Sezeryan ve Vajinal Doğum Sırasında Duygusal Durum

Öz

Doğum sonrası dönemde kadının yaşamındaki duygusal, sosyal veya psikolojik faktörlerdeki değişiklikler, olumsuz duygudurum bozukluklarına yol açabilir. Doğumdan sonraki ilk günlerde annelerde yaşanan depresif duygudurum, annelik hüznü olarak adlandırılmakta ve doğum sonrası dönemde sık görülen bir olgu olarak kabul edilmektedir. Bu çalışmanın amacı hamile kadınların doğum sonrası ruh hallerini belirlemektir. Klinik Araştırmalar Etik Kurulu onayı alındıktan sonra, kesitsel olarak tasarlanan bu çalışmaya, Gaziosmanpaşa Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Anabilim Dalı'nda vajinal doğum veya sezaryen operasyonu geçiren postpartum dönemdeki kadınlar dahil edildi. Doğum sonrası ilk 24 saat içinde tüm denekler Ağrı Felaketleştirme Ölçeği, Beck Depresyon Envanteri, Beck Anksiyete Envanteri ve Kısa Form-36'yı içeren anketleri doldurmaya davet edildi. Sezaryen insizyonu veya epizyotomi ile ilişkili lumbopelvik ağrı yoğunluğu görsel analog skala kullanılarak değerlendirildi. Katılımcıların ortalama yaşı 28.43∓5.14 idi. Felaketleştirme grubunda fiziksel sağlık sorunlarına bağlı ortalama rol sınırlamaları, Beck Depresyon Envanteri-C, Beck Depresyon Envanteri-S, Beck Depresyon Envanteri, Beck Anksiyete Envanteri ve sezaryenli kadınlarda görsel analog ölçeği ve genel zihinsel vajinal doğum yapan kadınların sağlık durumları birbirine göre anlamlı derecede yüksekti (sırasıyla p=0,037, p=0,002, p=0,003, p=0,01, p=0,042, p<0,01, p=0,005). Bu çalışma, sezaryen sonrası kadınların psikolojik durumunun ve yaşam kalitesinin bozulabileceğini, bu nedenle sezaryen sonrası hastalara duygusal destek verilmesinin faydalı olabileceğini ortaya koydu.

Anahtar Kelimeler

• katastrofik ağrı
• doğum sonrası depresyon
• anksiyete
• sezaryen
• doğum

The Emotional State During Cesarean Section and Vaginal Delivery

Öz

Alterations in emotional, social, or psychological factors of a woman's life in postpartum could lead to impairing mood disturbances. Depressed mood in mothers in the first days after delivery is named maternity blues and accepted as a common phenomenon in the postpartum phase. The aim of the present study is to determine the mood of the women with pregnancy after delivery. After approval of Clinical Research Ethics Committee, this cross-sectional designed study was enrolled women in postpartum period who underwent vaginal delivery or cesarean section in Department of Obstetrics and Gynaecology, Medical Faculty, Gaziosmanpasa University, Tokat, Turkey. All subjects were invited to complete the questionnaires including Pain Catastrophizing Scale, Beck Depression Inventory, Beck Anxiety Inventory and Short Form-36 in the first 24th hour of postpartum period. The lumbopelvic pain intensity associated with cesarean section incision or episiotomy was evaluated using visual analog scale. The mean age of the participants was 28.43∓5.14. In catastrophizing group, the mean role limitations due to physical health problems, Beck Depression Inventory-C, Beck Depression Inventory-S, Beck Depression Inventory, Beck Anxiety Inventory and visual analog scale in women with cesarean section, and general mental health in women with vaginal delivery were significantly higher compared to each other (p=0.037, p=0.002, p=0.003, p=0.01, p=0.042, p<0.01, p=0.005, respectively). The present study revealed that the psychological condition and quality of life of women may impair after cesarean section, hence it might be beneficial to provide emotional support for patients after cesarean section.

Anahtar Kelimeler

• pain catastrophizing
• postpartum depression
• anxiety
• cesarean section
• delivery

Kaynakça

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