COMPARISON OF POSTPARTUM BONDING, MATERNAL BLUES, AND PERCEIVED INSUFFICIENT MILK SUPPLY IN ADOLESCENT AND ADULT MOTHERS

Öz

Objective: This study was conducted to compare the levels of postpartum bonding, maternal blues and insufficient milk perception in adolescent and adult mothers and to examine the relationships between these variables. Method: This descriptive and cross-sectional study was conducted with a total of 160 mothers, including 44 adolescents and 116 adults, who attended postpartum check-ups at an education and research hospital in eastern Turkey. Data were collected using an introductory information form, the Inadequate Milk Perception Scale, the Postpartum Bonding Scale, and the Maternal Blues Scale. Descriptive statistics, intergroup comparison tests, and correlation analyses were used in the analysis of the data; effect sizes were calculated. Findings: It was determined that adolescent mothers had lower levels of education and income, and higher rates of living in rural areas, unplanned pregnancies, premature births, and lack of breastfeeding education (p<0.05). Adolescent mothers' milk adequacy perception scores were found to be lower than those of adult mothers, while their postpartum bonding problems and maternal blues scores were found to be significantly higher (p<0.05). Correlation analysis between the scales revealed that as milk adequacy perception increased, bonding problems and maternal blues levels decreased. When effect sizes were evaluated, differences between groups were found to be more pronounced, particularly in psychological variables. Conclusion: Research findings indicate that adolescent mothers are a more vulnerable group in terms of psychological adjustment during the postpartum period. Therefore, it is recommended that breastfeeding education and psychosocial support programmes for adolescent mothers be strengthened.

Anahtar Kelimeler

• postpartum bonding.
• Adolescent mother
• adolescent pregnancy
• perception of insufficient milk supply
• maternal blues

Adölesan ve Yetişkin Annelerde Doğum Sonrası Bağlanma, Annelik Hüznü ve Algılanan Yetersiz Süt Miktarının Karşılaştırılması

Öz

Amaç: Bu araştırma adölesan ve yetişkin annelerde, doğum sonrası bağlanma, annelik hüznü ve yetersiz süt algısı düzeylerini karşılaştırmak ve bu değişkenler arasındaki ilişkileri incelemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı ve kesitsel tipte olan bu araştırma Türkiye’nin doğusunda bir eğitim ve araştırma hastanesinde doğum sonrası kontrole gelen 44 adölesan ve 116 yetişkin olmak üzere toplam 160 anne ile yürütülmüştür. Veriler tanıtıcı bilgi formu, Yetersiz Süt Algısı Ölçeği, Doğum Sonrası Bağlanma Ölçeği ve Annelik Hüznü Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, gruplar arası karşılaştırma testleri ve korelasyon analizleri kullanılmış; etki büyüklükleri hesaplanmıştır. Bulgular: Adölesan annelerin eğitim ve gelir düzeylerinin daha düşük olduğu, kırsal bölgelerde yaşama, plansız gebelik, erken doğum ve emzirme eğitimi almama oranlarının daha yüksek olduğu saptanmıştır (p<0,05). Adölesan annelerin yetersiz süt algısı puanları yetişkin annelere göre daha düşük bulunurken, doğum sonrası bağlanma sorunları ve annelik hüznü puanları anlamlı düzeyde daha yüksek bulunmuştur (p<0,05). Ölçekler arasında yapılan korelasyon analizinde, süt yeterlilik algısı arttıkça bağlanma sorunları ve annelik hüznü düzeylerinin azaldığı belirlenmiştir. Etki büyüklükleri değerlendirildiğinde, gruplar arasındaki farkların özellikle psikolojik değişkenlerde daha belirgin olduğu görülmüştür. Sonuç: Araştırma bulguları, adölesan annelerin doğum sonrası dönemde psikolojik uyum açısından daha kırılgan bir grup olduğunu göstermektedir. Bu nedenle adölesan annelere yönelik emzirme eğitimi ve psikososyal destek programlarının güçlendirilmesi önerilir.

Anahtar Kelimeler

• doğum sonrası bağlanma
• adölesan anne
• adölesan gebelik
• yetersiz süt algısı
• annelik hüznü

Kaynakça

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