Doğum Sonrası Maternal Anksiyete ve Bağlanmayı Etkileyen Faktörler

Öz

Amaç: Doğum sonrası maternal anksiyete kadının kendisi, bebeği ve ailesi için önemli bir sağlık sorunudur. Bu çalışma, doğum sonrası maternal anksiyete ve bağlanma ilişkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu tanımlayıcı çalışma Ocak-Aralık 2019 tarihleri arasında, aile sağlığı merkezlerine başvuran, postpartum dönemde olan kadınlarla yapılmıştır. Veriler bilgi formu, Postpartum Anksiyete Ölçeği ve Doğum Sonrası Bağlanma Ölçeği ile elde edilmiştir. Bulgular: Kadınların %37,4’ünün anksiyetesinin yüksek olduğu (113,5 üstü puan aldığı) belirlendi. Eş/annesi ile ilişkisini kötü olan, postpartum döneme uyum güçlüğü yaşayan, primipar ve son iki haftada kendisini üzgün/mutsuz hisseden kadınların anksiyete puanının daha yüksek olduğu belirlendi. (p<0,05). Bebeğini emzirmeyen, bebeği ve kendisi uyku sorunu yaşayan, annesi ve eşi ile ilişkileri kötü olarak tanımlayan, acil sezaryen olan ve primipar kadınların daha fazla bağlanma sorunu olduğu belirlendi (p<0,05). Yapılan korelasyon analizine göre doğum sonrası maternal anksiyete ile doğum sonrası bağlanma arasında ilişki olmadığı görüldü (p>0,05). Sonuç: Doğum sonrası dönemde risk grubunda yer alan anneler anksiyete ve bağlanma belirtileri açısından daha yakından izlenmelidir.

Anahtar Kelimeler

• Postpartum,
• Anksiyete,
• Anne sağlığı,
• Bağlanma,

Factors Affecting Postpartum Maternal Anxiety and Bonding

Öz

Objective: Postpartum maternal anxiety is an important health problem for the new-born, family and for the woman herself. This study was carried out to explore the relationship between postpartum maternal anxiety and attachment. Tools and Methods: This descriptive study was conducted with women who applied to family healthcare centers in their postpartum period during January-December 2019. The study data were collected using the information form, the Postpartum Anxiety Scale and the Postpartum Bonding Scale. Findings: 37.4% of women were found to have high anxiety (above 113.5 points). It was determined that women who had a bad relationship with their husband/mother, had difficulty in adapting to the postpartum period, primipara and felt sad/unhappy in the last two weeks had higher anxiety scores (p<0.05). It was determined that women who were unable to breast-feed the baby, had trouble sleeping (and also whose babies had trouble sleeping), had emergency cesarean section and primipara were more bonding problems (p>0.05). As per the relevant correlation analysis, no relationship between postpartum maternal anxiety and postpartum bonding was found (p>0.05). Result: Postpartum mothers in risk group must be monitored closely in terms of anxiety and bonding issues.

Anahtar Kelimeler

• Postpartum, Anxiety, Maternal health, Bonding

Kaynakça

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