ÖZET
Amaç:
Doğumdan sonraki ilk günlerde başlayan anne bebek ilişkisi bebeğin gelecekteki yaşamını etkilemektedir. Bundan dolayı bu çalışmada anne-bebek ilişkisinin vajinal doğum ve sezaryene göre karşılaştırılması amaçlanmıştır.
Yöntemler:
Prospektif tanımlayıcı tipte yapılan çalışma, gerekli izinler alındıktan sonra 300 primipar kadın ile gerçekleştirilmiştir. Örneklem, vajinal doğum (n=100), acil sezaryen (n=100) ve elektif sezaryen (n=100) olmak üzere üç gruba ayrılmıştır. Veri toplama aracı olarak Tanıtıcı Özellikler Formu, Maternal Bağlanma Ölçeği (MBÖ), Yenidoğanı Algılama Ölçeği (YAÖ) ve Doğum Sonrası Ebeveynlik Davranışı Ölçeği (DSEDÖ) kullanılmıştır.
Bulgular:
Annelerin ortalama MBÖ skoru 96,6±5,58’dir. Annelerin %83,7’si bebeklerini pozitif olarak algılarken, %16,3’ü (YAÖ’ye göre) bebeklerini olumsuz olarak algılamıştır. MBÖ, YAÖ ve doğum şekli arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır (p>0,05). Annelerin ortalama DSEDÖ skoru 3,24±1,59’dir. (DSEDÖ gruplara göre; vajinal doğum (VD) =3,62±1,57, acil sezaryen =2,84±1,52, elektif sezaryen =3,28±1,60). VD yapan annelerde, ortalama DSEDÖ skoru, acil sezaryen olan annelere göre daha yüksek bulunmuştur (p=0,001).
Sonuç:
Doğum şeklinin doğum sonrası dönemde ebeveynlik davranışını etkilediği sonucuna varılmıştır.
References
1
Fahey JO, Shenassa E. Understanding and meeting the needs of women in the postpartum period: the perinatal maternal health promotion model. J Midwifery Womens Health 2013;58:613-21.
2
Johnson K. Maternal-infant bonding: A review of literature. International Journal of Childbirth Education 2013;28:17-22.
3
Young R. The importance of bonding. International Journal of Childbirth Education 2013;28:11-6.
4
Guneri S. Evidence based practices in early postpartum period. Gümüşhane University Journal of Health Sciences 2015;4:482-96.
5
Taffzoli M, Asadi MM, Aminyazdi SA, Shakeri MT. The relationship between maternal-fetal attachment and mother-infant attachment behaviors in primiparous women referring to mashhad health care centers. J Midwifery Reprod Health 2015;3:318-27.
6
Ozkan H, Kanbur A, Apay S, Kilic M, Agapinar S, Ozorhan EY. The evaluation of parenthood attitudes of the mothers in postpartum period. The Medical Bulletin of Şişli Etfal Hospital 2013;47:117-21.
7
Bystrova K, Ivanova V, Edhborg M, Mathiesen AS, Ransjö-Arvidson AB, Mukhamedrakhimov R et al. Early contact versus separation: Effects on mother–infant interaction one year later. BIRTH 2009;36:97-109.
8
Kavlak O, Şirin A. The Turkish version of Maternal Attachment Inventory. International Journal of Human Sciences 2009;6:188-202.
9
Karacam Z, Emine S, Amanak K. Effects of unplanned pregnancy on neonatal health in Turkey: A case-control study. International Journal of Nursing Practice 2010;16:555-63.
10
Brockington IF, Aucamp HM, Fraser C. Severe disorders of the mother-infant relationship: Definitions and frequency. Arch Womens Ment Health 2006;9:243-51.
11
Lai YL, Hung CH, Stocker J, Chan TF, Liu Y. Postpartum fatigue, baby-care activities, and maternal–infant attachment of vaginal and cesarean births following rooming-in. Applied Nursing Research 2015;28:116-20.
12
Yesilcinar I, Yavan T, Karasahin KE, Yenen MC. The identification of the relationship between the perceived social support, fatigue levels and maternal attachment during the postpartum period. J Matern Fetal Neonatal Med 2016;30:1-8.
13
Orun E, Yalcin SS, Mutlu B. Relations of maternal psychopathologies, social-obstetrical factors and mother-infant bonding at 2-month postpartum: A sample of Turkish mothers. World J Pediatr 2013;9:350-5.
14
Figueiredo B, Costa R, Paecho A, Paris A. Mother-to-infant emotional involvement at birth. Matern Child Health J 2009;13:539-49.
15
Cankaya S, Yilmaz SD, Can R, Kodaz ND. Effect of postpartum depression on maternal attachment. Acibadem University Health Sciences Journal 2017;4:232-40.
16
Ozturk R, Saruhan A. Invastigation of correlation between depression and maternal attachment of mothers with 1- to 4-month-old premature babies treated at the hospital. Turkish Journal of Research & Development in Nursing 2013;15:32-47.
17
Alan H, Ege H. The influence of social support on maternal-infant attachment in Turkish society. Journal of Anatolia Nursing and Health Sciences 2013;16:234-240.
18
Cinar N, Kose D, Altinkaynak S. The relationship between maternal attachment, perceived social support and breast-feeding sufficiency. J Coll Physicians Surg Pak 2015;25:271-5.
19
Povedano M, Noto IS, Pinhero MS, Guinsburg R. Mother’s perceptions and expectations regarding their newborn infants: The use of Broussard’s Neonatal Perception Inventory. Rev Paul Pediatr 2011;29:239-44.
20
Redshaw M, Hennegan J, Kruske S. Holding the baby: Early mother–infant contact after childbirth and outcomes. Midwifery 2014;30:e177-e87.
21
Kartal YA, Ozsoy A, Uner K. Determination of postnatal comfort levels of puerperants in a public hospital and affecting factors. International Journal of Health Sciences Research 2018;8:206-12.
22
Karakaplan S. The effects of birth methods on postnatal comfort of mothers and on newborn. (Master’s thesis). İstanbul: Marmara University. 2007.
23
Gungor I, Gokyildiz S, Nahcivan NO. Opinions of a group of women who had caesarean sections about their births and her problems in the early postpartum period. Florence Nightingale Journal of Nursing 2004;13:185-97.
24
Cakmak H, Kuguoglu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: An observational study using the LATCH breastfeeding charting system. Int J Nurs Stud 2007;44:1128-37.
25
Erbas N. Determination of the health problems among women in postpartum period depending on the way of giving birth: An example from Sivas for the year 2012. Journal of Continuing Medical Education 2017;26:133-8.
26
Cetisli NE, Arikan G, Top ED. Maternal attachment and breastfeeding behaviors according to type of delivery in the immediate postpartum period. Rev Assoc Med Bras (1992) 2018;64:164-9.
27
Cooklin AR, Amir LH, Cullinane M, Fisher JR, Donath SM. Physical health, breastfeeding problems and maternal mood in the early postpartum: A prospective cohort study. Arch Womens Ment Health 2018;21:365-74.
28
Muller ME. A questionnaire to measure mother-to-infant attachment. Journal of Nursing Measurement 1994;2:129-141.
29
Balci S. The Mothers’ perception of their babies who had their first babies. (Master’s thesis) İstanbul: Istanbul University. 1997.
30
Britton HL, Gronwaldt V, Britton JR. Maternal postpartum behaviors and mother-infant relationship during the first year of life. J Pediatr 2001;138:905-9.
31
Calisir H, Karacam Z, Akgul FA, Kurnaz DA. Validity and Reliability of The Turkish Version of The Postpartum Parenting Behavior Scale. Journal of Atatürk University School of Nursing 2009;12:1-8.
32
Buyukbayrak EE, Kaymaz O, Kars B, Karsidag AY, Bektas E, Unal O, Turan C. Caesarean delivery or vaginal birth: Preference of Turkish pregnant women and influencing factors. J Obstet Gynaecol 2010;30:155-8.
33
Dereli Yilmaz S, Demirgoz Bal M, Kizilkaya Beji N, Uludag S. Women’s preferences of method of delivery and influencing factors. Iran Red Crescent Med J 2013;15:683-9.
34
Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey (TDHS). Hacettepe University Institute of Population Studies, T.C. Presidency of Strategy and Budget and TUBITAK: Ankara, Turkey, 2019.
35
World Health Organization (WHO). World Health Statistic. Geneva: WHO Library Cataloguing-in-Publication Data, 2015.
36
Cakir D, Alparslan O. The investigation of the effects of the birth type variable on the mother-infant interaction and mother’s perception of her the infant. Journal of Contemporary Medicine 2018;8:139-47.
37
Broussard ER, Cassidy J. Maternal perception of newborns predicts attachment organization in middle adulthood. Attach Hum Dev 2010;12:159-72.
38
Reenen SL, Reensburg E. The influence of an unplanned caesarean section on initial mother-infant bonding: Mothers’ subjective experiences. J Psychol Afr 2013;23:269-74.
39
Zanardo V, Soldera G, Volpe F, Giliberti L, Parotto M, Giustardi A, et al. Influence of elective and emergency cesarean delivery on mother emotions and bonding. Early Human Development 2016;99:17-20.
40
Lobel M, Deluca RS. Psychosocial sequelae of cesarean delivery: Review and analysis of their causes and implications. Soc Sci Med 2007;64:2272-84.
41
Koc O, Ozkan H, Bekmezci H. Evaluating the correlation between maternal role and parenting behavior. The Journal of Dr. Behcet Uz Children’s Hospital 2016;6:143-50.
