BibTex RIS Kaynak Göster

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Yıl 2014, Cilt: 45 Sayı: 3, 124 - 130, 06.08.2014
https://doi.org/10.16948/zktb.72013

Öz

Purpose: The incidence of depression in women increases with pregnancy and delivery. The prevalence of postpartum depression ranges between %12.5-25 and differs among communities. Postpartum depression may affect bonding and the mother’s learning about baby care and parenting role. The aim of this study is to assess the permanence of breastfeeding at the first two month postpartum period in case given effective breastfeeding education and the impact of postpartum depression on the babies’ weights and heights.Material and Methods: High risk patients for postpartum depression were identified in the newly delivered mothers with the Edinburgh Postpartum Depression Scale; patients also filled a questionnaire form of 43 questions in order to evaluate socio-demographical data. At the time the baby was born, breastfeeding education was given to all of the participants by the doctor and by the nurse. Weight and height of the babies were measured and recorded immediately postpartum, and at the visits of the first and the second month. Collected data were evaluated statistically.Results: In the present study it was shown that all of the mothers with or without postpartum depression continued breastfeeding at first two months postpartum period. No significant differences in evaluated parameters were found between the two groups. This situation was considered to be due to several factors such as effective breastfeeding education and economical advantage encourages mothers to feed their babies only with breast milk, social pressure may compel mothers to breastfeed their babies. It was supposed that mothers’ continuation to breastfeeding in the depressed patients may be because it has a curative effect on postpartum depression.

Kaynakça

  • Isık E. Depresyon ve bipolar bozukluklar, Depresif bozuklukların sınıflandırılması. 1.baskı, Ankara: Görsel Sanatlar Yayınevi; 2003. p.50.
  • Dufy CL, Postpartum depression: Identifying women at risk. Genesis 1983;11-21.
  • Wilkie GL, Deligiannidis KM. Effects of perinatal depression and anxiety on labor and delivery outcomes. Obstet Gynecol. 2014 May;123 Suppl 1:82
  • Moshki M, Beydokhti TB, Cheravi K. The effect of educational intervention on prevention of postpartum depression: an application of health locus of control. J Clin Nurs. 2013 Dec 12.
  • Field T. Infants of depressed mothers. Infant Behav Dev 1995; 18: 1-13.
  • Abrams SM, Field T et al. Newborns of depressed mothers. Infant Mental Health J 1995;16:233-239.
  • Weissman MM, Olfson M. Depression in Women: Implications for health care research. Science 1995; 269: 799-801.
  • Poçan AG., Aki OE., Parlakgümüs AH., Gereklioglu C., Dolgun AB. The incidence of and risk factors for postpartum depression at an urban maternity clinic in Turkey. Int J Psychiatry Med. 2013;46(2):179-94.
  • Wolkind S. Mother’s depression and their children’s attendance at medical facilities. JPsychosom Res 1985; 29: 579-582.
  • O'Hara M, Swain A. Rates and risk of postpartum depression - a meta analysis . IntRevPschiatry 1996; 8:37-54
  • Chaudron LH. Postpartum depression: What Pediatricians need to knuow. Pediatrics in Review 2003; 24: 154-161
  • Seyfried LS, Marcus LS, Marcus SM. Postparum mood disorders. International Review of Psychiatry 2003; 15: 231-242.
  • Gold LH.Postpartum Disorders in primary care. Diagnosis and Treatment. Women’s Mental Health 2002; 29: 27-41
  • Blenning C; Paladine H. An approach to the postpartum office visit. American Family Physician 2005:72: 2491-6.
  • McCoy SJ, Beal MJ, Shipman SB. Risk factors for postpartum depression: a retrospective investigation at 4-weeks postnatal and a review of the literature. J Am Osteopath Assoc 2006; 106: 193-8.
  • Boyd RC, Le H.N, Somberg R. Rewiew of screening instruments for postpartum depression. Arch Womens Ment Health 2006, 8:141-53.
  • Patel V, Rodrigues M ,De Souze N.Gender ,poverty and postnatal depression: a cohort study from Goa, İndia. Am J Pschiatry 2002; 159; 43-7
  • Regmi S, Sligl W, Carter D,Grut W, Seear M. A controlled study of postpartum depressionamong Nepalese women: validation of postpartum depression scale in Kathmandu. Trop Med Int Health 2002, 7; 378-382.
  • Jennifer J. Henderson, Sharon F. Evans, PhD, Judith A.Y. Straton, PhD, Susan R. Priest, PhD, and Ronald Hagan, Impact of Postnatal Depression on Breastfeeding Duration BIRTH 30:3 September 2003; 175-180.
  • Hatton D C, Harrison-Hohner J, Coste S, Dorato V, Curet L B, McCaron D A. Symptoms of Postpartum Depression and Breastfeeding . J Hum Lact 2005; 21; 44.
  • Dennis CL. Can we identify mothers at risk for postpartum depression in the immediate postpartum period using the Edinburgh Postnatal Depression Scale. J Affect Disord 2004; 78: 163-9
  • Ramsey M, Gisel EG, Mc Cusker J, Bellavance F, Platt R. İnfant sucking ability, nonorganic failure to thrive, maternal characteristics and feding practices: a prospective cohort study. Dev Med Child Neurol, 2002;44;405-414
  • Gross KH, Wells CS, Radigan-Garcia A, Dietz PM. Correlates of self-reports of being very depressed in the months after delivery: results from the pregnancy risk assessment monitoring system. Maternal and Child Health Journal.
  • Hannah P, Adams D, Lee A, et al. Links between early doğum sonrası mood and postnatal depression. Br J Psychiatry 1992; 160:777-80.
  • Cooper PJ, Murray L, Stein A. Psychosocial factors associated with the early termination of breast-feeding. J Psychiatr Res 1993; 37: 171–6.
  • V Patel, N Desouze, M Rodrigues. Postnatal Depression and İnfant Growth and Development in Low income Countries : a cohort study from Goa,İndia
  • O’Brein L M, Heycock E G , Hana M, Jones P W , Cox J L .Postnatal Depression and Faltering Growth: A Community Study. Pediatrics Vol.113 No.5 May 2004
  • Surkan Pamela J, K; Kawachi Ichiro ; Ryan Louise M; Berkman Lisa F; Vieira Lina M Carvalho; Peterson Karen E. Maternal Depressive Symptoms, Parenting self-efficacy and child growth. American Journal of public health. Volume 98; issue 1, 125
  • Steiner M. Perinatal mood disorders: position paper. Psychopharmacol Bull 1998; 34:301-306.
  • Cox J, Murray D, Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 1993; 163: 27-31.
  • Eberhard–Gran M, Tambs K et al. A comparison of anxiety and depressive symptomatology in postpartum and nonpostpartum mothers. Soc Psychiatry Psychiatr Epidemiol 2003; 38: 551-556.
  • Troutman BR & Cutrona CE. Nonpsychotic postpartum depression among adolescent mothers. Journal of Abnormal Psychology 1990; 99: 69-78.
  • Engindeniz AN, Küey L, Kültür S. Edinburgh Doğum Sonrası Depresyon Ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. Bahar Sempozyumları 1 Kitabı. Ankara: Psikiyatri Derneği Yayınları; 1997.s.51-2.

Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi

Yıl 2014, Cilt: 45 Sayı: 3, 124 - 130, 06.08.2014
https://doi.org/10.16948/zktb.72013

Öz

Özet

Amaç: Gebelik ve doğumla birlikte kadınlarda depresyon görülme sıklığı artmaktadır. Postpartum depresyonun görülme sıklığı %12,5 - 25 arasında değişmekte olup toplumdan topluma değişiklik göstermektedir. Doğum sonrası dönemde annede ortaya çıkan depresyon annenin bebeğe bağlanmasını, bebek bakımını ve ebeveynlik rolünü öğrenmesini etkileyebilmektedir. Çalışmanın amacı doğum sonrası ilk iki aylık sürede emzirmenin devamının izlenmesi ve postpartum depresyon açısından riskli annelere etkin emzirme eğitimi vermenin bebeklerin boy ve kilo artışları üzerindeki etkisinin olup olmadığının saptanmasıdır.

Materyal ve Metod: Çalışmaya alınan yeni doğum yapmış annenlerin depresyon riskini saptamak amacıyla Edinburgh Postpartum Depresyon Skalası ve sosyo-demografik özellikleri belirleyen 43 sorudan oluşan anket formunu cevaplamaları istendi. Tüm annelere hem hemşire hem de hekim tarafından etkin emzirme eğitimi verildi. Doğumda, birinci ve ikinci aylık kontrollerde bebeklerin boy ve kilo ölçümleri kaydedildi. Depresyon açısından riskli olan ve olmayan anneler arasında anlamlı bir fark olup olmadığı istatistiksel olarak değerlendirildi.

Tartışma ve Sonuç: Postpartum depresyon skoru yüksek olan ve olmayan tüm annelerin çocuklarını emzirdikleri ve ilk iki aylık dönemde emzirmeyi bırakmadıkları görüldü, iki grup arasında değerlendirilen parametrelerde istatistiksel olarak anlamlı fark izlenmedi. Bu durumun, verdiğimiz etkin emzirme eğitimine, ekonomik nedeniyle annelerin bebeklerini sadece anne sütüyle besleyebilmelerine, annelerin toplumsal baskı nedeniyle bebeklerini emzirmek zorunda hissetmelerine veya emzirmenin postpartum depresyonlu anneler üzerinde iyileştirici etkisinin bulunmasına bağlı olabileceği düşünüldü.

Anahtar Kelimeler: Doğum sonrası depresyon, Emzirme, Edinburg Postpartum Depresyon Skalası

 

 

Effect Of Breastfeeding on Depression Levels of Mothers, Weight and Height Measurements of Babies in The Postpartum First Two Months

Abstract

Objective: The incidence of depression in women increases with pregnancy and delivery. The prevalence of postpartum depression ranges between %12.5-25 and differs among communities. Postpartum depression may affect bonding and the mother's learning about baby care and parenting role. The aim of this study is to assess the impact of effective breastfeeding education on infant weight, height gain, and the continuity of breastfeeding in mothers with high post-partum depression risk in the first two months of the post-partum period.

Materials and Methods: High risk patients for postpartum depression were identified in the newly delivered mothers with the Edinburgh Postpartum Depression Scale; patients also filled a questionnaire form of 43 questions in order to evaluate socio-demographical data. At the time the baby was born, breastfeeding education was given to all of the participants by the doctor and by the nurse. Weight and height of the babies were measured and recorded immediately postpartum, and at the visits of the first and the second month. Collected data were evaluated statistically.

Results and Conclusion: In the present study it was shown that all of the mothers with or without postpartum depression continued breastfeeding at first two months postpartum period. No significant differences in evaluated parameters were found between the two groups. This situation was considered to be due to several factors such as effective breastfeeding education and economical advantage encourages mothers to feed their babies only with breast milk, social pressure may compel mothers to breastfeed their babies. It was supposed that mothers’ continuation to breastfeeding in the depressed patients may be because it has a curative effect on postpartum depression.

Key Words: postpartum depression, breastfeeding, Edinburg postpartum depression scale.

 

Kaynakça

  • Isık E. Depresyon ve bipolar bozukluklar, Depresif bozuklukların sınıflandırılması. 1.baskı, Ankara: Görsel Sanatlar Yayınevi; 2003. p.50.
  • Dufy CL, Postpartum depression: Identifying women at risk. Genesis 1983;11-21.
  • Wilkie GL, Deligiannidis KM. Effects of perinatal depression and anxiety on labor and delivery outcomes. Obstet Gynecol. 2014 May;123 Suppl 1:82
  • Moshki M, Beydokhti TB, Cheravi K. The effect of educational intervention on prevention of postpartum depression: an application of health locus of control. J Clin Nurs. 2013 Dec 12.
  • Field T. Infants of depressed mothers. Infant Behav Dev 1995; 18: 1-13.
  • Abrams SM, Field T et al. Newborns of depressed mothers. Infant Mental Health J 1995;16:233-239.
  • Weissman MM, Olfson M. Depression in Women: Implications for health care research. Science 1995; 269: 799-801.
  • Poçan AG., Aki OE., Parlakgümüs AH., Gereklioglu C., Dolgun AB. The incidence of and risk factors for postpartum depression at an urban maternity clinic in Turkey. Int J Psychiatry Med. 2013;46(2):179-94.
  • Wolkind S. Mother’s depression and their children’s attendance at medical facilities. JPsychosom Res 1985; 29: 579-582.
  • O'Hara M, Swain A. Rates and risk of postpartum depression - a meta analysis . IntRevPschiatry 1996; 8:37-54
  • Chaudron LH. Postpartum depression: What Pediatricians need to knuow. Pediatrics in Review 2003; 24: 154-161
  • Seyfried LS, Marcus LS, Marcus SM. Postparum mood disorders. International Review of Psychiatry 2003; 15: 231-242.
  • Gold LH.Postpartum Disorders in primary care. Diagnosis and Treatment. Women’s Mental Health 2002; 29: 27-41
  • Blenning C; Paladine H. An approach to the postpartum office visit. American Family Physician 2005:72: 2491-6.
  • McCoy SJ, Beal MJ, Shipman SB. Risk factors for postpartum depression: a retrospective investigation at 4-weeks postnatal and a review of the literature. J Am Osteopath Assoc 2006; 106: 193-8.
  • Boyd RC, Le H.N, Somberg R. Rewiew of screening instruments for postpartum depression. Arch Womens Ment Health 2006, 8:141-53.
  • Patel V, Rodrigues M ,De Souze N.Gender ,poverty and postnatal depression: a cohort study from Goa, İndia. Am J Pschiatry 2002; 159; 43-7
  • Regmi S, Sligl W, Carter D,Grut W, Seear M. A controlled study of postpartum depressionamong Nepalese women: validation of postpartum depression scale in Kathmandu. Trop Med Int Health 2002, 7; 378-382.
  • Jennifer J. Henderson, Sharon F. Evans, PhD, Judith A.Y. Straton, PhD, Susan R. Priest, PhD, and Ronald Hagan, Impact of Postnatal Depression on Breastfeeding Duration BIRTH 30:3 September 2003; 175-180.
  • Hatton D C, Harrison-Hohner J, Coste S, Dorato V, Curet L B, McCaron D A. Symptoms of Postpartum Depression and Breastfeeding . J Hum Lact 2005; 21; 44.
  • Dennis CL. Can we identify mothers at risk for postpartum depression in the immediate postpartum period using the Edinburgh Postnatal Depression Scale. J Affect Disord 2004; 78: 163-9
  • Ramsey M, Gisel EG, Mc Cusker J, Bellavance F, Platt R. İnfant sucking ability, nonorganic failure to thrive, maternal characteristics and feding practices: a prospective cohort study. Dev Med Child Neurol, 2002;44;405-414
  • Gross KH, Wells CS, Radigan-Garcia A, Dietz PM. Correlates of self-reports of being very depressed in the months after delivery: results from the pregnancy risk assessment monitoring system. Maternal and Child Health Journal.
  • Hannah P, Adams D, Lee A, et al. Links between early doğum sonrası mood and postnatal depression. Br J Psychiatry 1992; 160:777-80.
  • Cooper PJ, Murray L, Stein A. Psychosocial factors associated with the early termination of breast-feeding. J Psychiatr Res 1993; 37: 171–6.
  • V Patel, N Desouze, M Rodrigues. Postnatal Depression and İnfant Growth and Development in Low income Countries : a cohort study from Goa,İndia
  • O’Brein L M, Heycock E G , Hana M, Jones P W , Cox J L .Postnatal Depression and Faltering Growth: A Community Study. Pediatrics Vol.113 No.5 May 2004
  • Surkan Pamela J, K; Kawachi Ichiro ; Ryan Louise M; Berkman Lisa F; Vieira Lina M Carvalho; Peterson Karen E. Maternal Depressive Symptoms, Parenting self-efficacy and child growth. American Journal of public health. Volume 98; issue 1, 125
  • Steiner M. Perinatal mood disorders: position paper. Psychopharmacol Bull 1998; 34:301-306.
  • Cox J, Murray D, Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 1993; 163: 27-31.
  • Eberhard–Gran M, Tambs K et al. A comparison of anxiety and depressive symptomatology in postpartum and nonpostpartum mothers. Soc Psychiatry Psychiatr Epidemiol 2003; 38: 551-556.
  • Troutman BR & Cutrona CE. Nonpsychotic postpartum depression among adolescent mothers. Journal of Abnormal Psychology 1990; 99: 69-78.
  • Engindeniz AN, Küey L, Kültür S. Edinburgh Doğum Sonrası Depresyon Ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. Bahar Sempozyumları 1 Kitabı. Ankara: Psikiyatri Derneği Yayınları; 1997.s.51-2.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Orjinal Araştırma
Yazarlar

Hacer Beyca Bu kişi benim

Hasan Mutlu Bu kişi benim

Özkan Özdamar Bu kişi benim

Yayımlanma Tarihi 6 Ağustos 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 45 Sayı: 3

Kaynak Göster

APA Beyca, H., Mutlu, H., & Özdamar, Ö. (2014). Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi. Zeynep Kamil Tıp Bülteni, 45(3), 124-130. https://doi.org/10.16948/zktb.72013
AMA Beyca H, Mutlu H, Özdamar Ö. Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi. Zeynep Kamil Tıp Bülteni. Ağustos 2014;45(3):124-130. doi:10.16948/zktb.72013
Chicago Beyca, Hacer, Hasan Mutlu, ve Özkan Özdamar. “Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy Ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi”. Zeynep Kamil Tıp Bülteni 45, sy. 3 (Ağustos 2014): 124-30. https://doi.org/10.16948/zktb.72013.
EndNote Beyca H, Mutlu H, Özdamar Ö (01 Ağustos 2014) Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi. Zeynep Kamil Tıp Bülteni 45 3 124–130.
IEEE H. Beyca, H. Mutlu, ve Ö. Özdamar, “Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi”, Zeynep Kamil Tıp Bülteni, c. 45, sy. 3, ss. 124–130, 2014, doi: 10.16948/zktb.72013.
ISNAD Beyca, Hacer vd. “Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy Ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi”. Zeynep Kamil Tıp Bülteni 45/3 (Ağustos 2014), 124-130. https://doi.org/10.16948/zktb.72013.
JAMA Beyca H, Mutlu H, Özdamar Ö. Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi. Zeynep Kamil Tıp Bülteni. 2014;45:124–130.
MLA Beyca, Hacer vd. “Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy Ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi”. Zeynep Kamil Tıp Bülteni, c. 45, sy. 3, 2014, ss. 124-30, doi:10.16948/zktb.72013.
Vancouver Beyca H, Mutlu H, Özdamar Ö. Postpartum Depresyon Açısından Ri̇skli̇ Anneleri̇n Bebekleri̇ni̇n Doğum Sonrası İlk İki̇ Aylık Dönemde Boy ve Ki̇lo Ölçümleri̇ni̇n Değerlendirilmesi. Zeynep Kamil Tıp Bülteni. 2014;45(3):124-30.

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