Motherhood Experience in Different Groups

Year 2015, , 274 - 283, 29.12.2015

Ayse Delıktas Oznur Korukcu Kamile Kukulu

https://doi.org/10.5455/musbed.20150831014409

Abstract

The process of becoming a mother is one of the most important developmental transitions in a woman’s life cycle. This process is the most gratifying event with the participation of a new member to the family. Transition to motherhood can be in different ways, in first time pregnant women, adolescent pregnant women, women with a baby with congenital abnormalities and older age pregnant women. While women having their first pregnancies with lack of sufficient information about the role and responsibilities of parents have more anxiety, multiparous women with higher maternal competence have less postpartum stress and higher maternal competence. Adolescent pregnant women who are trying to adapt to developmental changes can live a risky and obscure process with new additional maternal roles. Older pregnant mother with the advantages and disadvantages of their special age can experience motherhood in different ways. A mother hoping to have a healthy baby but have a baby with abnormalities may experience post-traumatic stress disorder and may give reactions as anger, shock, disappointment and insufficient adaptation. A high risk pregnancy, which usually brings hospitalization process, requires a new adaptation for the mother, interrupting the maternal role. This review article aimes to emphasize that motherhood transition is unique for each woman, to examine the transition to motherhood experience in different groups and to make health care professions aware about motherhood process in different women characteristics.

Keywords

Pregnancy, mothers, parturition

Farklı Gruplarda Annelik Deneyimi

Abstract

Anne olma süreci kadının hayat döngüsünde en önemli gelişimsel geçişlerden birisir. Bu süreç, aileye yeni bir üyenin katılması ile çoğu zaman mutluluk verici bir olay olmaktadır. Anneliğe geçiş ilk gebeliğini yaşayan kadınlarda, adölesan gebelerde, ileri yaş gebelerde ve konjenital anomalisi olan bir bebeğe sahip olan gebelerde farklı şekillerde olabil¬mektedir. İlk gebeliğini yaşayan kadınların ebeveyn rol ve sorumluklarına ilişkin yeterli bilgisinin olmaması anksiyete yaşamalarına sebep olurken, maternal yeterliliğe sahip olan multiparların annelik rolüne uyumu daha yüksek ve postpartum stres düzeyleri daha az olmaktadır. Adölesan gebeler içinde bulundukları gelişimsel değişikliklere adapte olmaya çalışırken, bunlara eklenecek olan annelik rolü ile riskli ve bilinmez-liklerin olduğu bir süreç yaşayabilmektedir. İleri yaş gebeler yaşa özel sahip oldukları avantaj ve dezavantajlar ile anne olma deneyimini farklı şekillerde yaşayabilmektedir. Sağlıklı bir bebeğe sahip olmayı uman bir anne, bebekte anomali tanı sonrası post-travmatik stres yaşayabilmekte, bu duruma öfke, şok, hayal kırıklığı ve yetersiz adaptasyon gibi tepkiler verebilmektedir. Genellikle hastanede yatma sürecini de beraberinde getiren yüksek riskli gebelikler ise anne için yeni adaptasyon süreci gerektirmekte ve maternal rolü kesintiye uğratmaktadır. Bu çalışma anneliğe geçiş sürecinin her kadın için bireysel olduğunu vurgulamak, farklı gruplarda anneliğe geçiş deneyimini irdelemek ve bu süreç hakkın¬da sağlık profesyonellerine farkındalık kazandırmak amacıyla derleme şeklinde yazılmıştır.

Keywords

Gebelik, anneler, doğum

References

• 1. Erden-İmamoğlu S. Gender role and social identifications: the two major factors to shape Turkish women. Education. 2013; 134(1): 82-93.
• 2. Beydağ KD. Doğum sonu dönemde anneliğe uyum ve hemşirenin rolü. TSK Koruyucu Hekimlik Bülteni. 2007; 6(6): 479-484. 3. Mercer R. Predictors of maternal role attaintment at one year post birth. West J Nurs Res. 1986; 8(1): 2-9. 4. Özkan H, Polat S. Annelik davranışını öğrenme süreci ve hemşirelik desteği. Bozok Tıp Derg. 2011; 1(3): 35-39.
• 5. Don B, Chong A, Biehle S, Gordon A, Mickelson K. Anxiety across the transition to parenthood: change trajectories among low-risk parents. Anxiety, Stress, & Coping. 2014; 27(6): 633-649.
• 6. Currie J. Managing motherhood: strategies used by new mothers to maintain perceptions of wellness. Health Care for Women Int. 2009; 30: 655-670.
• 7. Mercer, RT. Becoming a mother: Research on maternal identity from Rubin to the present. 2nd ed. New York: Springer; 1995. p.145-148.
• 8. Nelson A. Transition to motherhood. JOGNN. 2003; 32: 465-477.
• 9. Wahn E, Nissen E, Ahlberg B. Becoming and being a teenage mother: how teenage girls in South Western Sweden view their situation. Health Care for Women Int. 2005; 26(7): 591-603. 10. Paris R, Dubus N. Staying connected while nurturing an infant: A challenge of new motherhood. Fam Relat. 2005; 54(1): 72-83.
• 11. Mills T, Lavender T. Advanced maternal age. Obstet Gynaecol Reprod Med. 2010; 21: 4.
• 12. Yılmaz S, Beji N. Gebelerin stresle başa çıkma, depresyon ve prenatal bağlanma düzeyleri ve bunları etkileyen faktörler. Genel Tıp Derg. 2010; 20(3): 99-108.
• 13. Ragozin A, Basham R, Crnic K, Greenberg M, Robinson N. Effects on maternal age on parenting role. Dev Psychol. 1982; 18: 627-634.
• 14. Yıldırım G, Gökyıldız Ş. Sağlıklı bebeğe sahip olamayan ailelerin yaşadığı psikososyal sorunlar. Atatürk Üniv. Hemşirelik Yüksekokulu Dergisi. 2004; 7(3): 74-82. 15. Dale M, Solberg O, Holmstrom H, Landolt M, Eskedal L, Vollrath M. Mothers of infants with congenital heart defects: well-being from pregnancy through the child’s first six months. Qual Life Res. 2012; 21: 115-122.
• 16. Horsch A, Brooks C, Fletcher H. Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly. Prenat Diagn. 2013; 33: 1137-1145.
• 17. Ohashi Y, Asano M. Transition to early parenthood, and family functioning relationships in Japan: a longitudinal study. Nurs Health Sci. 2012; 14: 140-147.
• 18. Friedman MM, Bowden VR, Jones EG. Family Nursing: Research, Theory, and Practice (5th edn). New Jersey: Upper Saddle River. 2003; 103-150.
• 19. Taşkın L. Gebeliğin psikososyal ve kültürel boyutu. Doğum ve Kadın Sağlığı Hemşireliği. 11. Baskı. Ankara: Sistem Ofset Matbaacılık; 2012. p. 211-212.
• 20. Mercer R. Nursing support of the process of becoming a mother. JOGNN. 2006; 35: 649-651.
• 21. Chen C, Wang S, Chung U, Tseng Y, Chou F. Being reborn: the recovery process of postpartum depression in Taiwanese women. J Adv Nurs. 2006; 54(4): 450-456. 22. Williams TM, Joy LA, Travis L, Gotowiec A, Blum-Steele M, Aiken L.S, Painter SL, Davidson SM. Transition to motherhood: A longitudinal study. Infant Ment Health J. 1987; 8(3): 251-265.
• 23. Takeda E, Kobayashi Y. The development of a maternal caregiving system: Based on changes in the attachment—caregiving balance scale up to 6-7 months postpartum. J Jpn Acad Midwif. 2013; 27(2): 237-246.
• 24. Warren PL. First-time mothers: Social support and confidence in infant care. J Adv Nurs. 2005; 50(5): 479-488.
• 25. Ngai F, Chan S, Holroyd E. Chinese primiparous women’s experiences of early motherhood: factors affecting maternal role competence. J Clin Nurs. 2011; 20: 1481-1489.
• 26. Özen Çınar İ, Öztürk A. The effect of planned baby care education given to primiparous mothers on maternal attachment and self-confidence levels. Health Care for Women Int. 2014; 35: 320-333.
• 27. Martell LK. Heading toward the new normal: a contemporary postpartum experience. JOGNN. 2001; 30: 496-506.
• 28. Ong S, Chan W, Shorey S, Chong Y, Klainin-Yobas P, He H. Postnatal experiences and support needs of first-time mothers in Singapore: A descriptive qualitative study. Midwifery. 2014: 772-778.
• 29. Hung C. The psychosocial consequences for primiparas and multiparas. Kaohsiung J Med Sci. 2007; 23: 352-360. 30. Shorey S, Chan W, Chong Y, He H. Maternal parental self-efficacy in newborn care and social support needs in Singapore: a correlational study. J Clin Nurs. 2013; 23: 2272-2283.
• 31. Lanier P, Jonson-Reid M. Comparing primiparous and multiparous mothers in a nurse home visiting prevention program. BIRTH. 2014; 41: 4.
• 32. Lin C, Chou F. A comparison of maternal psychological adaptation among pregnant women with different gravidity. J Nurs. 2008; 55(6): 28-36. 33. Stark M. Psychosocial adjustment during pregnancy: The experience of mature gravidas. JOGNN. 1997; 26(2): 206-211. 34. Koffman O. Fertile bodies, immature brains?: A genealogical critique of neuroscientific claims regarding the adolescent brain and of the global fight against adolescent motherhood. Soc Sci Med. 2014: 1-7. 35. World Health Organization (WHO). WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Geneva, World Health Organization, 2011. 9 p. 36. İltemir Duvan C, Turhan N, Onaran Y, Gümüş İ, Yuvacı H, Gözdemir E. Adolescent pregnancies: Maternal and fetal outcomes. The New Journal of Medicine. 2010; 27: 113-116.
• 37. Campos A, Barbieri M, Torloni M, Guazzelli C. Does motherhood affect the quality of life of adolescents? J Pediatr Adolesc Gynecol. 2012; 25: 380-383. 38. Şen S, Kavlak O. Çocuk gelinler: Erken yaş evlilikleri ve adölesan gebeliklere yaklaşım. Aile ve Toplum Dergisi. 2011; 7(25): 35-44.
• 39. Keskinoğlu P, Bilgic N, Picakciefe M, Giray H, Karakus N, Gunay T. Perinatal outcomes and risk factors of Turkish adolescent mothers. J Pediatr Adolesc Gynecol. 2007; 20(1): 19-24. 40. Crugnola C, Lerardi E, Gazzotti S, Albizzati A. Motherhood in adolescent mothers: Maternal attachment, mother-infant styles of interaction and emotion regulation at three months. Infant Behav Dev. 2014; 37: 44-56. 41. Lobel M, DeVincent CJ, Kaminer A, Meyer BA. The impact of prenatal maternal stress and optimistic disposition on birth outcomes in medically high-risk women. Health Psych. 2000; 19: 544-553. 42. Holub C, Kershaw T, Ethier K, Lewis J, Milan S, Ickovics J. Prenatal and parenting stress on adolescent maternal adjustment: Identifying a high-risk subgroup. Matern Child Health J. 2007; 11: 153-159. 43. Klingberg-Allvin M, Johansson A, Berggren V. One foot wet and one foot dry transition ınto motherhood among married adolescent women in rural Vietnam. J Transcult Nurs. 2008; 19(4): 338-346.
• 44. Özsoy S. Adölesan Annelerin emzirmeye yönelik düşünce ve uygulamaları. F N Hem Derg. 2014; 22(2): 84-93. 45. Aref- Adib M, Freeman-Wang T, Ataullah I. The older obstetric patient. Obstet Gynaecol Reprod Med. 2007; 18: 2.
• 46. Mansfield P.K, Cohn M.D. Stress and later-life childbearing: Important implications for nursing. Matern Child Nurs J. 1986; 15(3): 139-151.
• 47. Aasheim V, Waldenström U, Rasmussen S, Espehaug B, Schytt E. Satisfaction with life during pregnancy and early motherhood in first-time mothers of advanced age: a population-based longitudinal study. BMC Pregnancy Childbirth. 2014; 14: 86.
• 48. Aasheim V, Waldenström U, Hijemsteldt A, Rasmussen S, Pettersson H, Schytt E. Associations between advanced maternal age and psychological distress in primiparous women, from early pregnancy to 18 months postpartum. BJOG. 2012; 119: 1108-1116.
• 49. Emmanuel E, Creedy D, John W, Gamble J, Brown C. Maternal role development following childbirth among Australian women. J Adv Nurs. 2008; 64(1): 18-26.
• 50. Meisenhelder JB, Meservey PM. Childbearing over thirty: Description and satisfaction with mothering. West J Nurs Res. 1987; 9(4): 527-541. 51. Randell BP. Growth versus stability: Older primiparous women as a paradigmatic case for persistence. J Adv Nurs. 1993; 18: 518-525.
• 52. Guedes M, Canavarro M. Psychosocial adjustment of couples to first-time parenthood at advanced maternal age: an exploratory longitudinal study. J Reprod Infant Psychol. 2014; 32(5): 425-440.
• 53. Ruschel P, Zielinsky P, Grings C, Pimentel J, Azevedo L, Painagua R, Nicoloso L. Maternal-fetal attachment and prenatal diagnosis of heart disease. Eur J Obstet Gynecol Reprod Biol. 2014; 174: 70-75.
• 54. Drotar D, Baskiewicz A, Irving B, Kennell J, Klaus M. The adaptation of parents to the birth of an infant with a congenital malformation: a hypothetical model. Pediatrics. 1975; 56: 710-717.
• 55. Aite L, Zaccara A, Nahom A, Trucchi A, Iacobelli B, Bagolan P. Mothers’ adaptation to antenatal diagnosis of surgically correctable anomalies. Early Hum Dev. 2006; 82: 649-653. 56. Bal Yılmaz H, Kavlak O, Isler A, Liman T, Van Sell S. A study of maternal attachment among mothers of ınfants with congenital anomalies in Turkey. Infants & Young Children. 2011; 24(3): 259-266.
• 57. Dikencik B, Akın N, Yavan T ve ark. Prenatal kayıp deneyimleyen ailelerin duygusal tepkileri ve bunlara yönelik hemşirelik yaklaşımı. Perinatoloji Dergisi. 1999; 7 : 9-14. 58. Aydemir H, Hazar H. Düşük riskli, riskli, yüksek riskli gebelik ve ebenin rolü. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2014; 3(2): 815- 833. 59. Vırıt O, Akbaş E, Savaş HA, Sertbaş G, Kandemir H. Gebelikte depresyon ve kaygı düzeylerinin sosyal destek ile ilişkisi. Nöropsikiyatri Arşivi. 2008; 45 (1): 9-13. 60. Hess C, Teti D, Hussey-Gardner B. Self-efficacy and parenting of high-risk infants:The moderating role of parent knowledge of infant development. Applied Developmental Psychology. 2004; 25: 423- 437. 61. Gümüşdaş M, Apay S, Özorhan E. Riskli olan ve olmayan gebelerin psiko-sosyal sağlıklarının karşılaştırılması. HSP. 2014; 1(2): 32-42.
• 62. Gilbert E, Harmon J. Yüksek riskli gebelik ve doğum el kitabı (Çev. Taşkın L). 2002 Palme Yayıncılık, Ankara.
• 63. Reid T, Bramwell R. Using the Parental Stressor Scale: NICU with a British sample of mothers of moderate risk preterm infants. Journal of Reproductive & Infant Psychology. 2003; 21 (4): 279-291.
• 64. Zabielski MT. Recognition of maternal identity in preterm and full-term mothers. Matern Child Nurs J. 1994; 22(1): 2-36.
• 65. Gross D, Rocissano L, Roncoli M. Maternal confidence during toddlerhood: Comparing preterm and full-term groups. Res Nurs Health. 1989; 12(1): 1-9.
• 66. McGrath M, Boukydis CFZ, Lester BM. Determinants of maternal self-esteem in the neonatal period. Infant Mental Health Journal. 1993; 14(1): 35-48.
• 67. Mercer RM, Ferketich SL. Predictors of maternal role competence by risk status. Nurs Res. 1994; 43(1): 38-43. 68. Leeners B, Neumaıer-wagner P, Kuse S, Merki S, Stiller R, Neises M, Imthurn B, Rath W. Motivation for motherhood in women with hypertensive diseases in pregnancy. J Psychosom Obstet Gynaecol. 2009; 30(2): 133-140.
• 69. Mu PF. Maternal role transition experiences of women hospitalized with PROM: A phenomenological study. Int J Nurs Stud. 2004; 41(8): 825-32.
• 70. Körükcü Ö, Kukulu K. Preterm erken membran rüptürü olan gebelerin anneliğe geçişlerinin Meleis’in Geçiş Teorisi’ne göre incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2014; 17(4): 253-260.
• 71. Chen S, Chen C. Uncertainty, stress and coping in women with high-risk pregnancy during third trimester. J Nurs Res. 2000; 8(3): 629-640.
• 72. Korukcu Ö, Kukulu K, Firat MZ. The reliability and validity of the Turkish version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) with pregnant women. J Psychiatr Ment Health Nurs. 2012; 19(3): 193-202. 73. Körükcü O, Kukulu K. Relationship between fear of childbirth and anxiety among Turkish pregnant women. Procedia Social and Behavioral Sciences. 2010; 5(1): 467-470.
• 74. Kukulu K, Buldukoglu K, Keser I, Keser I, Mendilcioglu İ, Lüleci G. Psychological effects of amniocentesis on women and their spouses: importance of the testing period and genetic counseling. J Psychosom Obstet Gynaecol. 2006; 27(1): 9-15.