Primer ve Mükerrer Sezaryen Doğum Yapmanın Lohusalardaki Emzirme Başarısı ve Maternal Bağlanma Düzeyine Etkisi: Kesitsel ve Karşılaştırmalı Bir Çalışma

Yıl 2024, , 772 - 785, 21.10.2024

Ayşe Nur Yılmaz , Sümeyye Altıparmak , Yeşim Aksoy Derya

https://doi.org/10.33715/inonusaglik.1446096

Öz

Bu araştırma, primer ve mükerrer sezaryen doğum yapmanın lohusalardaki emzirme başarısı ve maternal bağlanma düzeyine etkisini belirlemek amacıyla yapıldı. Kesitsel ve karşılaştırmalı tipte olan araştırmanın örneklemini, Türkiye’nin doğusunda bulunan bir kamu hastanesine başvuran 322 lohusa oluşturdu. Veriler, “Kişisel Tanıtım Formu”, “LATCH Emzirme Tanılama Ölçüm Aracı” ve “Maternal Bağlanma Ölçeği (MBÖ)” ile toplandı. Verilerin analizinde tanımlayıcı istatistikler, bağımsız gruplarda t testi ve pearson korelasyon analizi kullanıldı. Primer ve mükerrer doğum yapan lohusaların yaş ortalaması sırasıyla 28.14 ± 6.15, 30.56 ± 4.91 olarak belirlendi. Primer sezaryen doğum yapan lohusaların LATCH ve MBÖ toplam puan ortalamasının mükerrer sezaryen doğum yapan lohusalara göre daha düşüktü ve aralarındaki farkın istatistiksel olarak anlamlıydı (p=0.000). Primer ve mükerrer sezaryen doğum yapan kadınların MBÖ ve LATCH puan ortalamaları arasında pozitif yönde zayıf düzeyde anlamlı ilişki olduğu ve emzirme başarısı arttıkça bağlanma düzeyinin de arttığı saptandı. Primer sezaryen doğumlarda mükerrer sezaryen doğumlara oranla emzirme başarısı ve bağlanma düzeylerinin daha düşük olduğu ve her iki grupta elde edilen emzirme başarısı arttıkça bağlanma düzeyinde arttığı sonucuna varıldı.

Anahtar Kelimeler

Bağlanma, Emzirme başarısı, Lohusa, Mükerrer sezaryen, Primer sezaryen

THE EFFECT OF PRIMARY AND REPEATED CESAREAN BIRTH ON BREASTFEEDING SUCCESS AND MATERNAL ATTACHMENT LEVEL IN POSTPARTUM: A CROSS-SECTIONAL AND COMPARATIVE STUDY

Öz

This research was conducted to determine the effect of primary and repeated cesarean births on breastfeeding success and maternal attachment level in postpartum women. The cross-sectional and comparative study sample consisted of 322 postpartum women who applied to a public hospital in eastern Turkey. Data were collected with the "Personal Information Form", "LATCH Breastfeeding Assessment Tool" and “Maternal Attachment Scale(MAS)". Descriptive statistics, independent group’s t-test, and Pearson correlation analysis were used to analyze the data. The average age of the puerperants with primary and repeat births was determined as 28.14±6.15, and 30.56±4.91, respectively. The mean LATCH and MAS total scores of postpartum women who had primary cesarean delivery were lower than those of postpartum women who had repeated cesarean delivery, and the difference between them was statistically significant(p=0.000). It was found that there was a weak, positive relationship between the MAS and LATCH score averages of women who had primary and repeated cesarean deliveries, and as breastfeeding success increased, the level of attachment also increased. It was concluded that breastfeeding success and attachment levels were lower in primary cesarean births compared to repeated cesarean births, and as the breastfeeding success achieved in both groups increased, the level of attachment increased.

Anahtar Kelimeler

Attachment, Breastfeeding success, Postpartum, Repeated cesarean, Primary cesarean

Kaynakça

• ACOG. (2023). What is cesarean birth. https://www.acog.org/womens-health/faqs/cesarean-birth.
• Adams, D. & Hewell, S. (1997). Metarnal and professional assessment of breastfeeding. J Hum Lact, 13(4), 279-283
• Akın, O. & Erbil, N. (2020). Mode of birth and breastfeeding: Systematic review. Ordu University Journal of Nursing Studies, 3(3), 302-318. https://doi.org/10.38108/ouhcd.799949
• Altiparmak, S, & Yilmaz, A. (2021). The effect of bırth type on breastfeedıng success and insomnıa severıty in puerperant women. Samsun Journal of Health Sciences, 6(1), 119-127. https://doi.org/10.47115/jshs.878963
• Amanak, K. & Karacam, Z. (2018). Determination of the problems experienced by the women who gave birth by cesarean delivery during the early postpartum period concerning self-care and baby care. Journal of Tepecik Training and Research Hospital, 28(1), 17-22.
• Arslan, S., Okcu, G., Coskun, A. M., Temiz, F. (2019). Women's perception of pregnancy and factors affecting. Journal of Health Sciences and Professions, 6(1), 179-192. https://doi.org/10.17681/hsp.432333
• Avci Cetin, S., Cetişli Egelioğlu, N. (2021). The effect of birth type on parenting behavior, baby perception and attachment to the mother. Cukurova Medical Journal, 46(3), 1059-1069.
• Aydın, D. & Aba, Y. (2019). The relationship between mothers' health literacy levels and their perceptions about breastfeeding self-efficacy. Dokuz Eylul University Faculty of Nursing Electronic Journal, 12(1), 31-39.
• Basdas, O., Sezer Efe, Y., Erdem E., Ozdemir, A., Gunes, T. & Ozturk M.A. (2022). Factors affecting mother-baby attachment. YOBU Faculty of Health Sciences Journal, 3(2), 130-136
• Bulbul, M. (2021). Factors affecting primary cesarean delivery rate. Journal of Uludağ University Faculty of Medicine, 47(1), 111-115. https://doi.org/10.32708/uutfd.884418
• Cakır, D. & Alparslan, O. (2018). The investigation of the effects of the birth type variable on the mother-infant interaction and mother's perception of her the infant. Journal of Contemporary Medicine, 8(2), 139-147. https://doi.org/10.16899/gopctd.418653
• Cakmak, H. & Kuguoglu, S. (2007). Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system. International journal of nursing studies, 44(7), 1128–1137. https://doi.org/10.1016/j.ijnurstu.2006.04.018
• Çankaya, S., Yılmaz, S.D., Can, R. & Kodaz, N.D. (2017). Effect of Postpartum Depression on Maternal Attachment. Acıbadem University Journal of Health Sciences, 4, 232–240.
• Capık, A., Sakar, T., Yıldırım, N., Karabacak, K. & Korkut, M. (2016). Determining the satisfaction levels of the mothers according to their mode of birth. Anatolian Journal of Nursing and Health Sciences, 19(2), 92-99. https://doi.org/10.17049/ahsbd.28765
• Cetisli, N. E., Arkan, G. & Top, E. D. (2018). Maternal attachment and breastfeeding behaviors according to type of delivery in the immediate postpartum period. Revista da Associacao Medica Brasileira (1992), 64(2), 164–169. https://doi.org/10.1590/1806-9282.64.02.164.
• Cimen, K. & Varol, H. (2021). Evaluation of the relationship between maternal attachment levels of mothers and affecting factors. Sakarya University Holistic Health Journal, 4(3), 126-135. https://doi.org/10.54803/sauhsd.977480
• Debiec, J. (2007). From affiliative behaviors to romantic feelings: a role of nanopeptides. FEBS letters, 581(14), 2580–2586. https://doi.org/10.1016/j.febslet.2007.03.095
• Duman, F.N. & Golbası, Z. (2023). The effects of increasing cesarean birth rate on mother-infant health and strategies for reducing cesarean births. TJFMPC, 17(1), 188-194. https://doi.org/10.21763/tjfmpc.1188235
• Egelioğlu, C. N., Isık, S., Kahveci, M., Hacılar, A. (2020). Postpartum physical symptom severity and breastfeeding behaviour of primipar mother according to their birth type. Koç University Journal of Education and Research in Nursing, 17(2), 98-103.
• Elmalı Si̇mşek, H. & Alpar Ecevi̇t, Ş. (2020). Post-cesarean section pain and nursing care. Istanbul Gelişim University Journal of Health Sciences, (11), 267-278.
• Evcil, F. & Zoroglu, G. (2020). Evaluation of the knowledge and behavior of mothers who gave birth in a university hospital regarding breast milk and breastfeeding. Kafkas Journal of Medical Sciences, 10(3), 221-227. doi:10.5505/kjms.2020.26429
• Gulesen, A. & Yildiz, D. (2013). Examining mother-infant attachment in the early postpartum period with evidence-based practices. Preventive Medicine Bulletin, 12(2), 177 - 182.
• Isık, G., Ceti̇sli̇, N. & Baskaya, V. (2018). Postpartum pain, fatigue levels, and breastfeeding self-efficacy according to type of birth. Dokuz Eylul University Faculty of Nursing Electronic Journal, 11 (3), 224-232
• Isler, A. (2007). The role of neonatal nurses in initiating the mother-infant relationship in premature babies. Journal of Perinatology, 15(1), 1-6.
• Jensen, D., Wallace S, Kelsay P. LATCH: Breastfeeding charting system and documentation tool. JOGNN 1994; 23(1), 27-32, 18.
• Kavlak, O. (2007). Maternal and paternal attachment and the role of the nurse. Ege University Faculty of Nursing Journal, 23(2), 183-194
• Kavlak, O. & Şirin, A. (2009). Maternal bağlanma ölçeği’nin türk toplumuna uyarlanması. Uluslararası İnsan Bilimleri Dergisi, 6(1), 188-202.
• Keten Edis, E. (2021). Skin-to-skin contact and breastfeeding after caesarean section. Health Sciences University Journal of Nursing, 3(2), 103-108. https://doi.org/10.48071/sbuhemsirelik.878291
• Kınık, E. & Ozcan, H. (2020). Factors affecting maternal attachment and maternal attachment status in primiparas. Journal of Health Professionals Research, 2(1), 47-53.
• Kokanalı, D., Ayhan, S., Devran, A., Kokanalı, M. K., et al. (2018). Effect of cesarean section on postpartum depression and maternal attachment. Journal of Contemporary Medicine, 8(2), 148-152. https://doi.org/10.16899/gopctd.366181
• Levine, A., Zagoory-Sharon, O., Feildman, R. & Weller, A. (2007). Oxytocin during pregnancy and early postpartum: individual patterns and maternal-fetal attachment. Peptides, 28(6), 1162-1169.
• Muller, M. E. (1994). A questionnaire to measure mother- to- infant attachment. J Nurs Meas., 2(2), 129-141.
• Odent, M., Tekin, Ö. M. (2015). Neocortical inhibition during labor and stress deprivation associated with cesarean section without labor. Medical Journal of Gynecology, Obstetrics and Neonatology, 12(3), 123-125.
• OECD Indıcators, Health at a Glance 2013. https://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf
• Ozkan, H., Uzun Ozer, B. & Arı, O. (2021). A current look at birth by caesarean section: Modern caesarean theory. Archive Resource Scanning Journal, 30(4), 226-235
• Ozkan, M., Mercan Baspinar, M., Gulec Geylani, S. & Basat, O. (2022). A Cross-Sectional Evaluation of Breastfeeding Success and Related Factors in Mothers of Newborn Babies. Kırıkkale University Faculty of Medicine Journal, 24 (2), 209-217
• Tezergil, B. (2007). Thoughts and practices of postpartum mothers regarding breastfeeding. Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing. Master's Thesis, Istanbul: Marmara University.
• Uğurer, Y. (2023). The effect of planned caesarean section on early postpartum milk release and breastfeeding success. Aydın Adnan Menderes University, Institute of Health Sciences, Department of Midwifery. Master's Thesis.
• Ulgu, M. M., Birinci, S., Altun Ensari, T. & Gözükara, M. G. (2023). Cesarean section rates in Turkey 2018-2023: Overview of national data by using Robson ten group classification system. Turkish Journal of Obstetrics and Gynecology, 20(3), 191–198. https://doi.org/10.4274/tjod.galenos.2023.68235
• Unal, E. & Kaya Şenol, D. (2022). The effect of delivery mode on postpartum comfort and breastfeeding success in primiparous mothers. Ordu University Journal of Nursing Studies, 5(2), 158-165. https://doi.org/10.38108/ouhcd.901241
• Ustgorul, S. & Yanikkerem, E. (2014). Examining the effect of postpartum depression on maternal attachment. SSTB International Refereed Academic Journal of Sports, Health & Medical Sciences, 12(4), 14-30.
• WHO. (2015). WHO Statement on Caesarean Section Rates https://apps.who.int/iris/bitstream/10665/161442/11/WHO_RHR_15.02_tur.pdf?ua=1
• Yenal, K. & Okumuş, H. (2003). LATCH Emzirme tanılama ölçeğinin güvenirliğini inceleyen bir çalışma. HEMAR-G Dergisi, 5(1), 38-44.
• Zanardo, V., Savona, V., Cavallin, F., D’Antona, D., Giustardi, A. & Trevisanuto, D. (2012). Impaired lactation performance following elective delivery at term: role of maternal levels of cortisol and prolactin. J Matern Fetal Neonatal Med, 25(9), 1595-1598.