The Impact of Mothers’ Postnatal Sense of Security on Their Breastfeeding Self-Efficacy on Postpartum Depression

Yıl 2024, Cilt: 13 Sayı: 2, 465 - 472, 28.08.2024

Hatice Gül Öztaş , Gülnaz Erdi , Emine Aksüt Akçay

https://doi.org/10.53424/balikesirsbd.1357062

Öz

Objective: This study aimed at determining the impact of mothers' postnatal sense of security on their breastfeeding self-efficacy and postpartum depression. Method: An analytical cross-sectional study was designed. The study included a total of 340 puerperal women who were admitted to the puerperal ward of a state hospital located in southern Turkey. The data for this study were collected using the puerperal women information sheet (PWIS), the Mothers’ Postnatal Sense of Security Scale (MPSSS), the Edinburgh Postnatal Depression Scale (EPDS), and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Results: It was determined that the mean age of the participants was 27.92 ± 5.12, educational background 40.2% of them were undergraduate and higher graduates, 71.1% of them were not working. The mean scale scores of the mothers were 47.86 ± 10.36 for MPSSS, 53.69 ± 11.23 for BSES-SF, and 8.79 ± 5.67 for EPDS. The sub-scale scores for MPSSS were as follows: Empowering behaviors: 16.75 ± 5.1, General well-being: 11.18 ± 3.49, Affinity Within the Family: 11.82 ± 3.4, and Breastfeeding: 8.11 ± 2.53. Empowering behaviors scores were found to be moderately positively correlated with Affinity Within the Family, Breastfeeding, and BSES-SF scores (p<0.05). Additionally, General Well-Being scores showed a statistically significant moderate positive correlation with Affinity Within the Family, MPSSS, and EPDS scores (p<0.05).Conclusion: The results revealed that mothers’ higher postnatal sense of security positively affects their breastfeeding self-efficacy and reduces the risk of postpartum depression.

Anahtar Kelimeler

Postpartum, Feeling of security, Breastfeeding self-efficacy, Postpartum depression.

Etik Beyan

The research was carried out in accordance with the principles of the Declaration of Helsinki. Before the research, approval was obtained from the Ethics Committee of Non-Interventional Researches of Kahramanmaraş Sütçü İmam University Health Practice and Research Hospital (Protocol no: 2023/03). The participants were informed about the purpose of the study, the voluntary nature of participation, and their written and verbal consent was obtained.

Destekleyen Kurum

yok

Proje Numarası

YOK

Teşekkür

Çalışmaya katılan tüm annelere teşekkür deriz

Annenin Doğum Sonu Güvenlik Hissinin Emzirme Öz Yeterliliğine ve Postpartum Depresyon Durumuna Etkisi

Öz

Amaç: Bu araştırma, annenin doğum sonu güvenlik hissinin emzirme öz yeterliliğine ve postpartum depresyon durumuna etkisini belirlemek amacıyla gerçekleştirilmiştir. Yöntem: Analitik-kesitsel türde planlanan bu araştırma Türkiye'nin güneyinde bulunan bir kamu hastanesine başvuran 340 lohusa üzerinde yürütülmüştür. Veriler, Kişisel Tanıtım Formu, Annelerin Doğum Sonu Güvenlik Hisleri Ölçeği (ADSGHÖ, Edinburgh Doğum Sonrası Depresyon (EDSDÖ) ve Emzirme Öz-Yeterlilik Ölçeği (EÖYÖ) kullanılarak toplanmıştır. Bulgular: Katılımcıların yaş ortalaması 27.92 ± 5.12, eğitim durumu eğitim durumu % 40.2' sinin lisans ve üstü mezunu olduğu, % 71.1'inin çalışmadığı belirlenmiştir. Annelerin ADSGHÖ ölçek puanı ortalaması 47.86 ± 10.36, EÖY ölçek puanı ortalaması 53.69 ± 11.23, EPDÖ ölçek puanı ortalaması 8.79 ± 5.67 olduğu, ADSGHÖ ölçeği alt boyutları; Güçlendirici Davranış 16.75 ± 5.1, Genel İyilik 11.18 ± 3.49, Aileye Bağlılık 11.82 ± 3.4, Emzirme 8.11 ± 2.53 olarak bulunmuştur. Güçlendirici davranış puanı ile aileye bağlılık, emzirme ve EÖY puanı arasında pozitif yönde orta düzeyde istatistiksel olarak anlamlı ilişki bulunmuştur (p<0,05). Genel iyilik puanı ile aileye bağlılık, ADSGHÖ, ve EPDÖ puanı arasında pozitif yönde orta düzeyde istatistiksel olarak anlamlı ilişki bulunmuştur (p<0,05).Sonuçlar: Annenin doğumu sonu güvenlik hissi arttıkça, emzirme öz yeterlilik duygusu pozitif yönde etkilendiği ve doğum sonu postpartum deprasyon riskini azalttığı belirlenmiştir.

Anahtar Kelimeler

Doğum sonu, Güvenlik hissi, Emzirme öz yeterliliği, Postpartum deprasyon

Proje Numarası

YOK

Kaynakça

• Akbari, V., Rahmatinejad, P., Shater M.M., Vahedian M., Khalajinia, Z.(2020). Investigation of the relationship between perceived social support and spiritual well-being and postpartum depression. Journal of Education and Health Promotion, 9(1):174.
• Aksoy Derya, Y., Erdemoğlu, Ç., Özşahin, Z. Karakayalı, Ç. (2019). The effect of mother's perception of birth on postpartum security. Journal of Midwifery and Health Sciences, 2 (3), 88-95.
• Alb. C.H., Theall, K, Jacob, M.B., Bales, A. (2017) Awareness of united states’ law for nursing mothers among employers in New Orleans, Louisiana. Women's Health Issues, 27(1), 14-20. https://doi.org/10.1016/j.whi.2016.10.009
• Aluş Tokat, M., Okumus, H., Dennis, C.L. (2010) Translation and psychometric assessment of the breast-feeding self effi cacy scale short form among pregnant and postnatal women in Turkey. Midwifery , 26(1):101- 108.
• Arslan, D. (2012). Determination of the risk of postpartum depression and related factors. Master's thesis, T.C. Mersin University Institute of Health Sciences, Department of Midwifery, Mersin.
• Aslan, Y., Ege, E. (2016). Association of mothers with breastfeeding self-efficacy and risk of depression. Journal of Human Sciences, 13(2), 3160.
• Baykal, S., Karakoç, A. (2021). The relationship between susceptibility to depression and the level of security in the postpartum period. Journal of Health Sciences and Management, 1(3), 101-107.
• Cohen, J. (1988). Statistical power analysis for the behavioral sciences, 2nd ed. Hillsdale, NJ: Erlbaum Coxon, K., Turienzo C.F., Kweekel L., Goodarzi B., Brigante L., Simon A., Lanau M.M. (2020). The impact of the coronavirus (COVID-19) pandemic on maternity care in Europe. Midwifery,88,102779. https://doi.org/10.1016/j.midw.2020.102779
• Dennis, C.L Faux, S. (1999). Development and psychometric testing of the breastfeeding self-efficacy scale. Research in Nursing Health, 22(5), 399-409.
• Dennis, C.L. (2003). Breastfeeding self efficacy scale: psychometric assessment of the short form. Journal of Obstetric, Gynecologic and Neonatal Nursing, 32, 734–743.
• Duman, F.N. Gölbaşı, Z., (2022). Investigation of the Effect of Breastfeeding Education on Mothers' Breastfeeding Self-Efficacy Level in Turkey. TJFMPC, 16(1): 140- 150.
• Engindeniz, A.N., Küey, L., Kültür, S. (1996). Turkish form of Edinburgh postpartum depression scale validity and reliability study. Spring symposiums 1st book, Psychiatric Association Publications, Ankara, 51-52.
• Erol, D.D. (2020). The effect of mothers' breastfeeding self-efficacy level on breastfeeding continuity. Üsküdar University, Institute of Health Sciences, Master's thesis, Istanbul.
• Escribano, S., Oliver‐Roig, A., Cano‐Climent, A., Richart‐Martínez, M., Persson, E.K., Juliá‐Sanchis, R. (2020). The Spanish version of the Mothers' Postnatal Sense of Security Scale: Psychometric properties and predictive utility. Research in Nursing & Health, 43(6), 651-661. https://doi.org/10.1002/nur.22071
• Faul, F., Erdfelder, E., Lang, A. G., Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191
• Geçkil, E., Koçak V, Altuntuğ K., Ege E. (2016) Postpartum Sense of Security Scale. Anatolian Journal of Nursing and Health Sciences, 19(4):233-42.
• Gila-Díaz, A., Carrillo, G. H., López de Pablo, Á. L., Arribas, S. M., Ramiro-Cortijo, D. (2020). Association between Maternal Postpartum Depression, Stress, Optimism, and Breastfeeding Pattern in the First Six Months. International Journal of Environmental Research and Public Health, 17(19), 7153. https://doi.org/10.3390/ijerph17197153
• He, J., Yimyam, S., Namprom, N. (2022). Breastfeeding self-efficacy, social support, and breastfeeding among Chinese mothers with late preterm infants. Journal of Neonatal Nursing, 28(1), 21-25. https://doi.org/10.1016/j.jnn.2021.07.005
• İnce, T., Aktaş, G., Aktepe, N., Aydın, A. (2017). Evaluation of mothers' breastfeeding self-efficacy and characteristics affecting breastfeeding success. Journal of Dr. Behcet Uz Children's Hospital, 7(3). https://doi.org/10.5222/buchd.2017.183
• Koçak V., Altuntuğ, K., Emel, E. (2021). Evaluation of mothers' self-efficacy and postpartum security feelings. Journal of Midwifery and Health Sciences, 4(1), 34-44. https://doi.org/10.1016/j.wombi.2017.12.00
• Kumral, S. (2021). The effect of perceived spousal support and sense of security on breastfeeding self-efficacy of women in the postpartum period (Master's thesis, Istinye University/Health Sciences Institute). https://doi.org/10.1089/bfm.2019.0106
• Matvienko-Sikar K., Meedya S., Ravaldi C. (2020) Perinatal mental health during the COVID-19 pandemic. Women Birth. 33(4):309–310. https://doi.org/10.1016/j.wombi.2020.04.006
• Mikšić, Š., Uglešić, B., Jakab, J., Holik, D., Milostić Srb, A., Degmečić, D. (2020). Positive Effect of Breastfeeding on Child Development, Anxiety, and Postpartum Depression. International Journal of Environmental Research and Public Health, 17(8), 2725. https://doi.org/10.3390/ijerph17082725
• Palmer, L., Carlsson, G., Brunt, D. Nystrom, M. (2014). Existential vulnerability can be evoked by severe difficulties with initial breastfeeding: A lifeworld hermeneutical single case study for research on complex breastfeeding phenomena. Breastfeeding Review, 22(3), 21-32.
• Persson E.K. Dykes A.K. (2007): Parents Postnatal Sense of Security Development of the PPSS Instrument. Scand J Caring, (1):118-25. https://doi:10.1016/j.midw.2007.08.001
• Persson E.K., Kvist L.J. (2014) Postnatal sense of security, anxiety and risk for postnatal depression. J Womens Health, Issues Care 3. 2014;3:2.
• Polit, D.F., Beck, C.T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
• Schaming, C., Wendland, J. (2023). Postnatal mental health during the COVID-19 pandemic: Impact on mothers' postnatal sense of security and on mother-to-infant bonding. Midwifery, 117, 103557. https://doi.org/10.1016/j.midw.2022.103557
• Sırlı, B. (2020) Postpartum security feelings of primiparous mothers and related factors (Doctoral dissertation, Necmettin Erbakan University.
• Taşkın L. (2016) Obstetrics and Gynecology Nursing, Extended XIII. Edition, Academician Medical Bookstore, Ankara, 534-70.
• Velagic, M., Mahmutovic, J., Brankovic, S. (2019). Development of mother’s postnatal sense of security. Materia Socio-medica, 31(4), 277. https://doi.org/0.5455/msm.2019.31.277-281
• Viaux S., Maurice P., Cohen D., Jouannic J.M. (2020) Giving birth under lockdown during the COVID-19 epidemic. Journal of Gynecol. Obstet. Hum. Reprod.49(6). https://doi.org10.1016/j.jogoh.2020.101785
• Werner-Bierwisch, T., Pinkert, C., Niessen, K., Metzing, S., Hellmers, C. (2018). Mothers' and fathers' sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review. BMC Pregnancy and Childbirth, 18(1), 473. https://doi.org/10.1186/s12884-018-2096-3
• Woldeyohannes, D., Tekalegn, Y., Sahiledengle, B., Ermias, D., Ejajo, T., Mwanri, L. (2021). Effect of postpartum depression on exclusive breast-feeding practices in sub-Saharan Africa countries: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 21(1), 113. https://doi.org/10.1186/s12884-020-03535-1
• Zheng, J., Sun, K., Aili, S., Yang, X., Gao, L. (2022). Predictors of postpartum depression among Chinese mothers and fathers in the early postnatal period: A cross-sectional study. Midwifery, 105, 103233. https://doi.org/10.1016/j