Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Düşük Öyküsü Olan Gebelerde Prenatal Bağlanma Durumunun Değerlendirilmesi: Tanımlayıcı Araştırma
Evaluation of Prenatal Attachment Status in Pregnants with a History of Miscarriage: Descriptive Research
Tuba GÜNER EMÜLa, Ahu AKSOY CANa, Aysu BULDUMa, Aslıhan AKSUa, Filiz DEĞİRMENCİa, Duygu VEFİKULUÇAY YILMAZa
aMersin Üniversitesi Hemşirelik Fakültesi, Doğum ve Kadın Hastalıkları Hemşireliği ABD, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):712-7
doi: 10.5336/nurses.2021-87697
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırmanın amacı, düşük öyküsü olan gebelerin prenatal bağlanma düzeylerini belirlemektir. Gereç ve Yöntemler: Tanımlayıcı nitelikte olan araştırmanın örneklemini, bir üniversite hastanesinin gebe izlem polikliniklerine başvuran, daha önce düşük yapmış ve araştırmayı kabul eden 137 gebe oluşturmuştur. Araştırma verileri, sosyodemografik ve obstetrik özelliklere yönelik 13 sorudan oluşan anket formu ile prenatal bağlanma envanteri kullanılarak toplandı. Tanımlayıcı istatistikler, ortalama, standart sapma, sayı ve frekans olarak değerlendirildi. Anlamlılık düzeyi için p<0.05 kabul edildi. Bulgular: Araştırmada gebelerin yaş ortalamalarının 29,07±5,71 olduğu, %48,2'sinin ilköğretim mezunu olduğu, %62'sinin en uzun il merkezinde yaşadığı, çoğunluğunun (%81,8) çekirdek aile yapısında ve %34,3'ünün 3-5 yıldır evli olduğu saptandı. Gebelerin eşlerinin yaş ortalamalarının 32,68±6,26 ve yarıdan fazlasının (%56,9) ilköğretim mezunu olduğu belirlendi. Gebelerin obstetrik özellikleri incelendiğinde; %81,8'inin 1 kez düşük yaptığı, %58,4'ünün 6-15 gebelik haftası aralığında düşük yaptığı, %63,5'inin düşük nedenini bilmediği, %65'inin ise düşüğe yönelik bir tedavi almadığı tespit edildi. Araştırmada gebelerin prenatal bağlanma envanteri toplam puan ortalamalarının 57,67±11,30 olduğu belirlendi. Sonuç: Düşük öyküsü olan gebelerin prenatal bağlanma düzeylerinin iyi düzeyde olduğu belirlenmiş olup, gebelerin düşük sayıları arttıkça prenatal bağlanma düzeylerinin azaldığı saptandı.

Anahtar Kelimeler: Gebelik; düşük; prenatal bağlanma; hemşirenin rolü
ABSTRACT
 Objective: The aim of this study is to determine the prenatal attachment levels of pregnant women with a miscarriage history. Material and Methods: The sample of the descriptive study consisted of 137 pregnant women who applied to the pregnant follow-up outpatient clinics of a university hospital, had a previous miscarriage and accepted the study. Research data were collected using a questionnaire form consisting of 13 questions on socio-demographic and obstetric characteristics and the prenatal attachment inventory. Descriptive statistics were expressed as mean, standard deviation, number and frequency. A value of p<0.05 was accepted for the significance level. Results: It was determined that the average age of the pregnant women participating in the study was 29.07±5.71, 48.2% were primary school graduates, 62% were in the province where they lived the longest, most (81.8%) were in nuclear family structure, and 34.3% were married for 3- 5 years. It was determined that the mean age of the spouses of the pregnant women was 32.68±6.26 and more than half (56.9%) of them were primary school graduates. When obstetric characteristics of pregnant women are examined; it was determined that 81.8% had a miscarriage once, 58.4% had a miscarriage between 6-15 weeks of gestation, 63.5% did not know the reason for the miscarriage, and 65% did not receive a treatment for abortion. In the study, it was determined that the mean prenatal attachment inventory total score of pregnant women was 57.67±11.30. Conclusion: It was determined that the prenatal attachment levels of the pregnant women with a history of miscarriage were good level, and it was determined that the prenatal attachment levels of the pregnant women increased as the number of miscarriages increased.

Keywords: Pregnancy; abortion; prenatal attachment; nurse's role
REFERENCES:
  1. Ricci SS. Essentials of Maternity, Newborn & Women's Health Nursing. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2009.
  2. Abassi E, Tahmasebi H, Zafari M, Takami NG. Assesment on effective factors of maternal-fetal attachment in pregnant women. Life Science Journal. 2012;9(1):68-75. [Link] 
  3. Muller ME. A Questionarre to measure mother to infant attachment. Journal of Nursing Measurement. 1994;2(2):129-41. [Crossref]  [PubMed] 
  4. Davidson MR, London ML, Wieland Ladewig PA. Olds' Maternal-Newborn Nursing&Women's Health. 9th ed. USA: Pearson; 2012.
  5. Çoşkuner Potur D, Doğan Merih Y, Demirci N. Primipar ve multipar gebelerin prenatal bağlanmalarını etkileyen faktörlerin değerlendirilmesi [Evaluation of factors affecting prenatal attachment in primipara and multipara women]. JAREN. 2020;6(1):132-40. [Link] 
  6. Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. A history of the theory of prenatal attachment. J Prenat Perinat Psychol Health. 2009;23(4):201-22. [PubMed]  [PMC] 
  7. Duyan V, Gül Kapısız S, Yakut Hİ. Doğum öncesi bağlanma envanterinin bir grup gebe üzerinde Türkçe'ye uyarlama çalışması [The adaptation of fetal attachment inventory to Turkish with a group of pregnant women]. Jinekoloji Obstetrik ve Neonatoloji Tıp Dergisi. 2013;10(39):1609-14. [Link] 
  8. Metin A. Gebelerin algıladıkları sosyal destek ile prenatal bağlanma arasındaki ilişki [Yüksek lisans tezi]. Erzurum: Atatürk Üniversitesi; 2014. Erişim tarihi: 19.08.2022 [Link] 
  9. Doğan Merih Y, İliter F, Çoşkuner Potur D, Alioğulları A. Prenatal tanı testleri sonrasında riskli gebelik tanısı alan gebelerin sürece yönelik görüşleri [The views of pregnant women who were diagnosed with high risk pregnancy after prenatal diagnosis tests regarding the process]. KASHED. 2018;4(1):1-19. [Link] 
  10. Laxton-Kane M, Slade P. The role of maternal prenatal attachment in a woman's experience of pregnancy and implications for the process of care. Journal of Reproductive and Infant Psychology. 2002;20(4):253-66. [Crossref] 
  11. Armstrong DS. Impact of prior perinatal loss on subsequent pregnancies. J Obstet Gynecol Neonatal Nurs. 2004;33(6):765-73. [Crossref]  [PubMed] 
  12. Tsartsara E, Johnson MP. The impact of miscarriage on women's pregnancy-specific anxiety and feelings of prenatal maternal-fetal attachment during the course of a subsequent pregnancy: an exploratory follow-up study. J Psychosom Obstet Gynaecol. 2006;27(3):173-82. [Crossref]  [PubMed] 
  13. Côté-Arsenault D. Threat appraisal, coping, and emotions across pregnancy subsequent to perinatal loss. Nurs Res. 2007;56(2):108-16. [Crossref]  [PubMed] 
  14. Yılmaz S, Beji NK. Prenatal Bağlanma Envanteri'nin Türkçe'ye Uyarlanması: Güvenilirlik ve Geçerlilik Çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(2):103-9.
  15. Yılmaz Dereli S. Prenatal anne-bebek bağlanması [Prenatal maternal - fetal attachment]. Hemşirelikte Eğitim ve Araştırma Dergisi. 2013;10(3):28-33. [Link] 
  16. Yılmaz SD, Beji NK. Gebelerin stresle başa çıkma, depresyon ve prenatal bağlanma düzeyleri ve bunları etkileyen faktörler [Levels of coping with stres, depression and prenatal attachment and affecting factors of pregnant women]. Genel Tıp Dergisi. 2010;20(3):99-108. [Link] 
  17. Aydemir H, Hazar HU. Düşük riskli, riskli, yüksek riskli gebelik ve ebenin rolü [Low risk, risk, and high risk pregnancies and the role of midwives]. Gümüşhane University Journal of Health Sciences. 2014;3(2):815-33. [Link] 
  18. Bakır N, Ölçer Z, Oskay Ü. Yüksek riskli gebelerin prenatal bağlanma düzeyi ve etkileyen faktörler [The levels and affecting factors of prenatal attachment in high risk pregnant]. Uluslararası Hakemli Kadın Hastalıkları ve Anne Çocuk Sağlığı Dergisi. 2014;1(1):25-37. [Link] 
  19. Aksoy Y, Dereli Yılmaz S, Aslantekin F. Riskli gebeliklerde prenatal bağlanma ve sosyal destek [Prenatal attachment and social support in high-risk pregnancies]. Türkiye Klinikleri J Health Sci. 2016;1(3):163-69. [Crossref] 
  20. Badem A, Zeyneloğlu S. Gebelerin prenatal bağlanma düzeyleri ve etkileyen faktörlerin belirlenmesi [Determination of prenatal attachment levels of pregnant women and affecting factors]. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2021;1(1):37-47. [Link] 
  21. Dikmen AH, Çankaya S. Maternal obezitenin prenatal bağlanma üzerine etkisi [The effect of maternal obesity on prenatal attachment]. ACU Sağlık Bil Dergisi. 2018;9(2):118-23. [Link] 
  22. Ustunsoz A, Guvenc G, Akyuz A, Oflaz F. Comparison of maternal-and paternal-fetal attachment in Turkish couples. Midwifery. 2010;26(2):e1-9. [Crossref]  [PubMed] 
  23. Kwon MK, Bang KS. [Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth]. J Korean Acad Nurs. 2011;41(2):276-83. Korean. [Crossref]  [PubMed] 
  24. Mehran P, Simbar M, Shams J, Ramezani-Tehrani F, Nasiri N. History of perinatal loss and maternal-fetal attachment behaviors. Women Birth. 2013;26(3):185-9. [Crossref]  [PubMed] 
  25. Dağlı K. Gebelikte bebeğe yönelik yapılan hazırlıkların prenatal bağlanma ile ilişkisi [Yüksek lisans tezi]. Aydın: Adnan Menderes Üniversitesi; 2017. Erişim tarihi: 19.08.2022 [Link] 
  26. Dikencik BK, Akın N, Yavan T, Coşkun A. Perinatal dönemde çocuk kaybı olan ebeveynlerin duygusal tepkileri ve bunlara yönelik hemşirelik yaklaşımı [Emotional reactions of parents who experiences baby loses in the perinatal period and nursing approach to this problem]. Perinatoloji Dergisi. 1999;7(1):9-14. [Link] 

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