The Effect of Women’s Mode of Delıvery and Anxiety on Early Mother-Infant Interactıon: A Study from Turkey

Öz

Aim: The aim of this study was to investigate the effect of women’s mode of delivery and anxiety on early mother-infant interaction. Method: This was a cross-sectional study. The sample of the study consisted of pregnant women who applied to the delivery room of a state hospital between September 2015 and August 2016 (n:324). Sociodemographic form, state anxiety scale and mother-infant interaction form were used in the study. Results: It was determined that 54.9% of the mothers gave birth normally, 48.1% had high anxiety and the mean score of the state anxiety scale was 41.73±6.79. The mother-infant interaction scale first contact mean score was 8.39 ± 1.92, while the second day contact score was 8.94 ± 1.67. In addition, it was determined that 28.1% of mothers in the mother-infant interaction needed midwife/nurse support at the first contact and 19.8% at the second day of contact. A statistically significant difference was found between mode of delivery and mother-baby first contact scores (p<0.05), but no significant difference was found with the second day contact score (p>0.05). A significant negative correlation at a medium level was determined between the mothers’ anxiety score and their scores on the mother-baby interaction scale for first contact and second day contact (p<0.05). Conclusion and Suggestions: It was determined in the study that mode of delivery did not affect mother baby interaction, but as anxiety levels rose, so mother-baby interaction scores fell. Interventions to increase mother-infant interaction after delivery of pregnant women with high prenatal state anxiety can be planned.

Anahtar Kelimeler

• Anxiety
• Cesarean birth
• Normal birth
• Mother-baby interaction

Doğum Tipi ve Anksiyetenin Erken Anne Bebek Etkileşimine Etkisi: Türkiye’den Bir Çalışma

Öz

Amaç: Kadınların doğum şekli ve kaygısının erken anne-bebek etkileşimi üzerindeki etkisini araştırmaktır. Yöntem: Kesitsel bir çalışmadır. Araştırmanın örneklemini bir devlet hastanesi doğumhanesine Eylül 2015 Ağustos 2016 tarihleri arasında başvuran gebe kadınlar oluşturmuştur (n:324). Araştırmada sosyodemografik form, durumluk kaygı ölçeği ve anne-bebek etkileşim ölçeği kullanılmıştır. Bulgular: Annelerin %54.9’unun normal doğum yaptığı, %48.1’inin yüksek kaygıya sahip olduğu ve durumluk kaygı ölçeği puan ortalamasının 41.73±6.79 olduğu belirlenmiştir. Annelerin anne-bebek etkileşimi ölçeği ilk temas puan ortalaması 8.39 ± 1.92 iken, ikinci gün temas puanı 8.94 ± 1.67 olarak bulunmuştur. Ayrıca annelerin anne-bebek etkileşimi ilk temasta %28.1’inin, ikinci gün temasta ise, %19.8’inin ebe/hemşire desteğine ihtiyaç duyduğu belirlenmiştir. Doğum şekli ile anne-bebek etkileşim ölçeği ilk temas puanları arasında istatistiksel olarak anlamlı fark bulunurken (p<0.05), ikinci gün temas puanı ile anlamlı fark bulunmamıştır (p>0.05). Annelerin kaygı puanı ile anne bebek etkileşim ölçeği puanı arasında anlamlı düzeyde negatif bir ilişki saptanmıştır (p<0.05). Sonuçlar ve Öneriler: Araştırmada doğum şeklinin anne bebek etkileşimini etkilemediği, kaygı düzeyi yükseldikçe anne bebek etkileşim puanlarının düştüğü belirlenmiştir. Prenatal durumluk kaygısı yüksek gebelerin doğum sonrası anne-bebek etkileşimini artıracak girişimler planlanması önerilebilir.

Anahtar Kelimeler

• Anksiyete
• Sezaryen doğum
• Normal doğum
• Anne bebek etkileşimi

Destekleyen Kurum

yok

Kaynakça

1. Akkoca, Y. (2009). Factors effecting bonding in the postpartum period. Department of Psychiatry. Specialization Thesis in Medicine. Gazi University Faculty of Medicine, Ankara. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
2. Arı, S. (2012). Relationship between mother-infant attachment and postpartum depression. Department of Midwifery. Master Thesis. Istanbul University Institute of Health Sciences, Istanbul. https://tez.yok.gov.tr/ UlusalTezMerkezi/tezSorguSonucYeni.jsp
3. Bader, L.R. Fouts, H.N. Jaekel, J. (2019). Mothers’ feelings about infants’ negative emotions and mother-infant interactions among the Gamo of Southern Ethiopia. Infant Behavior and Development, 54:22-36.
4. Bülez, A. Gör, A. Genç, R.E. (2016). The Initiation and Improvement of Newborn-Parent Relationship. İzmir Katip
5. Çelebi Universty Health Seciences Faculty Journal 2:33-36.
6. Chung, F.F. Wan, G.H. Kuo, S.C. et al. (2018). Mother-infant interaction quality and sense of parenting competence at six months postpartum for first-time mothers in Taiwan: A multiple time series design. BMC Pregnancy and Childbirth, 18:1-13.
7. Çakır, 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 Medıcıne, 8(2):139-147.
8. Çoban, A. (2003). Studying some of the factors affecting postnatal mother-infant interaction. Department of Nursing. Master Thesis. Ege University Institute of Health Sciences, Izmir. https://tez.yok.gov.tr/ UlusalTezMerkezi/tezSorguSonucYeni.jsp

9. Dean, A.G. Sullivan, K.M. Soe, M.M. Open Epi: open source epidemiologic Statistics for public health, www. OpenEpi.com , updated 2013/04/06, accessed 2020/07/21.
10. Dönmez, S. Yeniel, Ö. Kavlak, O. (2014). Comparison of the stait anxiety levels of pregnants women who have vaginal or cesarean delivery. Gümüşhane University Journal of Health Sciences, 3(3),908-920.
11. Fallon, V. Groves, R. Halford, J.C.G. et al. (2016). Postpartum anxiety and ınfant-feeding outcomes: A systematic review. Journal of Human Lactation, 32(4):740-758.
12. Hakanen, H. Flykt, M. Sinervä, E. Nolvi, S. Kataja, E.L. et al. (2019). How maternal pre- and postnatal symptoms of depression and anxiety affect early mother-infant interaction?. Journal of Affective Disorders, 257:83-90.
13. Handelzalts, J.E. Levy, S. Molmen-Lichter, M. et al. (2021).Associations of rooming-in with maternal postpartum bonding: The impact of mothers’ pre-delivery intentions. Midwifery, 95:102942.
14. Hofer, M.H. (2006). Psychobiological roots of early attachment. Current Dırectıons ın Psychological Scıence, 15(2), 84-88.
15. Hoyer, J. Wieder, G. Höfler, M. et al. (2020). Do lifetime anxiety disorders (anxiety liability) and pregnancy-related anxiety predict complications during pregnancy and delivery?. Early Human Development 144:105022.
16. Işık, Y. Dag, Z.O. Tulmac, O.B. et al. (2016). Early postpartum lactation effects of cesarean and vaginal birth. Ginekologia Polska, 87(6):426-430.
17. Kahalon, R. Preis, H. Benyamini, Y. (2021). Who benefits most from skin-to-skin mother-infant contact after birth? Survey findings on skin-to-skin and birth satisfaction by mode of birth. Midwifery,92:102862.
18. Karimi, F.Z. Sadeghi, R. Maleki-Saghooni, N. et al. (2019). The effect of mother-infant skin to skin contact on success and duration of first breastfeeding: A systematic review and meta-analysis. Taiwanese Journal of Obstetrics and Gynecology, 58:1-9.
19. Kenny, M. Conroy, S. Pariante, C.M. et al. (2013). Mother-infant interaction in mother and baby unit patients: Before and after treatment. Journal of Psychiatric Research, 47:1192-1198.
20. Levine, D.M. Ramsey, P.P. Smidt, R.K. (2001). Applied statistics for engineers and scientists: using Microsoft Excel and Minitab. Pearson.
21. Nath, S. Pearson, R.M. Moran, P. et al. (2019). The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality. Journal of Anxiety Disorders, 68:102148.
22. Öner, N. Le, Compte, A. (1985). State trait anxiety handbook. İstanbul: Bosphorus University Publications
23. Pek, H. (1995). Family-infant interaction in the first three days after cesarean birth. İstanbul: Original Study; Reck, C. Tietz, A. MuÈller, M. et al. (2018). The impact of maternal anxiety disorder on mother-infant interaction in the postpartum. period PLoS ONE,13(5),e0194763.
24. Sarıkaya, D. (2009). The investigation of the effects of the birth type variable on the mother-infant interaction and mother’s perception of the infant. Department of Midwifery. Master Thesis. Cumhuriyet University Institute of Health Sciences, Sivas. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
25. Spry, E.A. Aarsman, S.R. Youssef, G.J. et al. (2020). Maternal and paternal depression and anxiety and offspring infant negative affectivity: A systematic review and meta-analysis. Developmental Review, 58:100934.
26. Stevens, J. Schmied, V. Burns, E. et al. (2019). Skin-to-skin contact and what women want in the first hours after a caesarean section. Midwifery, 74:140-146.
27. Sutter-Dallay, A.L. Murray, L. Glatigny-Dallay, E. et al. (2003). Newborn behaviour and risk of postnatal depression in the mother. Infancy, 4(4):589-602.
28. The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). Mood and anxiety disorders in pregnant and postpartum women. JOGNN 2015;44(5):687-689.
29. Yoshida, T. Matsumura, K. Tsuchida, A. et al. (2020). Influence of parity and mode of delivery on mother–infant bonding: The japan environment and children’s Study. Journal of Affective Disorders, 263:516-520.
30. Zietlow, A.L. Nonnenmacher, N. Reck, C. et al. (2019). Emotional stress during pregnancy-associations with maternal anxiety disorders, infant cortisol reactivity, and mother-child interaction at pre-school age. Frontiers in Psychology, 10:1-15.