Primipar Kadınlarda Doğum Uygulamalarına Yönelik Algıların Annenin Kendine Güveni ile Bağlanma Arasındaki İlişkisi: Kesitsel Bir Çalışma
Year 2025,
Volume: 8 Issue: 1, 59 - 67
Fatma Şule Bilgiç
,
Gülbahar Keskin
Abstract
Amaç: Bu çalışma vajinal doğum yapan primipar kadınlarda doğum uygulamalarına yönelik algıların annenin kendine güveni ve bağlanmaya etkisini incelemek amacıyla yapıldı.
Yöntem: Kesitsel tipteki çalışma Ekim-Kasım 2023 tarihleri arasında Türkiye genelindeki, primipar, vajinal doğum yapmış ve postpartum ilk bir haftasında olan 480 anne ile yapıldı. Araştırmanın verileri online platformda kartopu örneklem yöntemi ile “Veri Toplama Formu”, “Doğum Uygulamaları Algılama Ölçeği (LPSS)”, “Karitane Ebeveyn Kendine Güven Ölçeği (KPCSS)” ve “Anne-Bebek Bağlanması Ölçeği (MBBS)” ile elde edildi. Çalışmaya katılan annelerin öğrenim ve çalışma durumu, gebeliği planlama, gelir düzeyi ve bebeğini besleme şekli ile doğuma ilişkin LPPS müdahale algısı alt boyutu arasında istatiksel olarak anlamlı fark olduğu görüldü. Gebeliği planlama ile MBBS toplam puan ortalaması arasında anlamlı fark olduğu görüldü. Annelerin, LPSS, Müdahale ve Ekip alt boyutları toplam puanı ile KPCSS, Bebek Bakımı ve Ebeveyn Rolü alt boyutu toplam puan ortalaması arasında negatif yönde yüksek korelasyon olduğu görüldü. LPSS ve Müdahale alt boyutları toplam puanı ile MBBS toplam puan ortalaması arasında negatif yönde yüksek korelasyon, LPSS ekip alt boyutu ile ise pozitif yönde orta korelasyon olduğu görüldü (p<0.05).
Sonuç: Çalışmaya katılan annelerin doğum uygulamaları, müdahaleleri ve ekip ile ilgili negatif algıları arttıkça ebeveynlik rolü ve bebek bakımı konusunda kendine güveni ve anne bebek bağlanmasının azaldığı görüldü.
Ethical Statement
Ethical Approval: Halic University Non-Interventional Clinical Research Ethics Committee Ethics Committee Date: 29.06.2022; No:151
Supporting Institution
YOK
Thanks
We would like to thank Senem Çam and Zeynep Fazlıoğlu for their support in the data collection process.
References
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Akın Ö, Erbil N. (2022). Mode of birth and breastfeeding: A systematic review. Ordu University Journal of Nursing Studies. 3(3), 302-318.
- Aksoy DY, Sis Çelik, A, Ejder Apay S. (2020). Turkish version of the childbirth perception scale: Reliability and validity study. Perspectives in Psychiatric Care. 56(1), 28-36.
- Aksüt GS. (2022). A review on parental self-efficacy: An overview of intervention programs. Journal of Object-Psychology, 10(26), 620-636.
- Akyıldız D, Çoban A, Gör Uslu F, Taşpınar A. (2021). Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing, 29(1), 9–21. https://doi.org/10.5152/FNJN.2021.19093
- Alizadeh-Dibazari Z, Abdolalipour S, Mirghafourvand M. (2023). The effect of prenatal education on fear of childbirth, pain intensity during labor and childbirth experience: a scoping review using systematic approach and meta-analysis. BMC Pregnancy and Childbirth. 23(1), 541.
- Altun E, Kaplan S. (2020). The effect of birth trauma on mother and infant bonding. Turkish Journal of Health Sciences and Research. 4(1), 54-66.
- Amorim Francisco A, Junqueira Vasconcellos de Oliveira SM, Barbosa da Silva FM, Bick D, Gonzalez Riesco ML. (2011). Women’s experiences of perineal pain during the immediate postnatal period: A cross-sectional study in Brazil. Midwifery. 27(6), 254–259.
- Aydemir-Karakulak H. (2009). Adaptation of the mother-infant attachment scale to Turkish society (the case of Aydın). Master's Thesis, Cumhuriyet University Institute of Health Sciences, Sivas.
- Aydin R, Aktaş S, Binici DK. (2022). Examining the relationship between the perception of birth-related trauma of mothers who gave birth vaginally and the level of connection between the mother: A cross-sectional study. Gümüşhane University Journal of Health Sciences, 11(1), 158-169.
- Bağriyanik BÇ, Yildiz D, Fidanci BE, Pekyiğit A. (2020). Sağlıklı ebeveyn-bebek bağlanması. Avrasya Sağlık Bilimleri Dergisi, 3(2), 40-47.
- Bahorski JS, Childs GD, Loan LA, Azuero A, Morrison SA, Chandler-Laney PC, Rice MH. (2019). Self-efficacy, infant feeding practices, and infant weight gain: An integrative review. Journal of Child Health Care, 23(2), 286-310.
- Barol Z. (2021). Development of the scale of perception of maternity practices. Istanbul University- Cerrahpaşa Institute of Graduate Studies, Department of Midwifery Ph.D. Thesis, Istanbul. (Prof. Dr. Gülçin Bozkurt)
- Başkaya Y, Sayıner FD. (2018). Evidence-based midwifery practices to reduce the cesarean section rate. Journal of Health Sciences and Professions. 5(1), 113-119.
- Çankaya S, Ocaktan C. (2022). The relationship of traumatic birth experiences and perceptions of primiparous mothers with breastfeeding attitude in early postpartum period. Balıkesir Journal of Health Sciences. 11(2), 227-234.
- Demirbas M, Karabel MP, İnci MB. (2018). Changing frequency of cesarean sections in Turkey and in the world and possible causes. Sakarya Medical Journal. 7(4),158-163.
- Dol J, Richardson B, Murphy GT, Aston M, McMillan D, Campbell-Yeo M. (2020). Impact of mobile health interventions during the perinatal period on maternal psychosocial outcomes: a systematic review. JBI Evidence Synthesis, 18(1),30-55.
- Engin N, Ayyıldız T. (2021). Mother-infant attachment is examined according to the perception of motherhood and some variables. Adnan Menderes University Journal of Health Sciences Faculty, 5(3),583-596.
- Esencan TY, Karabulut Ö, Yıldırım AD, Abbasoğlu DE, Külek H, Şimşek Ç, Kılıçcı Ç. (2018). Birth type, first breastfeeding time and skin-to-skin contact preferences of pregnant women who receive childbirth preparation training. Florence Nightingale Journal of Nursing, 26(1), 31-43.
- Farrington E, Connolly M, Phung L, Wilson AN, Comrie-Thomson L, Bohren MA, Vogel JP. (2021). The prevalence of uterine fundal pressure during the second stage of labour for women giving birth in health facilities: a systematic review and meta-analysis. Reproductive Health, 18(1), 98.
- Ghanbari-Homaie S, Meedya S, Mohammad-Alizadeh-Charandabi S, Jafarabadi MA, Mohammadi E, Mirghafourvand M. (2021). Recommendations for improving primiparous women’s childbirth experience: Results from a multiphase study in Iran. Reproductive Health, 18, 146.
- Henriksen L, Grimsrud E, Schei B, Lukasse M, Bidens Study Group. (2017). Factors related to a negative birth experience-A mixed methods study. Midwifery,51, 33-39.
- Hosseini TM, Keramat A, Kolahdozan S, Shahhosseini Z, Moosazadeh M, Motaghi Z. (2020). Positive childbirth experience: A qualitative study. Nursing Open, 7(4), 1233-1238.
- Işin E. (2021). Doğum eylemine hazırlık eğitimi ve danışmanlığının doğum deneyimi ve postpartum kendini değerlendirmeye etkisi (Master's thesis, Sağlık Bilimleri Enstitüsü).
- Karabulutlu Ö, Yavuz C. (2019). Evaluation of mothers' satisfaction levels with midwifery/nursing care in the postpartum period. Caucasian Journal of Science, 6(2), 182-199.
- Khaled M, Corner GW, Horton K, Khoddam H, Stoycos S, Saxbe DE. (2020). Prenatal relationship conflict behavior predicts childbirth experiences and birth outcomes. Journal of Family Psychology, 34(6), 759.
- Koçak V, Altuntuğ K, Ege E. (2021). Evaluation of mothers' self-efficacy and postpartum sense of security. Ebelik ve Sağlık Bilimleri Dergisi, 4(1), 34-44.
- Masuda C, Ferolin SK, Masuda K, Smith C, Matsui M. (2020). Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study. BMC pregnancy and childbirth, 20, 1-10.
- O’Dea GA, Youssef GJ, Hagg LJ, Francis LM, Spry EA, Rossen L, Macdonald JA. (2023). Associations between maternal psychological distress and mother-infant bonding: a systematic review and meta-analysis. Archives of Women's Mental Health, 1-12.. doi: 10.1007/s00737-023-01332-1.
- Tanrıverdi FŞ. (2023). The effect of online baby education based on meleis' transition theory on mother's self-confidence and infant health. Istanbul University- Cerrahpaşa Institute of Graduate Studies, Midwifery USA Ph.D. Thesis, Istanbul. (Prof. Dr. Gülçin Bozkurt)
- Tatarlar A, Tokat MA. (2016). The effect of fear experienced during vaginal delivery on lactation, sucking behaviors and first breastfeeding outcomes, TAF Preventive Medicine Bulletin, 15(2), 83-91.
- Topaç Tunçel N, Kahyaoğlu Süt H. (2019). The effect of anxiety, depression and prenatal distress levels experienced during pregnancy on prenatal infant bonding. Medical Journal of Gynecology -Obstetrics and Neonatology.16(1): 9-17.
- Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R., Bustreo F. (2015). Quality of care for pregnant women and newborns—the WHO vision. Bjog, 122(8), 1045.
- Werner-Bierwisch T, Pinkert C, Niessen K, Metzing S, Hellmers C. (2018). Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review. BMC pregnancy and childbirth, 18, 1-16.
- World Health Organization (WHO) (2018). Who recommendations on i̇ntrapartum care for a positive childbirth
- Yalçın SS, Örün E, Özdemir P, Mutlu B, Dursun A. (2014). Reliability of postpartum attachment scales in Turkish mothers. Journal of Pediatrics, 57(4), 246-251.
- Yavaş Çelik M, Ciğdem Z. (2020). Vulnarable Baby Perception Scale: A validity and reliability study. Journal of Psychiatric Nursing, 11(3), 188-194.
- Yazıcıoğlu, Y. and Erdoğan, S. (2004). Spss applied scientific research methods. Ankara: Detay Publishing.p:45-40
- Yilmaz B, Oskay Ü. (2021). Karitane Parent Self-Confidence Scale: A Turkish validity and reliability study. Çukurova Medical Journal, 46(2), 801-813.
- Yılmaz Bursa G, Aksoy AB. (2023). Investigation of parental self-regulation competencies of mothers with 0–1-year-old babies according to some variables. Kalem International Journal of Education and Human Sciences,13(24), 257-275
- Zhao ZH, Huang YY, Qiao J, Huang WP, Redding SR, Wang R, Ouyang YQ. (2023). Co-Parenting impact on breastfeeding: systematic review and meta-analysis. Breastfeed Med.18(6),431-448. doi: 10.1089/bfm.2022.0237
The Relationship between Perceptions of Birth Practices and Mother's Self-Confidence and Attachment in Primiparous Women: A Cross-Sectional Study
Year 2025,
Volume: 8 Issue: 1, 59 - 67
Fatma Şule Bilgiç
,
Gülbahar Keskin
Abstract
Objective: This study was conducted to examine the effect of perceptions of birth practices on maternal self-confidence and attachment in primiparous women who gave vaginal birth.
Methods: The cross-sectional study was conducted between October and November 2023 with 480 mothers across Turkey who had primiparous, vaginal delivery and were in the first week of postpartum. The data of the study were obtained by snowball sampling method on the online platform with "Data Collection Form", "Labor Practices Perception Scale (LPSS)", "Karitane Parent Self-Confidence Scale (KPCSS)" and "Mother-Baby Bonding Scale (MBBS)".
Results: It was observed that there was a statistically significant difference between the education and employment status, pregnancy planning, income level, and feeding style of the mothers participating in the study and the LPPS of labor. It was observed that there was a significant difference between pregnancy planning and MBBS total mean score. It was observed that there was a high negative correlation between the total score of the LPSS of the mothers and the mean of the total score of the KPCSS, Baby Care and Parental Role sub-dimension. It was observed that there was a high negative correlation between the total score of the LPSS and Practices sub-dimensions and the mean of the MBBS total score and a moderate positive correlation with the LPSS team sub-dimension (p<0.05).
Conclusions: It was observed that as the negative perceptions of labor practices, interventions, and the team increased in the mothers participating in the study, their self-confidence in parenting role and baby care and mother-infant attachment decreased.
References
- References
Akın Ö, Erbil N. (2022). Mode of birth and breastfeeding: A systematic review. Ordu University Journal of Nursing Studies. 3(3), 302-318.
- Aksoy DY, Sis Çelik, A, Ejder Apay S. (2020). Turkish version of the childbirth perception scale: Reliability and validity study. Perspectives in Psychiatric Care. 56(1), 28-36.
- Aksüt GS. (2022). A review on parental self-efficacy: An overview of intervention programs. Journal of Object-Psychology, 10(26), 620-636.
- Akyıldız D, Çoban A, Gör Uslu F, Taşpınar A. (2021). Effects of Obstetric Interventions During Labor on Birth Process and Newborn Health. Florence Nightingale journal of nursing, 29(1), 9–21. https://doi.org/10.5152/FNJN.2021.19093
- Alizadeh-Dibazari Z, Abdolalipour S, Mirghafourvand M. (2023). The effect of prenatal education on fear of childbirth, pain intensity during labor and childbirth experience: a scoping review using systematic approach and meta-analysis. BMC Pregnancy and Childbirth. 23(1), 541.
- Altun E, Kaplan S. (2020). The effect of birth trauma on mother and infant bonding. Turkish Journal of Health Sciences and Research. 4(1), 54-66.
- Amorim Francisco A, Junqueira Vasconcellos de Oliveira SM, Barbosa da Silva FM, Bick D, Gonzalez Riesco ML. (2011). Women’s experiences of perineal pain during the immediate postnatal period: A cross-sectional study in Brazil. Midwifery. 27(6), 254–259.
- Aydemir-Karakulak H. (2009). Adaptation of the mother-infant attachment scale to Turkish society (the case of Aydın). Master's Thesis, Cumhuriyet University Institute of Health Sciences, Sivas.
- Aydin R, Aktaş S, Binici DK. (2022). Examining the relationship between the perception of birth-related trauma of mothers who gave birth vaginally and the level of connection between the mother: A cross-sectional study. Gümüşhane University Journal of Health Sciences, 11(1), 158-169.
- Bağriyanik BÇ, Yildiz D, Fidanci BE, Pekyiğit A. (2020). Sağlıklı ebeveyn-bebek bağlanması. Avrasya Sağlık Bilimleri Dergisi, 3(2), 40-47.
- Bahorski JS, Childs GD, Loan LA, Azuero A, Morrison SA, Chandler-Laney PC, Rice MH. (2019). Self-efficacy, infant feeding practices, and infant weight gain: An integrative review. Journal of Child Health Care, 23(2), 286-310.
- Barol Z. (2021). Development of the scale of perception of maternity practices. Istanbul University- Cerrahpaşa Institute of Graduate Studies, Department of Midwifery Ph.D. Thesis, Istanbul. (Prof. Dr. Gülçin Bozkurt)
- Başkaya Y, Sayıner FD. (2018). Evidence-based midwifery practices to reduce the cesarean section rate. Journal of Health Sciences and Professions. 5(1), 113-119.
- Çankaya S, Ocaktan C. (2022). The relationship of traumatic birth experiences and perceptions of primiparous mothers with breastfeeding attitude in early postpartum period. Balıkesir Journal of Health Sciences. 11(2), 227-234.
- Demirbas M, Karabel MP, İnci MB. (2018). Changing frequency of cesarean sections in Turkey and in the world and possible causes. Sakarya Medical Journal. 7(4),158-163.
- Dol J, Richardson B, Murphy GT, Aston M, McMillan D, Campbell-Yeo M. (2020). Impact of mobile health interventions during the perinatal period on maternal psychosocial outcomes: a systematic review. JBI Evidence Synthesis, 18(1),30-55.
- Engin N, Ayyıldız T. (2021). Mother-infant attachment is examined according to the perception of motherhood and some variables. Adnan Menderes University Journal of Health Sciences Faculty, 5(3),583-596.
- Esencan TY, Karabulut Ö, Yıldırım AD, Abbasoğlu DE, Külek H, Şimşek Ç, Kılıçcı Ç. (2018). Birth type, first breastfeeding time and skin-to-skin contact preferences of pregnant women who receive childbirth preparation training. Florence Nightingale Journal of Nursing, 26(1), 31-43.
- Farrington E, Connolly M, Phung L, Wilson AN, Comrie-Thomson L, Bohren MA, Vogel JP. (2021). The prevalence of uterine fundal pressure during the second stage of labour for women giving birth in health facilities: a systematic review and meta-analysis. Reproductive Health, 18(1), 98.
- Ghanbari-Homaie S, Meedya S, Mohammad-Alizadeh-Charandabi S, Jafarabadi MA, Mohammadi E, Mirghafourvand M. (2021). Recommendations for improving primiparous women’s childbirth experience: Results from a multiphase study in Iran. Reproductive Health, 18, 146.
- Henriksen L, Grimsrud E, Schei B, Lukasse M, Bidens Study Group. (2017). Factors related to a negative birth experience-A mixed methods study. Midwifery,51, 33-39.
- Hosseini TM, Keramat A, Kolahdozan S, Shahhosseini Z, Moosazadeh M, Motaghi Z. (2020). Positive childbirth experience: A qualitative study. Nursing Open, 7(4), 1233-1238.
- Işin E. (2021). Doğum eylemine hazırlık eğitimi ve danışmanlığının doğum deneyimi ve postpartum kendini değerlendirmeye etkisi (Master's thesis, Sağlık Bilimleri Enstitüsü).
- Karabulutlu Ö, Yavuz C. (2019). Evaluation of mothers' satisfaction levels with midwifery/nursing care in the postpartum period. Caucasian Journal of Science, 6(2), 182-199.
- Khaled M, Corner GW, Horton K, Khoddam H, Stoycos S, Saxbe DE. (2020). Prenatal relationship conflict behavior predicts childbirth experiences and birth outcomes. Journal of Family Psychology, 34(6), 759.
- Koçak V, Altuntuğ K, Ege E. (2021). Evaluation of mothers' self-efficacy and postpartum sense of security. Ebelik ve Sağlık Bilimleri Dergisi, 4(1), 34-44.
- Masuda C, Ferolin SK, Masuda K, Smith C, Matsui M. (2020). Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study. BMC pregnancy and childbirth, 20, 1-10.
- O’Dea GA, Youssef GJ, Hagg LJ, Francis LM, Spry EA, Rossen L, Macdonald JA. (2023). Associations between maternal psychological distress and mother-infant bonding: a systematic review and meta-analysis. Archives of Women's Mental Health, 1-12.. doi: 10.1007/s00737-023-01332-1.
- Tanrıverdi FŞ. (2023). The effect of online baby education based on meleis' transition theory on mother's self-confidence and infant health. Istanbul University- Cerrahpaşa Institute of Graduate Studies, Midwifery USA Ph.D. Thesis, Istanbul. (Prof. Dr. Gülçin Bozkurt)
- Tatarlar A, Tokat MA. (2016). The effect of fear experienced during vaginal delivery on lactation, sucking behaviors and first breastfeeding outcomes, TAF Preventive Medicine Bulletin, 15(2), 83-91.
- Topaç Tunçel N, Kahyaoğlu Süt H. (2019). The effect of anxiety, depression and prenatal distress levels experienced during pregnancy on prenatal infant bonding. Medical Journal of Gynecology -Obstetrics and Neonatology.16(1): 9-17.
- Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R., Bustreo F. (2015). Quality of care for pregnant women and newborns—the WHO vision. Bjog, 122(8), 1045.
- Werner-Bierwisch T, Pinkert C, Niessen K, Metzing S, Hellmers C. (2018). Mothers’ and fathers’ sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review. BMC pregnancy and childbirth, 18, 1-16.
- World Health Organization (WHO) (2018). Who recommendations on i̇ntrapartum care for a positive childbirth
- Yalçın SS, Örün E, Özdemir P, Mutlu B, Dursun A. (2014). Reliability of postpartum attachment scales in Turkish mothers. Journal of Pediatrics, 57(4), 246-251.
- Yavaş Çelik M, Ciğdem Z. (2020). Vulnarable Baby Perception Scale: A validity and reliability study. Journal of Psychiatric Nursing, 11(3), 188-194.
- Yazıcıoğlu, Y. and Erdoğan, S. (2004). Spss applied scientific research methods. Ankara: Detay Publishing.p:45-40
- Yilmaz B, Oskay Ü. (2021). Karitane Parent Self-Confidence Scale: A Turkish validity and reliability study. Çukurova Medical Journal, 46(2), 801-813.
- Yılmaz Bursa G, Aksoy AB. (2023). Investigation of parental self-regulation competencies of mothers with 0–1-year-old babies according to some variables. Kalem International Journal of Education and Human Sciences,13(24), 257-275
- Zhao ZH, Huang YY, Qiao J, Huang WP, Redding SR, Wang R, Ouyang YQ. (2023). Co-Parenting impact on breastfeeding: systematic review and meta-analysis. Breastfeed Med.18(6),431-448. doi: 10.1089/bfm.2022.0237