The Effect of Women’s Mode of Delıvery and Anxiety on Early Mother-Infant Interactıon: A Study from Turkey
Yıl 2022,
Cilt: 7 Sayı: 2, 463 - 474, 29.08.2022
Ayse Arasan
Seval Cambaz Ulaş
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.
Kaynakça
-
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
-
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
-
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.
-
Bülez, A. Gör, A. Genç, R.E. (2016). The Initiation and Improvement of Newborn-Parent Relationship. İzmir Katip
-
Çelebi Universty Health Seciences Faculty Journal 2:33-36.
-
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.
-
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.
-
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
-
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.
-
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.
-
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.
-
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.
-
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.
-
Hofer, M.H. (2006). Psychobiological roots of early attachment. Current Dırectıons ın Psychological Scıence, 15(2), 84-88.
-
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.
-
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.
-
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.
-
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.
-
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.
-
Levine, D.M. Ramsey, P.P. Smidt, R.K. (2001). Applied statistics for engineers and scientists: using Microsoft Excel and Minitab. Pearson.
-
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.
-
Öner, N. Le, Compte, A. (1985). State trait anxiety handbook. İstanbul: Bosphorus University Publications
-
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.
-
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
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
Doğum Tipi ve Anksiyetenin Erken Anne Bebek Etkileşimine Etkisi: Türkiye’den Bir Çalışma
Yıl 2022,
Cilt: 7 Sayı: 2, 463 - 474, 29.08.2022
Ayse Arasan
Seval Cambaz Ulaş
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.
Kaynakça
-
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
-
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
-
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.
-
Bülez, A. Gör, A. Genç, R.E. (2016). The Initiation and Improvement of Newborn-Parent Relationship. İzmir Katip
-
Çelebi Universty Health Seciences Faculty Journal 2:33-36.
-
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.
-
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.
-
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
-
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.
-
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.
-
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.
-
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.
-
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.
-
Hofer, M.H. (2006). Psychobiological roots of early attachment. Current Dırectıons ın Psychological Scıence, 15(2), 84-88.
-
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.
-
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.
-
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.
-
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.
-
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.
-
Levine, D.M. Ramsey, P.P. Smidt, R.K. (2001). Applied statistics for engineers and scientists: using Microsoft Excel and Minitab. Pearson.
-
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.
-
Öner, N. Le, Compte, A. (1985). State trait anxiety handbook. İstanbul: Bosphorus University Publications
-
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.
-
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
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.