship was statistically significant (p<0.001). Conclusion: It was determined that there was a relationship between the effects of complaints during pregnancy on quality of life and fear of childbirth and stress, that fear of childbirth increased as the level of education increased, and that stress increased among pregnant women whose pregnancies were unplanned and who were expecting a girl.

Anahtar Kelimeler

• Birth
• midwife
• pregnant
• fear
• stress
• complaint

Kaynakça

1. Aiken, A. R., & Trussell, J. (2017). Anticipated emotions about unintended pregnancy in relationship context: Are Latinas really happier?. Journal of Marriage and Family, 79(2), 356-371. https://doi.org/10.1111/jomf.12338
2. Ayen, S. S., Kasahun, A. W., & Zewdie, A. (2024). Depression during pregnancy and associated factors among women in Ethiopia: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24(1), 220. https://link.springer.com/article/10.1186/s12884-024-06409-y
3. Borrelli, S. E., Walsh, D., & Spiby, H. (2018). First-time mothers’ expectations of the unknown territory of childbirth: Uuncertainties, coping strategies and ‘going with the flow’. Midwifery, 63, 39-45. https://doi.org/10.1016/j.midw.2018.04.022
4. Bulguroğlu, H. İ., & Bulguroğlu, M. (2023). Investigation of the effect of physical activity level on fear of birth and quality of life during pregnancy. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 430-437. https://doi.org/10.31067/acusaglik.1208779
5. Conrad, M. (2024). Health information-seeking internet behaviours among pregnant women: A narrative literature review. Journal of Reproductive and Infant Psychology, 42(2), 194-208. https://doi.org/10.1080/02646838.2022.2088711
6. Çapık, A., Apay, S. E., & Sakar, T. (2015). Gebelerde distres düzeyinin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 18(3). https://doi.org/10.17049/ahsbd.97570
7. Dencker, A., Nilsson, C., Begley, C., Jangsten, E., Mollberg, M., Patel, H., ... & Sparud-Lundin, C. (2019). Causes and outcomes in studies of fear of childbirth: A systematic review. Women and Birth, 32(2), 99-111. https://doi.org/10.1016/j.wombi.2018.07.004
8. Dobson, C. B. (2012). Stress: The hidden adversary. Springer Science & Business Media. https://link.springer.com/book/10.1007/978-94-010-9798 -7

9. Dunkel Schetter, C. (2011). Psychological science on pregnancy: Sstress processes, biopsychosocial models, and emerging research issues. Annual Review of Psychology, 62(1), 531-558. https://doi.org/10.1146/annurev.psych.031809.130727
10. Esfandiari, M., Faramarzi, M., Nasiri-Amiri, F., Parsian, H., Chehrazi, M., Pasha, H., ... & Gholinia, H. (2020). Effect of supportive counseling on pregnancy-specific stress, general stress, and prenatal health behaviors: A multicenter randomized controlled trial. Patient Education and Counseling, 103(11), 2297-2304. https://doi.org/10.1016/j.pec.2020.04.024
11. Estebsari, F., Kandi, Z. R. K., Bahabadi, F. J., Filabadi, Z. R., Estebsari, K., & Mostafaei, D. (2020). Health-related quality of life and related factors among pregnant women. Journal of Education and Health Promotion, 9(299), 1-7. https://doi.org/10.4103/jehp.jehp_307_20
12. Fenwick, J., Gamble, J., Creedy, D. K., Buist, A., Turkstra, E., Sneddon, A., ... & Toohill, J. (2013). Study protocol for reducing childbirth fear: A midwife-led psycho-education intervention. BMC Pregnancy and Childbirth, 13, 1-9. https://link.springer.com/article/10.1186/1471-2393-13-190
13. Foxcroft, K. F., Callaway, L. K., Byrne, N. M., & Webster, J. (2013). Development and validation of a pregnancy symptoms inventory. BMC Pregnancy and Childbirth, 13, 1-9. http://www.biomedcentral.com/1471-2393/13/3
14. Frederiksen, M. S., Schmied, V., & Overgaard, C. (2021). Living with fear: Eexperiences of danish parents in vulnerable positions during pregnancy and in the postnatal period. Qualitative Health Research, 31(3), 564-577. https://doi.org/10.1177/1049732320978206
15. Gökçe İsbir, G., Serçekuş, P., Yenal, K., Okumuş, H., Durgun Ozan, Y., Karabulut, Ö., ... & Erdoğan, S. (2024). The prevalence and associated factors of fear of childbirth among Turkish pregnant women. Journal of Reproductive and İnfant Psychology, 42(1), 62-77. https://doi.org/10.1080/02646838.2022.2057938
16. Grau Grau, M., las Heras Maestro, M., & Riley Bowles, H. (2022). Engaged fatherhood for men, families and gender equality: Healthcare, social policy, and work perspectives (p. 325). Springer Nature. https://library.oapen.org/handle/20.500.12657/50717
17. Gür, E. Y., & Pasinlioğlu, T. (2021). Ggebelikteki yakınmalar ve yaşam kalitesine etkisi ölçeği: Türkçe formunun geçerlilik ve güvenilirlik çalışması. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9(2), 482-497. https://doi.org/10.33715/inonusaglik.822370
18. Hildingsson, I., & Johansson, M. (2024). A cluster analysis of reasons behind fear of birth among women in Sweden. Journal of Psychosomatic Obstetrics & Gynecology, 45(1), 2319291. https://doi.org/10.1080/0167482X.2024.2319291
19. Ibrahim, S. M., & Lobel, M. (2020). Conceptualization, measurement, and effects of pregnancy-specific stress: Rreview of research using the original and revised Prenatal Distress Questionnaire. Journal of Bbehavioral Mmedicine, 43(1), 16-33. https://doi.org/10.1007/s10865-019-00068-7
20. Karnwal, R., & Sharmila, K. (2024). Perspective view of stress, anxiety, and depression among pregnant women: A review. J Ecophysiol Occup Health, 24(1), 1-13. https://doi.org/10.18311/jeoh/2023/35771
21. Kazemi, A., Dadkhah, A., & Torabi, F. (2022). Changes of health related quality of life during pregnancy based on pregnancy context: a prospective study. Archives of Public Health, 80(1), 37. https://doi.org/10.1186/s13690-022-00802-9
22. Kazemi, F., Nahidi, F., & Kariman, N. (2017). Disorders affecting quality of life during pregnancy: A qualitative study. Journal of Clinical and Diagnostic Research: JCDR, 11(4), QC06. https://doi.org/10.7860/JCDR/2017/23703.9560
23. Khwepeya, M., Lee, G. T., Chen, S. R., & Kuo, S. Y. (2018). Childbirth fear and related factors among pregnant and postpartum women in Malawi. BMC Pregnancy and Childbirth, 18, 1-10. https://doi.org/10.1186/s12884-018-2023-7
24. Klabbers, G. A., van Bakel, H. J., van den Heuvel, M., & Vingerhoets, A. J. (2016). Severe fear of childbirth: Iits features, assesment, prevalence, determinants, consequences and possible treatments. Psihologijske Teme, 25(1), 107-127. https://hrcak.srce.hr/file/230452
25. Klabbers, G. A., Wijma, K., Paarlberg, K. M., Emons, W. H., & Vingerhoets, A. J. (2019). Haptotherapy as a new intervention for treating fear of childbirth: A randomized controlled trial. Journal of Psychosomatic Obstetrics & Gynecology, 40(1), 38-47. https://doi.org/10.1080/0167482X.2017.1398230
26. Körükçü, H. Ö. (2009). Wijma doğum beklentisi/deneyimi ölçeği A versiyonunun gerçeklik ve güvenilirlik çalışması. [Yüksek Lisans Tezi], Akdeniz Üniversitesi Sağlık Bilimleri Enstitüsü Doğum ve Kadın Hastalığı Hemşireliği Ana Bilim Dalı, Antalya. http://acikerisim.akdeniz.edu.tr/xmlui/handle/123456789/5089
27. Morin, M., Vayssiere, C., Claris, O., Irague, F., Mallah, S., Molinier, L., & Matillon, Y. (2017). Evaluation of the quality of life of pregnant women from 2005 to 2015. European Journal of Obstetrics & Gynecology and Reproductive Biology, 214, 115-130. https://doi.org/10.1016/j.ejogrb.2017.04.045
28. Mulder, R. (2017). The heart of the matter: Social and cultural factors impacting mental health. Australian & New Zealand Journal of Psychiatry, 51(2), 113-114. https://doi.org/10.1177/0004867416688330
29. Ozdemir, M. E., Cilingir, I. U., Ilhan, G., Yildiz, E., & Ohanoglu, K. (2018). The effect of the systematic birth preparation program on fear of vaginal delivery and quality of life. Archives of Gynecology and Obstetrics, 298, 561-565. https://doi.org/10.1007/s00404-018-4835-0
30. Patel, P., Bhattacharyya, K., Singh, M., Jha, R. P., Dhamnetiya, D., & Shri, N. (2024). Depression among currently married ever pregnant adolescents in Uttar Pradesh and Bihar: Evidence from understanding the lives of adolescents and young adults (UDAYA) survey, India. Indian Journal of Psychiatry, 66(2), 148-156. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_176_23
31. Pınar, Ş. E., & Güney, D. COVİD-19 Pandemisinin Gebe Kadınlar Üzerindeki Fiziksel ve Zihinsel Etkilerinin Araştırılması. Ebelik ve Sağlık Bilimleri Dergisi, 7(1), 11-22. https://doi.org/10.5281/zenodo.10926561
32. Picard, M., & McEwen, B. S. (2018). Psychological stress and mitochondria: A conceptual framework. Psychosomatic Medicine, 80(2), 126-140. https://doi.org/10.1097/PSY.0000000000000544
33. Pop, V. J., Pommer, A. M., Pop-Purceleanu, M., Wijnen, H. A., Bergink, V., & Pouwer, F. (2011). Development of the Tilburg pregnancy distress scale: Tthe TPDS. BMC pregnancy and childbirth, 11, 1-8. http://www.biomedcentral.com/1471-2393/11/80
34. Sarıçiçek, A. (2019). Toplumsal Cinsiyet Bağlamında Erkeklik ve Değişme İsteği Kayseri Örneği. Toplum ve Kültür Araştırmaları Dergisi, (3), 49-70. https://dergipark.org.tr/en/download/article-file/837783
35. Saur, A. M., & Dos Santos, M. A. (2021). Risk factors associated with stress symptoms during pregnancy and postpartum: Iintegrative literature review. Women & Health, 61(7), 651-667. https://doi.org/10.1080/03630242.2021.1954132
36. Soltani, F., Eskandari, Z., Khodakarami, B., Parsa, P., & Roshanaei, G. (2017). Factors contributing to fear of childbirth among pregnant women in Hamadan (Iran) in 2016. Electronic Physician, 9(7), 4725. https://doi.org/10.19082/4725
37. Stoll, K., Hall, W., Janssen, P., & Carty, E. (2014). Why are young Canadians afraid of birth? A survey study of childbirth fear and birth preferences among Canadian University students. Midwifery, 30(2), 220-226. https://doi.org/10.1016/j.midw.2013.07.017
38. Sydsjö, G., Sydsjö, A., Gunnervik, C., Bladh, M., & Josefsson, A. (2012). Obstetric outcome for women who received individualized treatment for fear of childbirth during pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 91(1), 44-49. https://doi.org/10.1111/j.1600-0412.2011.01242.x
39. Wijma, K., Wijma, B., & Zar, M. (1998). Psychometric aspects of the W-DEQ; a A new questionnaire for the measurement of fear of childbirth. Journal of Psychosomatic Obstetrics & Gynecology, 19(2), 84-97. https://doi.org/10.3109/01674829809048501
40. Woods, S. M., Melville, J. L., Guo, Y., Fan, M. Y., & Gavin, A. (2010). Psychosocial stress during pregnancy. American Journal of Obstetrics and Gynecology, 202(1), 61-e1. https://doi.org/10.1016/j.ajog.2009.07.041
41. World Health Organization. (1993). WHOQoL Study Protocol. WHO (MNH7PSF/93.9). https://www.who.int/tools/whoqol
42. Wu, Y., De Asis-Cruz, J., & Limperopoulos, C. (2024). Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy. Molecular Psychiatry, 1-18. https://doi.org/10.1038/s41380-024-02449-0
43. Yikar, S. K., & Nazik, E. (2019). Effects of prenatal education on complaints during pregnancy and on quality of life. Patient Education and Counseling, 102(1), 119-125. https://doi.org/10.1016/j.pec.2018.08.023
44. Zhang, L., Huang, R., Lei, J., Liu, Y., & Liu, D. (2024). Factors associated with stress among pregnant women with a second child in Hunan province under China’s two-child policy: A mixed-method study. BMC Psychiatry, 24(1), 157. https://doi.org/10.1186/s12888-024-05604-7