Determination of prenatal attachment and anxiety levels in postterm pregnancy
Yıl 2023,
, 543 - 548, 01.12.2023
Özge Şehirli Kıncı
,
Buket Koparal
,
Mehmet Ferdi Kıncı
,
Mehmet Onur Arslaner
,
Ahmet Akın Sivaslıoğlu
Öz
Introduction and Aim: To compare anxiety and attachment levels besides obstetric and sociodemographic characteristics between late term and non-late term pregnants.
Methods: This cross-sectional descriptive study was conducted on 49 pregnant women who were over 41 weeks of pregnancy as late-term pregnancy group and 67 pregnant women who were 37-41 weeks of pregnancy were included in the study as control group. Data were collected using demographic and obstetrics data form, Pregnancy-Related Anxiety Questionnaire-Revised-2, and prenatal attachment scale.
Results: The prenatal attachment scale median score of late term pregnant women was 68 (39-81) and the anxiety scale median score was 28 (13-55). The median score of the prenatal attachment scale for may not affect the non-late term pregnant women was 64 (30-84), and the median score of the anxiety scale was 26 (11-43). There was no statistically significant difference between the two groups in terms of scale scores (p>0.05).
Conclusions: It was found that prenatal attachment and anxiety levels were not affected by the late term state of pregnant women in our study. In the presence of other conditions that positively affect attachment, although late term pregnancy is risky, it did not have an effect on attachment and anxiety.
Kaynakça
- Alhusen, J. L., Gross, D., Hayat, M. J., Woods, A. B., & Sharps, P. W. (2012). The influence of maternal–fetal attachment and health practices on neonatal outcomes in low‐income, urban women. Research in nursing & health, 35(2), 112-120.
- Bowlby, J. (1982). Attachment and loss: retrospect and prospect. American journal of Orthopsychiatry, 52(4), 664.
- Brandon, A. R., Pitts, S., Denton, W. H., Stringer, C. A., & Evans, H. (2009). A history of the theory of prenatal attachment. Journal of prenatal & perinatal psychology & health: APPPAH, 23(4), 201.
- Canlı, A., & Demirtaş, B. (2021). Prenatal Attachment and the Relationship With Body Self-Perception. Journal of Obstetric, Gynecologic & Neonatal Nursing.
- Chantry, A. (2011). Epidemiology of prolonged pregnancy: incidence and maternal morbidity. Journal de gynecologie, obstetrique et biologie de la reproduction, 40(8), 709-716.
- Cranley, M. S. (1981). Development of a tool for the measurement of maternal attachment during pregnancy. Nursing research.
- Daglar, G., & Nur, N. (2018). Level of mother-baby bonding and influencing factors during pregnancy and postpartum period. Psychiatria Danubina, 30(4), 433-440.
- Damato, E. G. (2004). Predictors of prenatal attachment in mothers of twins. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 33(4), 436-445.
- Della Vedova, A. M. (2014). Maternal psychological state and infant’s temperament at three months. Journal of Reproductive and Infant Psychology, 32(5), 520-534.
- Della Vedova, A. M., Dabrassi, F., & Imbasciati, A. (2008). Assessing prenatal attachment in a sample of Italian women. Journal of Reproductive and Infant Psychology, 26(2), 86.
- Derya, Y. A., Taşhan, S. T., Duman, M., & Ozan, Y. D. (2018). Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: validity and reliability study in multiparous and primiparous pregnancy. Midwifery, 62, 61-68.
- Dubber, S., Reck, C., Müller, M., & Gawlik, S. (2015). Postpartum bonding: the role of perinatal depression, anxiety and maternal–fetal bonding during pregnancy. Archives of women's mental health, 18(2), 187-195.
- Gaffney, K. F. (1986). Maternal–fetal attachment in relation to self-concept and anxiety. Maternal-Child Nursing Journal.
- Galal, M., Symonds, I., Murray, H., Petraglia, F., & Smith, R. (2012). Postterm pregnancy. Facts, views & vision in ObGyn, 4(3), 175.
- GELEGEN, K., MELEKOĞLU, R., YELEÇ, S., GÜMÜŞ, F., BÜYÜKKURT, S., & ÖZGÜNEN, F. T. (2014). Gün Aşımı Gebelik Nedeni ile Doğum İndüksiyonu Uygulanan Düşük Bishop Skoru Olan Gebelerde İndüksiyon Başarısını Etkileyen Faktörler. Journal of Clinical Obstetrics & Gynecology, 24(4), 198-204.
- Hart, R., & McMahon, C. (2006). Mood state and psychological adjustment to pregnancy. Archives of women's mental health, 9(6), 329-337.
- Kataja, E.-L., Karlsson, L., Huizink, A., Tolvanen, M., Parsons, C., Nolvi, S., & Karlsson, H. (2017). Pregnancy-related anxiety and depressive symptoms are associated with visuospatial working memory errors during pregnancy. Journal of Affective Disorders, 218, 66-74.
- KINCI, M., KİNCİ, Ö. Ş., & AKTÜRK, E. (2021). The Effect of Bishop Score and Posterior Cervical Angle on the Success of Birth Induction Due to Over 41 Weeks Pregnancy. Ege Klinikleri Tıp Dergisi, 59(3), 1-8.
- Lucas, A. (2013). Promoting Maternal-Fetal Attachment With Women Affected By HIV And/Or Substance Use. National Abandoned Infants Assistance Resource Center, 3, 1-12.
- Muller, M. E. (1989). The development and testing of the Müller Prenatal Attachment Inventory University of California, San Francisco].
- Ohoka, H., Koide, T., Goto, S., Murase, S., Kanai, A., Masuda, T., . . . Ozaki, N. (2014). Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant–mother attachment. Psychiatry and clinical neurosciences, 68(8), 631-639.
- Olesen, A. W., Basso, O., & Olsen, J. (2003). Risk of recurrence of prolonged pregnancy. Bmj, 326(7387), 476.
Potur, D., Doğan Merih, Y., & Demirci, N. (2020). Primipar ve Mulitpar Gebelerin Prenatal Bağlanmalarını Etkileyen Faktörlerin Değerlendirilmesi. Journal of Academic Research in Nursing, 6(1).
- Ranson, K. E., & Urichuk, L. J. (2008). The effect of parent–child attachment relationships on child biopsychosocial outcomes: A review. Early Child Development and Care, 178(2), 129-152.
- Raval, V., Goldberg, S., Atkinson, L., Benoit, D., Myhal, N., Poulton, L., & Zwiers, M. (2001). Maternal attachment, maternal responsiveness and infant attachment. Infant Behavior and Development, 24(3), 281-304.
- Seimyr, L., Sjögren, B., Welles-Nyström, B., & Nissen, E. (2009). Antenatal maternal depressive mood and parental–fetal attachment at the end of pregnancy. Archives of women's mental health, 12(5), 269-279.
Turan, Z., Gönül, K., & Arslan, H. Graviditenin sosyal destek algısı ve prenatal bağlanma düzeyine etkisinin incelenmesi. Çukurova Medical Journal, 45(3), 1126-1136.
- Yarcheski, A., Mahon, N. E., Yarcheski, T. J., Hanks, M. M., & Cannella, B. L. (2009). A meta-analytic study of predictors of maternal-fetal attachment. International journal of nursing studies, 46(5), 708-715.
- Yesilcinar, I., Yavan, T., Karasahin, K. E., & Yenen, M. C. (2017). The identification of the relationship between the perceived social support, fatigue levels and maternal attachment during the postpartum period. The Journal of Maternal-Fetal & Neonatal Medicine, 30(10), 1213-1220.
- YEŞİLÇINAR, İ., KINCI, M. F., ÜNVER, H. C., & SİVASLIOĞLU, A. A. Pregnancy-Related Anxiety and Prenatal Attachment in Pregnant Women with Preeclampsia and/or Gestational Diabetes Mellitus: A Cross-Sectional Study. Journal of Clinical Obstetrics & Gynecology, 0-0.
- YEŞİLÇINAR, İ., ŞAHİN, E., & ÖZÇAM, N. (2021). Ülkemizin Güneydoğusunda Yaşayan Gebelerde Prenatal Bağlanma ve Algılanan Sosyal Desteğin Değerlendirilmesi: Kesitsel Çalışma. Turkiye Klinikleri Hemsirelik Bilimleri, 13(3).
- YILMAZ DERELİ, S. (2013). Prenatal anne-bebek bağlanması. Hemşirelikte Eğitim ve Araştırma, 10(3), 28-33.
- Yilmaz, S. D. (2013). Prenatal maternal--fetal attachment/Prenatal anne--bebek baglanmasi. Journal of Education and Research in Nursing, 10(3), 28-34.
- Yilmaz, S. D., & Beji, N. K. (2013). Effects of perinatal loss on current pregnancy in Turkey. Midwifery, 29(11), 1272-1277.
Miad Aşımı Gebeliklerde Prenatal Bağlanma ve Anksiyete Düzeylerinin Belirlenmesi
Yıl 2023,
, 543 - 548, 01.12.2023
Özge Şehirli Kıncı
,
Buket Koparal
,
Mehmet Ferdi Kıncı
,
Mehmet Onur Arslaner
,
Ahmet Akın Sivaslıoğlu
Öz
Amaç: Term gebelik ve miad aşımı gebelik döneminde olan gebelerin obstetrik ve sosyodemografik özelliklerinin yanı sıra anksiyete ve bağlanma düzeylerini karşılaştırması.
Gereç ve Yöntem: Kesitsel tanımlayıcı tipte planlanan bu çalışmaya, 41. gebelik haftasının üzerinde olan 49 gebe miad aşımı gebelik grubu ve 37-41 hafta arasında olan 67 gebe kontrol grubu olarak çalışmaya dahil edildi. Veriler, demografik ve obstetrik veri formu, Gebelikle İlişkili Anksiyete Ölçeği Revize formu 2 ve Prenatal Bağlanma Ölçeği kullanılarak toplanmıştır.
Bulgular: Miad aşımı gebelik grubunun prenatal bağlanma ölçeği medyan puanı 68 (39-81) ve anksiyete ölçeği medyan puanı ise 28 (13-55) idi. Prenatal bağlanma ölçeğinin term gebe grubu için medyan puanı 64 (30-84), anksiyete ölçeğinin medyan puanı ise 26 (11-43) idi. Ölçek puanları açısından iki grup arasında istatistiksel olarak anlamlı fark izlenmemiştir (p>0.05).
Sonuç: Çalışmamızda gebelerin miad aşımı olması durumundan doğum öncesi bağlanma ve kaygı düzeylerinin etkilenmediği bulunmuştur. Bağlanmayı olumlu etkileyen diğer durumların varlığında miad aşımı gebelik riskli olmasına rağmen bağlanma ve kaygı üzerine etkisi olmamaktadır.
Kaynakça
- Alhusen, J. L., Gross, D., Hayat, M. J., Woods, A. B., & Sharps, P. W. (2012). The influence of maternal–fetal attachment and health practices on neonatal outcomes in low‐income, urban women. Research in nursing & health, 35(2), 112-120.
- Bowlby, J. (1982). Attachment and loss: retrospect and prospect. American journal of Orthopsychiatry, 52(4), 664.
- Brandon, A. R., Pitts, S., Denton, W. H., Stringer, C. A., & Evans, H. (2009). A history of the theory of prenatal attachment. Journal of prenatal & perinatal psychology & health: APPPAH, 23(4), 201.
- Canlı, A., & Demirtaş, B. (2021). Prenatal Attachment and the Relationship With Body Self-Perception. Journal of Obstetric, Gynecologic & Neonatal Nursing.
- Chantry, A. (2011). Epidemiology of prolonged pregnancy: incidence and maternal morbidity. Journal de gynecologie, obstetrique et biologie de la reproduction, 40(8), 709-716.
- Cranley, M. S. (1981). Development of a tool for the measurement of maternal attachment during pregnancy. Nursing research.
- Daglar, G., & Nur, N. (2018). Level of mother-baby bonding and influencing factors during pregnancy and postpartum period. Psychiatria Danubina, 30(4), 433-440.
- Damato, E. G. (2004). Predictors of prenatal attachment in mothers of twins. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 33(4), 436-445.
- Della Vedova, A. M. (2014). Maternal psychological state and infant’s temperament at three months. Journal of Reproductive and Infant Psychology, 32(5), 520-534.
- Della Vedova, A. M., Dabrassi, F., & Imbasciati, A. (2008). Assessing prenatal attachment in a sample of Italian women. Journal of Reproductive and Infant Psychology, 26(2), 86.
- Derya, Y. A., Taşhan, S. T., Duman, M., & Ozan, Y. D. (2018). Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: validity and reliability study in multiparous and primiparous pregnancy. Midwifery, 62, 61-68.
- Dubber, S., Reck, C., Müller, M., & Gawlik, S. (2015). Postpartum bonding: the role of perinatal depression, anxiety and maternal–fetal bonding during pregnancy. Archives of women's mental health, 18(2), 187-195.
- Gaffney, K. F. (1986). Maternal–fetal attachment in relation to self-concept and anxiety. Maternal-Child Nursing Journal.
- Galal, M., Symonds, I., Murray, H., Petraglia, F., & Smith, R. (2012). Postterm pregnancy. Facts, views & vision in ObGyn, 4(3), 175.
- GELEGEN, K., MELEKOĞLU, R., YELEÇ, S., GÜMÜŞ, F., BÜYÜKKURT, S., & ÖZGÜNEN, F. T. (2014). Gün Aşımı Gebelik Nedeni ile Doğum İndüksiyonu Uygulanan Düşük Bishop Skoru Olan Gebelerde İndüksiyon Başarısını Etkileyen Faktörler. Journal of Clinical Obstetrics & Gynecology, 24(4), 198-204.
- Hart, R., & McMahon, C. (2006). Mood state and psychological adjustment to pregnancy. Archives of women's mental health, 9(6), 329-337.
- Kataja, E.-L., Karlsson, L., Huizink, A., Tolvanen, M., Parsons, C., Nolvi, S., & Karlsson, H. (2017). Pregnancy-related anxiety and depressive symptoms are associated with visuospatial working memory errors during pregnancy. Journal of Affective Disorders, 218, 66-74.
- KINCI, M., KİNCİ, Ö. Ş., & AKTÜRK, E. (2021). The Effect of Bishop Score and Posterior Cervical Angle on the Success of Birth Induction Due to Over 41 Weeks Pregnancy. Ege Klinikleri Tıp Dergisi, 59(3), 1-8.
- Lucas, A. (2013). Promoting Maternal-Fetal Attachment With Women Affected By HIV And/Or Substance Use. National Abandoned Infants Assistance Resource Center, 3, 1-12.
- Muller, M. E. (1989). The development and testing of the Müller Prenatal Attachment Inventory University of California, San Francisco].
- Ohoka, H., Koide, T., Goto, S., Murase, S., Kanai, A., Masuda, T., . . . Ozaki, N. (2014). Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant–mother attachment. Psychiatry and clinical neurosciences, 68(8), 631-639.
- Olesen, A. W., Basso, O., & Olsen, J. (2003). Risk of recurrence of prolonged pregnancy. Bmj, 326(7387), 476.
Potur, D., Doğan Merih, Y., & Demirci, N. (2020). Primipar ve Mulitpar Gebelerin Prenatal Bağlanmalarını Etkileyen Faktörlerin Değerlendirilmesi. Journal of Academic Research in Nursing, 6(1).
- Ranson, K. E., & Urichuk, L. J. (2008). The effect of parent–child attachment relationships on child biopsychosocial outcomes: A review. Early Child Development and Care, 178(2), 129-152.
- Raval, V., Goldberg, S., Atkinson, L., Benoit, D., Myhal, N., Poulton, L., & Zwiers, M. (2001). Maternal attachment, maternal responsiveness and infant attachment. Infant Behavior and Development, 24(3), 281-304.
- Seimyr, L., Sjögren, B., Welles-Nyström, B., & Nissen, E. (2009). Antenatal maternal depressive mood and parental–fetal attachment at the end of pregnancy. Archives of women's mental health, 12(5), 269-279.
Turan, Z., Gönül, K., & Arslan, H. Graviditenin sosyal destek algısı ve prenatal bağlanma düzeyine etkisinin incelenmesi. Çukurova Medical Journal, 45(3), 1126-1136.
- Yarcheski, A., Mahon, N. E., Yarcheski, T. J., Hanks, M. M., & Cannella, B. L. (2009). A meta-analytic study of predictors of maternal-fetal attachment. International journal of nursing studies, 46(5), 708-715.
- Yesilcinar, I., Yavan, T., Karasahin, K. E., & Yenen, M. C. (2017). The identification of the relationship between the perceived social support, fatigue levels and maternal attachment during the postpartum period. The Journal of Maternal-Fetal & Neonatal Medicine, 30(10), 1213-1220.
- YEŞİLÇINAR, İ., KINCI, M. F., ÜNVER, H. C., & SİVASLIOĞLU, A. A. Pregnancy-Related Anxiety and Prenatal Attachment in Pregnant Women with Preeclampsia and/or Gestational Diabetes Mellitus: A Cross-Sectional Study. Journal of Clinical Obstetrics & Gynecology, 0-0.
- YEŞİLÇINAR, İ., ŞAHİN, E., & ÖZÇAM, N. (2021). Ülkemizin Güneydoğusunda Yaşayan Gebelerde Prenatal Bağlanma ve Algılanan Sosyal Desteğin Değerlendirilmesi: Kesitsel Çalışma. Turkiye Klinikleri Hemsirelik Bilimleri, 13(3).
- YILMAZ DERELİ, S. (2013). Prenatal anne-bebek bağlanması. Hemşirelikte Eğitim ve Araştırma, 10(3), 28-33.
- Yilmaz, S. D. (2013). Prenatal maternal--fetal attachment/Prenatal anne--bebek baglanmasi. Journal of Education and Research in Nursing, 10(3), 28-34.
- Yilmaz, S. D., & Beji, N. K. (2013). Effects of perinatal loss on current pregnancy in Turkey. Midwifery, 29(11), 1272-1277.