The Effects of Mothers' Anxiety Level and Obsessive and Compulsive Behaviors Regarding Baby Care on Breastfeeding Motivation in the Postpartum Period

Yıl 2025, Cilt: 8 Sayı: 1, 20 - 31, 26.03.2025

Süreyya Kılıç , Sema Yılmaz

https://doi.org/10.62425/esbder.1478339

Öz

Objective: The study was planned to investigate the relationship between mothers' anxiety and obsessive and compulsive behaviours related to baby care and breastfeeding motivation in the postpartum period.
Methods: The sample of the descriptive and correlational study consisted of 367 mothers who applied to the pediatric clinic of a state hospital in the Central Anatolia region between November 2022 and June 2023 for control purposes. The data were collected using Personal Information Form, Primiparous Breastfeeding Motivation Scale (PBMS), Postpartum Specific Anxiety Scale (PSAS) and Obsessive and Compulsive Behaviours of Mothers Towards Baby Care in the Postpartum Period Scale (PPOCBS). Descriptive statistics, independent groups t test, One-Way ANOVA test and Pearson correlation analysis were used to analyse the data.
Results: The mean scores of PSAS and PPOCBS the mothers who participated in the study were 112.33±3.90, and 26.36±10.80, respectively. The mean scores of the value ascribed to breastfeeding, self- effectiveness, midwife support and expectation of success sub-dimensions of the PBMS scale were 77.19±17.43, 41.71±9.71, 20.19±7.64 and 10.84±6.20, respectively. It was determined that there was a significant relationship between the total mean score of the PSAS and the sub-dimension scores of value ascribed to breastfeeding and success expectation levels of the PBMS. It was found that there was a significant relationship between the mean score of the mothers' PPOCBS and the mean score of the value ascribed to breastfeeding sub-dimension of PBMS.
Conclusion: In the postpartum period, as value ascribed to breastfeeding increases, anxiety increases and success expectancy decreases. As the PPOCBS increases, value ascribed to breastfeeding decreases.

Anahtar Kelimeler

Breastfeeding motivation, obsessive compulsive disorder, postpartum anxiety

Kaynakça

• Akçay, İ. (2019). Primipar annelerin emzirme motivasyonları ve etkileyen faktörler (Tez No: 567593). [Yüksek Lisans Tezi, İstanbul Marmara Üniversitesi]. Türkiye Yükseköğretim Kurulu Tez Merkezi. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonuc Yeni.jsp
• Akçay, İ., & Demirgöz Bal, M., (2020). Primipar Emzirme Motivasyon Ölçeği’nin Türkçe’ye uyarlanması: geçerlik ve güvenilirlik çalışması. Ankara Medical Journal, 1, 79-89.
• Aydın, R., Ay, Ö. P., Topçu, T. Y., & Aktaş, S. (2022). Annelerin erken postpartum dönemdeki eş desteği algısının postpartum stres üzerine etkisi. Sürekli Tıp Eğitimi Dergisi, 31(2), 126-133.
• Bayri Bingol, F., Demirgoz Bal, M., Aydın Ozkan, S., Zengin, O., & Civ, B. (2019). The adaptation of the postpartum specific anxiety scale into the Turkish language: A study of validity and reliability. Journal of Reproductive and Infant Psychology, 24, 1-14.
• Bayrı Bingöl, F., & Demirgöz Bal, M. (2021). Doğum sonrası maternal anksiyete ve bağlanmayı etkileyen faktörler. STED, 30(1), 60-68.
• Challacombe, F. L., Salkovskis, P. M., Woolgar, M., Wilkinson, E. L., Read, J., & Acheson, R. (2016). Parenting and mother-infant interactions in the context of maternal postpartum obsessive-compulsive disorder: Effects of obsessional symptoms and mood. Infant Behavior & Development, 44, 11–20.
• Dağlı, E., & Reyhan, F. A. (2023). The effect of online hypno-breastfeeding and solution-focused psychoeducation on mothers’ breastfeeding motivation and perception of insufficient milk: Randomize controlled study. Health Care for Women International, 1-15.
• Duran, S., & Kaynak, S. (2021). Investigation of the relationship between postpartum-specific anxiety and maternal attachment and affecting factors in a Turkish sample. Eurasian Journal of Family Medicine, 10(4), 219-26.
• Fairbrother, N., Collardeau, F., Albert, A. Y., Challacombe, F. L., Thordarson, D. S., Woody, S. R., & Janssen, P. A. (2021). High prevalence and incidence of obsessive-compulsive disorder among women across pregnancy and the postpartum. The Journal of Clinical Psychiatry, 82(2), 30368.
• 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.
• Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
• Fallon, V., Halford, J. C. G., Bennett, K. M., & Harrold, J. A. (2016). The postpartum specific anxiety scale: development and preliminary validation. Archives of Women's Mental Health, 19, 1079-1090.
• Ferra, I., Bragança, M., & Moreira, R. (2024). Exploring the clinical features of postpartum obsessive-compulsive disorder-a systematic review. The European Journal of Psychiatry, 38(1), 100232.
• Field, T. (2018). Postnatal anxiety prevalence, predictors and effects on development: A narrative review. Infant Behavior & Development, 51, 24–32.
• Garcia, K., Mancuso, A., & Le, H. N. (2023). Mothers’ experiences of perinatal obsessive-compulsive disorder. Journal of Reproductive and İnfant Psychology, 41(4), 445-455.
• Kabul, F., & Çınar, N. (2023). Annelerin sosyal destek algısı ve bebeklerinin bakımı ile ilgili obsesif kompulsif davranışları arasındaki ilişkinin yapısal eşitlik modeli ile incelenmesi. Sakarya Üniversitesi Holistik Sağlık Dergisi, 6(1), 107-123.
• Kılıç Doğan, E., & Cesur, B. (2023). The relationship between postpartum anxiety and maternal function in mothers. Cumhuriyet Medical Journal, 45(4), 36-47
• Kırca, N., Altun, Ö. Ş., Apay, S. E., & Şahin, F. (2022). Doğum sonu dönemde annelerin bebek bakımı ile ilgili obsesif ve kompulsif davranışları ve sağlık okuryazarlığı arasındaki ilişki: tanımlayıcı araştırma. Turkiye Klinikleri Journal of Nursing Sciences, 14(4).
• Kurt, A., & Söyler, H. Ç. (2022). Covid-19 döneminde doğum yapan kadınlarda maternal bağlanma, obsesif kompülsif bozukluk ve perinatal anksiyete ilişkisi. Sosyal, Beşeri ve İdari Bilimler Dergisi, 5(3), 225-235.
• Kurt, N., Battal, S., & Koca, H. Ü. (2023). Postpartum dönemde COVID-19 korkusunun annelerin bebek bakımı ile ilgili obsesif-kompulsif davranışlarına ve postpartum depresyona etkisi. Ebelik ve Sağlık Bilimleri Dergisi, 6(1), 7-13.
• Özdemir, K., Menekşe, D., & Çınar, N. (2020). Development of obsessive and compulsive behaviors scale of mothers in postpartum period regarding baby care: Validity and reliability. Perspectives in Psychiatric Care, 56(2).
• Pinto, E., Chaves, C., Duarte, J., Nelas, P., & Coutinho, E. (2016). Maternal affection and motivation for breastfeeding. Procedia-Social and Behavioral Sciences, 217, 1028-1035.
• Russell, E. J., Fawcett, J. M., & Mazmanian, D. (2013). Risk of obsessive-compulsive disorder in pregnant and postpartum women: a meta-analysis. The Journal of Clinical Psychiatry, 74(4), 18438.
• Stocdale, J., Sinclair, M., Kernohan, G., McCrum-Gardner, E., Keller, J. (2013). Sensitivity of the breastfeeding motivational measurement scale: a known group analysis of first time mothers. PloS One, 8 (12).
• Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (6th edition). Pearson New International Edition.
• Tahir, F., & Fatima, H. (2018). Efficacy of cognitive behavior therapy and exposure response prevention for obsessive compulsive disorders. Pakistan Journal of Professional Psychology: Research and Practice, 9(2), 62-71.
• Tharwat, D., Trousselard, M., Fromage, D., Belrose, C., Balès, M., Sutter-Dallay, A. L., ... & Duffaud, A. M. (2022). Acceptance mindfulness-trait as a protective factor for post-natal depression: A preliminary research. International Journal of Environmental Research and Public Health, 19(3), 1545.
• Üstüngör, N. (2022). Doğum sonu obsesif kompulsif davranışların anne-bebek bağlanmasına etkisi [Yüksek Lisans Tezi, İstanbul Marmara Üniversitesi]. Türkiye Yükseköğretim Kurulu Tez Merkezi. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
• Yalçın, H. & Kaya, Ş. (2020). Covit 19 pandemi sürecinde doğum yapan annelerin kaygı düzeyleri ve duygu düzenleme becerilerinin incelenmesi. International Social Sciences Studies Journal, 6 (65), 2778-2786.
• Zappas, M. P., Becker, K., & Walton-Moss, B. (2021). Postpartum anxiety. The Journal for Nurse Practitioners, 17(1), 60-64.