Gebelerin Prenatal Bağlanma Düzeyleri ile Gebelikteki Sağlık Uygulamaları Arasındaki İlişkinin Belirlenmesi
Year 2022,
Volume: 4 Issue: 1, 21 - 28, 25.04.2022
Arzu Abiç
,
Ahu Aksoy
,
Duygu Vefikuluçay Yılmaz
Abstract
Amaç: Bu araştırma, üçüncü trimesterde bulunan gebelerin prenatal bağlanma düzeyleri ile gebelikteki sağlık uygulamaları arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır.
Yöntem: Bu araştırmanın örneklemini 134 üçüncü trimester gebe oluşturmuştur. Araştırmanın verileri araştırmacılar tarafından hazırlanan gebe tanılama formu, Prenatal Bağlanma Envanteri ve Gebelikte Sağlık Uygulamaları Ölçeği II kullanılarak toplanmıştır.
Bulgular: Bu araştırmada gebelerin prenatal bağlanma ve gebelikte sağlık uygulamaları puan ortalamaları arasında orta düzeyde pozitif yönde anlamlı bir ilişkinin olduğu belirlendi (r=0.496; p<0.001). Araştırmamızda öğrenim düzeyi yüksek olan ve gebelikleri planlı olan kadınların prenatal bağlanma ve gebelikteki sağlık uygulamaları düzeylerinin daha yüksek olduğu saptandı (p<0.05). Buna ek olarak çalışan, gelir durumu iyi olan ve primipar gebelerin gebelikte sağlık uygulamalarına katılım düzeylerinin daha yüksek olduğu bulundu (p<0.05).
Sonuç ve Öneriler: Gebelerin prenatal bağlanma düzeyleri arttıkça gebelikte sağlık uygulamalarına katılımlarının arttığı belirlendi. Araştırmadan elde edilen sonuçlar doğrultusunda verilecek hemşirelik bakımında gebelerin prenatal bağlanma düzeyleri göz önüne alındığında gebelerin sağlık uygulamalarına katılımları artırılabilir.
References
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- Abazari F, Pouraboli B, Tavakoli P, Aflatoonian M, Kohan M. Anxiety and its relationship with maternal fetal attachment in pregnant women in southeast of Iran. i-Manager's Journal on Nursing. 2017;7(3):16-27. doi: 10.26634/jnur.7.3.13788
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- Yılmaz SD, Beji NK. Prenatal bağlanma envanterinin Türkçe’ye uyarlanması: güvenilirlik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(2):103-109.
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- Moosazadeh M, Nekoei-Moghadam M, Emrani Z, Amiresmaili M. Prevalence of unwanted pregnancy in Iran: a systematic review and meta-analysis. Int J Health PlannManage. 2014;29(3):e277-290. doi:10.1002/hpm.2184.
- Pakseresht S, Rasekh P, Leili EK. Physical Health and Maternal-Fetal Attachment among Women: Planned Versus Unplanned Pregnancy. International Journal of Women’s Health and Reproduction Sciences. 2018;6(3):335-341. doi 10.15296/ijwhr.2018.55
- Abasi E, Tahmasebi H, Zafari M, Nasiri Takami G. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Science Journal. 2012;9(1):68-75.
- Ossa X, Bustos L, Fernandez L. Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery, 2012;28(5):689–696. doi: 10.1016/j.midw.2011.08.015
- Üstünsöz A, Güvenç G, Akyüz A, Oflaz F. Comparison of maternal and paternal fetal attachment in Turkish couples. Midwifery. 2010;26(2):1-9. doi: 10.1016/j.midw.2009.12.006
- Yarcheski A, Mahon N. E, Yarcheskı TJ, Hanks MM, Cannella BL. A meta-analytic study of predictors of maternal–fetal attachment. International Journal of Nursing Studies. 2009;46:708–715. doi: 10.1016/j.ijnurstu.2008.10.013
- Yılmaz SD, Beji NK. The effects of perinatal loss on the current pregnancy in Turkey. Midwifery, 2013;29(11):1272–1277. doi: 10.1016/j.midw.2012.11.015
- Zibellinia J, Muscat DM, Kizirianc N, Gordon A. Effect of health literacy interventions on pregnancy outcomes: A systematic review. Women and Birth. 2021;34(2):180-186. doi:10.1016/j.wombi.2020.01.010
- Gill KP, Devgan P. Socio-demographic factors influencing antenatal care practices in urban slums of Amritsar City, Punjab, India. National Journal of Community Medicine. 2013;4(4):574-578.
- Neyaz A, Sahu PC, Ahmed MS. Utilization of antenatal services in slum areas of Aligarh. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2015;4(3):678-82. doi: 10.18203/2320-1770.ijrcog20150073
- Senol DK, Gol I, Ozkan SA. The Effect of health literacy levels of pregnant women on receiving prenatal care: A cross-sectional descriptive study. International Journal of Caring Sciences. 2019;12(3):1718.
- Onat G, Aba YA. Health-promoting lifestyles and related factors among pregnant women. Turkish Journal of Public Health. 2014;12(2):69-79. doi: 10.20518/thsd.69694
- Lassi ZH, Mansoor T, Salam RA, Das JK, Bhutta ZA. Essential pre-pregnancy and pregnancy interventions for improved maternal, newborn and child health. Reproductive Health. 2014;11(1):2-19. doi:10.1186/1742-4755-11-S1-S2.
- Kim MK, Lee SM, Bae SH, Kim HJ, Lim NG, Yoon SJ, Lee JY, Jo MJ. Socioeconomic status can affect pregnancy outcomes and complications, even with a universal healthcare system. International Journal for Equity in Health. 2018;17:2. doi: 10.1186/s12939-017-0715-7
- Gokyildiz S, Alan S, Elmas E, Bostanci A, Kucuk E. Health‐promoting lifestyle behaviours in pregnant women in Turkey. International Journal of Nursing Practice. 2014;20(4):390-397. doi: 10.1111/ijn.12187
- Goossens J, Van Den Branden Y, Van der Sluys L, et al. The prevalence of unplanned pregnancy ending in birth, associated factors, and health outcomes. Hum Reprod. 2016;31(12):2821-2833. doi:10.1093/humrep/dew266
- Karacam Z, Onel K, Gercek E. Effects of unplanned pregnancy on maternal health in Turkey. Midwifery. 2011;27(2):288-293. doi:10.1016/j.midw.2009.07.006
- Stewart H, McCall SJ, McPherson C, et al. Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials. J Fam Plann Reprod Health Care. 2016;42(1):59-67. doi:10.1136/jfprhc-2014-101096
- Boden JM, Fergusson DM, Horwood LJ. Outcomes for Children and Families Following Unplanned Pregnancy: Findings from a Longitudinal Birth Cohort. Child Indic Res. 2015;8(2):389-402. doi:10.1007/s12187-014-9241-y.
- Cannella BL, Yarcheski A, Mahon NE. Meta-analyses of predictors of health practices in pregnant women. Western Journal of Nursing Research. 2018;40(3):425-446. doi: 10.1177/0193945916682212.
The Relationship Between Pregnant Women’s Prenatal Attachment Levels and Health Practices During Pregnancy
Year 2022,
Volume: 4 Issue: 1, 21 - 28, 25.04.2022
Arzu Abiç
,
Ahu Aksoy
,
Duygu Vefikuluçay Yılmaz
Abstract
Purpose: The aim of the study was to examine the factors affecting maternal satisfaction andearly parenting behavior at birthand the relationship between them.
Method: The research is descriptive and relationship-seeking. It was conducted with 168 women who had just given birth at the Faculty of Medicine Hospital in Konya and met the inclusion criteria between 03.04.2020 and 03.06.2020. The data of the study were collecte dusing the introductory information form, Postpartum Satisfaction Scaleand Postpartum Parenting Behavior Scale.
Results: It was found that there is a statistically significant relationship between the type of delivery, income status and planned pregnancy status of the women and their postpartum satisfactions coreaverages. Asignificant relationship was observed between birthtype, age, pregnancy and number of livingc hildren and postpartum early parenting behavior. It was determined that there was a weak, positive and statistically significant relationship between postpartum satisfaction an dearly parenting behavior.
Conclusions and Suggestions: Our study results showed that as women's postpartum satisfaction increases, their early parenting behaviors may also increase. Health professionals, especially midwives, should adoptand provide evidence-based and holistic care in order to increase birth satisfaction. This will lead to an increase in positive parenting behaviors that will affect the future life of the baby.
References
- Lindgren KA. Comparison of pregnancy health practices of women in inner-city and small urban communities. J Obstet Gynecol Neonatal Nurs. 2003;32:313-321. doi: 10.1111/j.1552-6909.2012.01385.x
- Alhusen JL, Gross D, Hayat M.J, Woods AB, Sharps PW. The influence of maternal fetal attachment and health practices on neonatal outcomes in low-income, urban women. Res Nurs Health. 2012;35:112–120. doi: 10.1002/nur.21464
- Alhusen JL, Ayres L, DePriest K. Effects of maternal mental health on engagement in favorable health practices during pregnancy. Journal of Midwifery & Women's Health. 2016;61(2):210-216. doi: 10.1111/jmwh.12407
- Lindgren K. Testing the health practices in pregnancy questionnaire-II. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2005;34:465–472. doi: 10.1177/0884217505276308
- Aksoy A, Vefikuluçay Yılmaz D. Toplum sağlığını arttırmada yeni bir hizmet modeli: prekonsepsiyonel bakım ve hemşirenin rolü. Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;16(1):60-67. doi:10.5222/HEAD.2019.060
- World Health Organization (WHO) Recommendations on Antenatal Care for a Positive Pregnancy Experience: Summary. Highlights and Key Messages from the World Health Organization’s 2016 Global Recommendations for Routine Antenatal Care. 2016. Accessed May 18, 2020. https://apps.who.int/iris/bitstream/handle/10665/259947/WHO-RHR-18.02-eng.pdf;jsessionid=F6025C1A56C9C4D8C7AE5B1946F31329?sequence=1
- Türkiye Cumhuriyeti Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu. Doğum Öncesi Bakım Rehberi. 2014. Accessed May 18, 2020. https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/dogumonubakim.pdf adresinden
- Sezer G, Sen S. The effect of individual counseling intervention on health practices in pregnancy: a randomized controlled trial. Health Education Research. 2020;35(5):450-459. doi: 10.1093/her/cyaa025
- Yanikkerem E, Ay S, Piro N. Planned and unplanned pregnancy: effects on health practice and depression during pregnancy. Journal of Obstetrics and Gynaecology Research. 2013;39(1):180-187. doi: 10.1111/j.1447-0756.2012.01958.x
- Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. A History of The Theory of Prenatal Attachment. Journal of Prenatal and Perinatal Psychology and Health. 2009;23:201–222.
- Abazari F, Pouraboli B, Tavakoli P, Aflatoonian M, Kohan M. Anxiety and its relationship with maternal fetal attachment in pregnant women in southeast of Iran. i-Manager's Journal on Nursing. 2017;7(3):16-27. doi: 10.26634/jnur.7.3.13788
- Alhusen JL, Hayat MJ, Gross D. A longitudinal study of maternal attachment and infant developmental outcomes. Archives of Women's Mental Health, 2013;16(6):521-529. doi: 10.1007/s00737-013-0357-8.
- Wada FH, Prabandari YS, Hapsari ED. Bonding and attachment experience among postnatal mothers with spontaneous childbirth. Belitung Nursing Journal. 2020;6(1), 14-20. doi: 10.33546/bnj.779
- Lindgren K. Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Research in Nursing & Health. 2001;24:203–217. doi: 10.1002/nur.1023
- Yılmaz SD, Beji NK. Prenatal bağlanma envanterinin Türkçe’ye uyarlanması: güvenilirlik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(2):103-109.
- Er S. Gebelikte Sağlık Uygulamaları Ölçeği Türkçe Formu’nun Geçerlik ve Güvenirlik Çalışması. Dissertation. Ege Üniversitesi; 2006
- Aksoy YE, Yılmaz SD, Aslantekin F. Riskli gebeliklerde prenatal bağlanma ve sosyal destek. Turkiye Klinikleri J Health Sci. 2016;1(3):163-169. doi: 10.5336/healthsci.2016-50668
- Bakır N, Ölçer Z, Oskay Ü. Yüksek riskli gebelerin prenatal bağlanma düzeyi ve etkileyen faktörler. JACSD Uluslararası Hakemli Kadın Hastalıkları ve Anne Çocuk Sağlığı Dergisi. 2014;1(1):25-37.
- Moosazadeh M, Nekoei-Moghadam M, Emrani Z, Amiresmaili M. Prevalence of unwanted pregnancy in Iran: a systematic review and meta-analysis. Int J Health PlannManage. 2014;29(3):e277-290. doi:10.1002/hpm.2184.
- Pakseresht S, Rasekh P, Leili EK. Physical Health and Maternal-Fetal Attachment among Women: Planned Versus Unplanned Pregnancy. International Journal of Women’s Health and Reproduction Sciences. 2018;6(3):335-341. doi 10.15296/ijwhr.2018.55
- Abasi E, Tahmasebi H, Zafari M, Nasiri Takami G. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Science Journal. 2012;9(1):68-75.
- Ossa X, Bustos L, Fernandez L. Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery, 2012;28(5):689–696. doi: 10.1016/j.midw.2011.08.015
- Üstünsöz A, Güvenç G, Akyüz A, Oflaz F. Comparison of maternal and paternal fetal attachment in Turkish couples. Midwifery. 2010;26(2):1-9. doi: 10.1016/j.midw.2009.12.006
- Yarcheski A, Mahon N. E, Yarcheskı TJ, Hanks MM, Cannella BL. A meta-analytic study of predictors of maternal–fetal attachment. International Journal of Nursing Studies. 2009;46:708–715. doi: 10.1016/j.ijnurstu.2008.10.013
- Yılmaz SD, Beji NK. The effects of perinatal loss on the current pregnancy in Turkey. Midwifery, 2013;29(11):1272–1277. doi: 10.1016/j.midw.2012.11.015
- Zibellinia J, Muscat DM, Kizirianc N, Gordon A. Effect of health literacy interventions on pregnancy outcomes: A systematic review. Women and Birth. 2021;34(2):180-186. doi:10.1016/j.wombi.2020.01.010
- Gill KP, Devgan P. Socio-demographic factors influencing antenatal care practices in urban slums of Amritsar City, Punjab, India. National Journal of Community Medicine. 2013;4(4):574-578.
- Neyaz A, Sahu PC, Ahmed MS. Utilization of antenatal services in slum areas of Aligarh. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2015;4(3):678-82. doi: 10.18203/2320-1770.ijrcog20150073
- Senol DK, Gol I, Ozkan SA. The Effect of health literacy levels of pregnant women on receiving prenatal care: A cross-sectional descriptive study. International Journal of Caring Sciences. 2019;12(3):1718.
- Onat G, Aba YA. Health-promoting lifestyles and related factors among pregnant women. Turkish Journal of Public Health. 2014;12(2):69-79. doi: 10.20518/thsd.69694
- Lassi ZH, Mansoor T, Salam RA, Das JK, Bhutta ZA. Essential pre-pregnancy and pregnancy interventions for improved maternal, newborn and child health. Reproductive Health. 2014;11(1):2-19. doi:10.1186/1742-4755-11-S1-S2.
- Kim MK, Lee SM, Bae SH, Kim HJ, Lim NG, Yoon SJ, Lee JY, Jo MJ. Socioeconomic status can affect pregnancy outcomes and complications, even with a universal healthcare system. International Journal for Equity in Health. 2018;17:2. doi: 10.1186/s12939-017-0715-7
- Gokyildiz S, Alan S, Elmas E, Bostanci A, Kucuk E. Health‐promoting lifestyle behaviours in pregnant women in Turkey. International Journal of Nursing Practice. 2014;20(4):390-397. doi: 10.1111/ijn.12187
- Goossens J, Van Den Branden Y, Van der Sluys L, et al. The prevalence of unplanned pregnancy ending in birth, associated factors, and health outcomes. Hum Reprod. 2016;31(12):2821-2833. doi:10.1093/humrep/dew266
- Karacam Z, Onel K, Gercek E. Effects of unplanned pregnancy on maternal health in Turkey. Midwifery. 2011;27(2):288-293. doi:10.1016/j.midw.2009.07.006
- Stewart H, McCall SJ, McPherson C, et al. Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials. J Fam Plann Reprod Health Care. 2016;42(1):59-67. doi:10.1136/jfprhc-2014-101096
- Boden JM, Fergusson DM, Horwood LJ. Outcomes for Children and Families Following Unplanned Pregnancy: Findings from a Longitudinal Birth Cohort. Child Indic Res. 2015;8(2):389-402. doi:10.1007/s12187-014-9241-y.
- Cannella BL, Yarcheski A, Mahon NE. Meta-analyses of predictors of health practices in pregnant women. Western Journal of Nursing Research. 2018;40(3):425-446. doi: 10.1177/0193945916682212.