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

Yıl 2022, , 463 - 474, 29.08.2022

Ayse Arasan Seval Cambaz Ulaş

https://doi.org/10.47115/jshs.1081458

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

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

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