EMZİRME DESTEK MERKEZİ’NE BAŞVURAN EBEVEYNLERDE POSTPARTUM DEPRESYONLA İLİŞKİLİ FAKTÖRLERİN İNCELENMESİ

Öz

Amaç: Bu çalışmanın amacı ebeveynlerdeki artmış postpartum depresyon (PPD) ile ilişkili faktörlerini belirlemektir. Gereç ve Yöntemler: Çalışma Mart 2023- Mart 2024 tarihleri arasında Hacettepe Üniversitesi Sosyal Pediatri Anabilim Dalı bünyesindeki Emzirme Destek ve Relaktasyon Merkezi'ne başvuran 0-3 aylık bebeklerin çalışmaya katılmayı kabul eden babaları ile gerçekleştirilmiştir. Babalara araştırmacılar tarafından oluşturulan sosyo-demografik özelliklere yönelik 20 soruluk bir anket ve validasyonu yapılmış olan Edinburgh Doğum Sonrası Depresyon Ölçeği (EPDÖ)" uygulanmıştır. Eşlerinin verileri merkezin rutin veri kayıt formundan alınmıştır. Bulgular: Babaların %25,5‟inin, annelerin ise %24,3‟ünün EPDÖ skorları (sırasıyla ≥8, ≥13) sınır değerin üzerinde idi. Annenin depresyon öyküsünün annenin PPD olasılığını arttırdığı belirlendi. Babanın aylık gelirindeki artışın PPD olasılığını azalttığı, baba yaşının 30-39 arasında olmasının ise <30 yaş olmasına kıyasla PPD olasılığını arttırdığı bulundu. Bebeğin prematüre olması annede, eşle ilişkinin iyi olması ise babada EPDÖ skoru ile ilişkiliydi. Sonuç: Anneyle birlikte babanın doğum sonrası ruh sağlığı da önemli bir halk sağlığı sorunudur. Bu nedenle, doğum sonrasında anneler gibi babalar için de depresyon taraması ve desteğe ihtiyaç vardır. PPD için hızlı ve etkili tarama ile destek politikalarının belirlenmesinde daha geniş örneklemlerle yapılacak araştırmalar önemlidir; çünkü bu, halk sağlığı müdahaleleri açısından büyük bir fırsat sunabilir.

Anahtar Kelimeler

• Anne
• baba
• ebeveynler
• faktörler
• postpartum depresyon

Investigation of The Factors Associated With Postpartum Depression in Parents Who Applied to The Breastfeeding Support Center

Öz

Objective: The aim of this study was to identify factors related to increased postpartum depression (PPD) in parents. Material and Methods: The study was conducted between March 2023 and March 2024 with the fathers of 0-3-month-old infants admitted to the Breastfeeding Support and Relactation Center of Hacettepe University Social Pediatrics who agreed to participate in the study. A 20-question questionnaire on socio- demographic characteristics and the validated Edinburgh Postnatal Depression Scale (EPDS) was administered to the fathers. Their spouses' data were obtained from the center‟s routine data. Results: 25.5% of the fathers and 24.3% of the mothers had EPDS scores (≥8 and ≥13, respectively) above the cut-off value. A maternal history of depression increased the likelihood of PPD in the mother. An increase in the father's monthly income was found to decrease the likelihood of PPD, and a father's age between 30-39 years increased the possibility of PPD compared to a father's age <30 years. Prematurity of the baby was associated with PPD score in the mother, and a good relationship with the spouse was associated with PPD score in the father. Conclusion: Postpartum mental health of fathers as well as mothers is an important public health problem. Therefore, there is a need for depression screening and support for fathers as well as mothers after childbirth. Research with larger samples is important in determining rapid and effective screening and support policies for PPD, as this may offer a great opportunity for public health interventions.

Anahtar Kelimeler

• Mother
• father
• factors
• parents
• postpartum depression

Kaynakça

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