Çiftlerin Doğum Deneyimleri ve Etkileyen Faktörler

Yıl 2024, Cilt: 7 Sayı: 2, 206 - 216, 05.07.2024

Meltem Demirgöz Bal Fadime Bayri Bingol

Öz

Amaç: Doğum deneyimi çiftlerin hayatını derinden değiştirmektedir. Eşin doğum deneyimindeki rolü, eşe duygusal ve fiziksel destek sağlamaktır. Ancak ilk doğumlarda belirsizlikler nedeniyle çiftler karmaşık duygular yaşayabilir. Doğum birçok çift için olumlu olabileceği gibi birçok çift için de olumsuz olabilmektedir. Bu bağlamda, bu çalışmanın amacı primipar kadınların ve eşlerinin doğum deneyimlerini belirlemektir.
Yöntemler: Tanımlayıcı tipteki bu çalışmaya Mart 2020 ile Mart 2021 tarihleri arasında ilk doğumunu gerçekleştiren 350 çift dahil edilmiştir. Çalışma, İstanbul'da doğumda eş katılımına izin veren anne dostu bir hastanede yürütülmüştür. Veriler genel bilgi formu ve Doğum Deneyimi Anketi (DDA) ile yüz yüze toplanmıştır. Veriler SPSS kullanılarak analiz edilmiştir.
Bulgular: Annelerin yaş ortalaması 23,60±2,69 yıl idi. Annelerin ve eşlerinin BEQ toplam puan ortalamaları sırasıyla 37,89±3,25 ve 46,28±5,02 idi (p=,00). Çiftlerin doğum deneyimleri doğum müdahaleleri ile anlamlı olarak ilişkiliydi. Epizyotomi, lavman, doğum indüksiyonu, acil sezaryen, ten tene temas yokluğu ve erken emzirmenin olmaması çiftlerin olumsuz doğum deneyimi puanlarında artışa neden olmuştur (p=,000). Annelerin BEQ toplam puanı arttıkça babaların BEQ toplam puanı da artmaktadır (p=,000, r=,57).
Sonuç: Bu çalışmada katılımcılar nötr ila hafif olumsuz bir deneyim yaşamıştır. Doğum müdahaleleri olumsuz doğum deneyimi ile ilişkilendirilmiştir. Doğum öncesi dönemde, hem kadınlar hem de eşleri doğumda olası müdahaleler ve duygu yönetimi konusunda eğitim ve destek almalıdır.

The Couples’ Birth Experiences and Influencing Factors

Öz

Objective: The birth experience profoundly changes couples’ lives. The husband's role in the birth experience is to provide emotional and physical support to his wife. However, complex emotions can be experienced in the first births due to uncertainties. While birth can be positive for many couples, it can also be negative for many couples. In this context, the aim of this study was to determine the birth experiences of primiparous women and their husbands.
Methods: This descriptive study included 350 couples who experienced their first birth between March 2020 and March 2021. The study was conducted in a mother-friendly hospital in Istanbul that allows spousal participation at birth. Data were collected face-to-face using a general information form and Birth Experience Questionnaire (BEQ). Data were analyzed using SPSS.
Results: The mean age of the mothers was 23.60±2.69 years. The total mean BEQ scores of the mothers and their spouses were 37.89±3.25 and 46.28±5.02, respectively (p=0.00). Couples’ birth experiences were significantly associated with birth interventions. Episiotomy, enema, labor induction, emergency cesarean section, no skin-to-skin contact, and no early breastfeeding caused an increase in the negative birth experience scores of couples (p=0.000). As the BEQ total score of the mothers increased, the BEQ total score of the fathers also increased (p=0.000, r=0.57).
Conclusion: In this study, participants had a neutral to slightly negative experience. Labor interventions were associated with a negative birth experience. During the antenatal period, both women and their spouses should receive training and support for possible interventions at birth and emotion management.

Anahtar Kelimeler

Birth, Spouses, Birth Experience, Satisfaction, Primiparous Women

Kaynakça

• Adler, K., Rahkonen, L., & Kruit, H. (2020). Maternal childbirth experience in induced and spontaneous labour measured in a visual analog scale and the factors influencing it; a two-year cohort study. BMC Pregnancy and childbirth, 20(1), 415.
• Ayers, S. (2017). Birth trauma and post-traumatic stress disorder: the importance of risk and resilience. Journal of reproductive and infant psychology, 35(5), 427–430.
• Baldwin, S., Malone, M., Sandall, J., & Bick, D. (2018). Mental health and wellbeing during the transition to fatherhood: a systematic review of first time fathers' experiences. JBI database of systematic reviews and implementation reports, 16(11), 2118–2191.
• Bayrı Bingöl, F., Demirgöz Bal, M., Dişsiz, M., Tokat S., Işık, M. (2021) Validity and reliability of the Turkish version of the Birth Experiences Questionnaire. Zeynep Kamil Med J, 52(1):21–26.
• Benton, M., Salter, A., Tape, N., Wilkinson, C., & Turnbull, D. (2019). Women's psychosocial outcomes following an emergency caesarean section: A systematic literature review. BMC pregnancy and childbirth, 19(1), 535.
• Brunstad, A., Aasekjær, K., Aune, I., & Nilsen, A. B. V. (2020). Fathers' experiences during the first postnatal week at home after early discharge of mother and baby from the maternity unit: A meta-synthesis. Scandinavian journal of public health, 48(4), 362–375.
• Chabbert, M., Panagiotou, D., & Wendland, J. (2021). Predictive factors of women's subjective perception of childbirth experience: a systematic review of the literature. Journal of reproductive and infant psychology, 39(1), 43–66.
• Emelonye, A. U., Pitkäaho, T., Aregbesola, A., & Vehviläinen-Julkunen, K. (2016). Spouses' Perspective of their Participation and Role in Childbirth Pain Relief. Annals of medical and health sciences research, 6(6), 367–374.
• Erenel, A.S., Cicek S. (2018). Effects of interventions in childbirth on health of mother and child interventions in childbirth. Suleyman Demirel University The Journal of Health Science 9:(2),123-129.
• Falk, M., Nelson, M., & Blomberg, M. (2019). The impact of obstetric interventions and complications on women's satisfaction with childbirth a population based cohort study including 16,000 women. BMC pregnancy and childbirth, 19(1), 494.
• Ferguson, S., Davis, D., Browne, J., & Taylor, J. (2015). Sense of coherence and childbearing choices: A cross sectional survey. Midwifery, 31(11), 1081–1086.
• Hodgson, S., Painter, J., Kilby, L., & Hirst, J. (2021). The Experiences of First-Time Fathers in Perinatal Services: Present but Invisible. Healthcare (Basel, Switzerland), 9(2), 161.
• Hosseini Tabaghdehi, M., Keramat, A., Kolahdozan, S., Shahhosseini, Z., Moosazadeh, M., & Motaghi, Z. (2020). Positive childbirth experience: A qualitative study. Nursing open, 7(4), 1233–1238.
• Johansson, M., Rubertsson, C., Rådestad, I., & Hildingsson, I. (2012). Childbirth – an emotionally demanding experience for fathers. Sexual & reproductive healthcare: official journal of the Swedish Association of Midwives, 3(1), 11–20.
• Karimi, F. Z., Miri, H. H., Khadivzadeh, T., & Maleki-Saghooni, N. (2020). The effect of mother-infant skin-to-skin contact immediately after birth on exclusive breastfeeding: a systematic review and meta-analysis. Journal of the Turkish German Gynecological Association, 21(1), 46–56.
• Kaye, D. K., Kakaire, O., Nakimuli, A., Osinde, M. O., Mbalinda, S. N., & Kakande, N. (2014). Male involvement during pregnancy and childbirth: men's perceptions, practices and experiences during the care for women who developed childbirth complications in Mulago Hospital, Uganda. BMC pregnancy and childbirth, 14, 54.
• König-Bachmann, M., Schwarz, C., Zenzmaier, C. (2017). Women’s experiences and perceptions of induction of labour: Results from a German online-survey. European Journal of Midwifery Eur J Midwifery 2017;1:(2),1-8.
• Leach, L. S., Poyser, C., Cooklin, A. R., & Giallo, R. (2016). Prevalence and course of anxiety disorders (and symptom levels) in men across the perinatal period: A systematic review. Journal of affective disorders, 190, 675–686.
• Mathur, V. A., Morris, T., & McNamara, K. (2020). Cultural conceptions of Women's labor pain and labor pain management: A mixed-method analysis. Social science & medicine (1982), 261, 113240.
• Meltzer-Brody, S., Maegbaek, M. L., Medland, S. E., Miller, W. C., Sullivan, P., & Munk-Olsen, T. (2017). Obstetrical, pregnancy and socio-economic predictors for new-onset severe postpartum psychiatric disorders in primiparous women. Psychological medicine, 47(8), 1427–1441.
• Nahaee, J., Mohammad-Alizadeh-Charandabi, S., Abbas-Alizadeh, F. et al. Pre- and during labour predictors of low birth satisfaction among Iranian women: a prospective analytical study. BMC Pregnancy Childbirth 20, 408 (2020).
• Nystedt, A., & Hildingsson, I. (2018). Women's and men's negative experience of child birth-A cross-sectional survey. Women and birth : journal of the Australian College of Midwives, 31(2), 103–109.
• Okumus, F. (2017). Birth experiences of primiparous Turkish women: public and private hospitals. Journal of Asian Midwives, 4(1):35–50.
• Onchonga, D. (2021). Prenatal fear of childbirth among pregnant women and their spouses in Kenya. Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives, 27, 100593.
• Paukert, A. L., Pettit, J. W., & Amacker, A. (2008). The role of interdependence and perceived similarity in depressed affect contagion. Behavior therapy, 39(3), 277–285.
• Poh, H. L., Koh, S. S., Seow, H. C., & He, H. G. (2014). First-time fathers' experiences andneeds during pregnancy and childbirth: a descriptive qualitative study. Midwifery, 30(6), 779–787.
• Pour M.S., Raghibi M. (2016). The impact of increasing the frequency and duration of kangaroo mother care on maternal anxiety, maternal attachment and the clinical status of premature infants. Int J Med Res Health Sci ,5:318-322.
• Reveiz, L., Gaitán, H. G., & Cuervo, L. G. (2013). Enemas during labour. The Cochrane database of systematic reviews, 2013(7), CD000330.
• Saxbe, D., Horton, K. T., & Tsai, A. B. (2018). The Birth Experiences Questionnaire: A brief measure assessing psychosocial dimensions of childbirth. Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 32(2), 262–268.
• Schwarz, C., Gross, M. M., Heusser, P., & Berger, B. (2016). Women's perceptions of induction of labour outcomes: Results of an online-survey in Germany. Midwifery, 35, 3–10.
• Steen, M., Downe, S., Bamford, N., & Edozien, L. (2012). Not-patient and not-visitor: a metasynthesis fathers' encounters with pregnancy, birth and maternity care. Midwifery, 28(4),362–371. Turkish Statistical Institute, 2016. https://data.tuik.gov.tr/Bulten/Index?p=Dogum-Istatistikleri- 2021-45547
• Vallin, E., Nestander, H., & Wells, M. B. (2019). A literature review and meta-ethnography of fathers' psychological health and received social support during unpredictable complicated childbirths. Midwifery, 68, 48–55.
• Van Vulpen, M., Heideveld-Gerritsen, M., van Dillen, J., Oude Maatman, S., Ockhuijsen, H., & van den Hoogen, A. (2021). First-time fathers' experiences and needs during childbirth: A systematic review. Midwifery, 94, 102921.
• Widarsson, M., Kerstis, B., Sundquist, K., Engström, G., & Sarkadi, A. (2012). Support needs of expectant mothers and fathers: a qualitative study. The Journal of perinatal education, 21(1), 36–44.
• World Health Organization. World Health Organization recommendations: intrapartum care for a positive childbirth experience. Geneva 2018, https://www.who.int/publications/i/item/9789241550215
• Yeat, S. K., Chen, S. C., & Lee, H. H. (2011). Enema resulting in rectal prolapse and colostomy in a term pregnant woman. Taiwanese journal of obstetrics & gynecology, 50(3), 370–371.