Research Article
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The Effect of Distress in Pregnancy on Prenatal Attachment

Year 2024, Volume: 13 Issue: 1, 144 - 150, 20.03.2024
https://doi.org/10.53424/balikesirsbd.1138887

Abstract

Aim: Our research was carried out to determine the effect of the distress experienced by the woman in the last trimester on prenatal attachment. Materials and Methods: This is a descriptive cross-sectional study. The sample of the study consisted of 154 pregnant women in the last trimester who applied to the obstetrics outpatient clinics between the dates of the study. Results: In the study, it was observed that the mean scores of the Prenatal Distress Scale (PDS) were higher in pregnant women between the ages of 20–34, middle school graduates, unemployed, with lower income and living in an extended family. Mean scores of Prenatal Attachment Inventory (PAI) were higher for women who were illiterate, unemployed, living in an extended family, with a mean age of 35 and above. Conclusion: In the study, it was found that there is a weak negative relationship between the PDS and PAI scores of pregnant women, and prenatal attachment increases as prenatal distress decreases.
Keywords: Distress, Midwife/nurse support, Pregnancy, Prenatal attachment.

Project Number

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References

  • Alan Dikmen, H., Çankaya, S. (2018). Maternal Obezitenin Prenatal Bağlanma Üzerine Etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 9 (2), 118-123. https://doi.org/10.31067/0.2018.1
  • Capron, L. E., Glover, V., Pearson, R. M., Evans, J., O’Connor, T. G., Stein, A., et al. (2015). Associations of maternal and paternal antenatal mood with offspring anxiety disorder at age 18 years. Journal of Affective Disorders, 187, 20-26. https://doi.org/10.1016/j.jad.2015.08.012
  • Chang, H., Chen, S., Chen, C. (2016). Predictors of antenatal psychosocial stress in Taiwanese women. Journal of Nursing Research, 24 (3), 193-200. doi: 10.1097/jnr.0000000000000122
  • Copeland, D. B., Harbaugh, B. L. (2019). It’s Hard Being a Mama: Validation of the Maternal Distress Concept in Becoming a Mother. The Journal of Perinatal Education, 28 (1), 28-42. doi: 10.1891/1058-1243.28.1.28
  • Coşkun, A. M., Arslan, S., Okcu, G. (2020). Gebe kadınlarda gebelik algısının stres, demografik ve obstetrik özellikler açısından incelenmesi. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi, 17 (1), 1-8. doi:10.5222/HEAD.2020.001
  • Coşkun, A. M., Okcu, G., Arslan, S. (2019). Gebelikte distres durumunun prenatal bağlanmaya etkisi. Perinatoloji Dergisi, 27 (2), 49-55. doi:10.2399/prn.19.0272001
  • Çapık, A., Ejder-Apay, S., Sakar, T. (2015). Determination of the level of distress in pregnant women. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 18 (3), 196-203. https://doi.org/10.17049/ahsbd.97570
  • Elkin, N. (2015). Gebelerin prenatal bağlanma düzeyleri ve bunları etkileyen faktörler. Sürekli Tıp Eğitimi Dergisi, 24 (6), 230-236.
  • Erkal Aksoy, Y., Dereli Yılmaz, S., Aslantekin, F. (2016). Riskli gebeliklerde prenatal bağlanma ve sosyal destek. Türkiye Klinikleri Journal of Health Science, 1 (3), 163-169. https://doi.org/10.5336/healthsci.2016-50668
  • Goodman, J. H. (2019). Perinatal depression and infant mental health. Archives Psychiatric Nursing, 33:217–224. https://doi.org/10.1016/j.apnu.2019.01.010
  • Hung, C. H., Lin, C. J., Stocker, J., Yu, C. Y. (2011). Predictors of postpartum stress. Journal of Clinical Nursing, 20 (5-6), 666-74. https://doi.org/10.1111/j.1365-2702.2010.03555.x
  • Kaplan, S., Bahar, A. & Sertbas, G. (2007). Gebelerde doğum öncesi ve doğum sonrası dönemlerde durumluk kaygı düzeylerinin incelenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 10: 113-121.
  • Küçükkaya, B., Kahyaoğlu Süt, H., Öz, S., Altan Sarıkaya, N. (2020). Gebelik döneminde çiftler arası uyum ve prenatal bağlanma arasındaki ilişki. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 11 (1), 102-110. https://doi.org/10.31067/0.2020.246
  • Lobel, M. (2008a). The Stony Brook pregnancy project: Revised Prenatal Distress Questionnaire (NUPDQ) Scoring information. 2008.
  • Lobel, M. (2008b). The Stony Brook pregnancy project: Revised Prenatal Distress Questionnaire (NUPDQ): 17-Item Version, NUPDQ2.DOC 2008; 06/25/96 18.
  • Mako, H., Deak, A. (2014). Reliability and Validity of the Hungarian Version of the Maternal Antenatal Attachment Scale. International Journal of Gynecological and Obstetrical Research, 2(1), 1–13.
  • Maddahi-Sedat, M., Dolatian, M., Khoramabadi, M., Talebi, A. (2016). Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes. Electronic Physician, 8 (7), 2639-2644. http://dx.doi.org/10.19082/2639.
  • Mazzeschi, C., Pazzagli, C., Radi, G., Raspa, V., and Buratta, L. (2015). Antecedents of maternal parenting stress: the role of attachment style, prenatal attachment, and dyadic adjustment in first-time mothers. Frontiers Psychology, 6, 1443. doi: 10.3389/fpsyg.2015.01443
  • Metin, A., Pasinlioğlu, T. (2016). The relationship between perceived social support and prenatal attachment in pregnant women. International Refereed Journal of Gynaecology and Maternal Child Health, 49–66. doi:10.17367/JACSD.2016516857.
  • Muller, M. E. (1993). Development of the Prenatal Attachment Inventory. Western Journal of Nursing Researches, 15 (2), 199-211. https://doi.org/10.1177/019394599301500205
  • Polizzi, C., Perricone, G., Duca, V., Carollo, A., Marceca, M., & Fontana, V. (2017). A study on maternal-fetal attachment in pregnant women undergoing fetal echocardiography. Journal of Pediatric and Neonatal Individualized Medicine, 6 (1), e060137. https://doi.org/10.7363/060137
  • Rollè, L., Giordano, M., Santoniccolo, F., and Trombetta, T. (2020). Prenatal attachment and perinatal depression: A systematic review. International Journal of Environmental Research and Public Health, 17 (8), 2644. https://doi.org/10.3390/ijerph17082644
  • Smorti, M., Ponti, L., Tani, F. (2019). Maternal depressive symptomatology during pregnancy is a risk factor affecting newborn’s health: A longitudinal study. Journal of Reproductive and Infant Psychology, 37, 444–452. https://doi.org/10.1080/02646838.2019.1581919
  • Suplee, P. D., Gardner, M. R., & Borucki, L. C. (2014). Low-income, urban minority women's perceptions of self and infant care during the postpartum period. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 43 (6), 803–812. https://doi.org/10.1111/1552-6909.12506
  • Topaç Tunçel, N., Kahyaoğlu Süt, H. (2019). Gebelikte Yaşanan Anksiyete, Depresyon ve Prenatal Distres Düzeyinin Doğum Öncesi Bebeğe Bağlanmaya Etkisi. Jinekoloji - Obstetrik ve Neonatoloji Tıp Dergisi, 16 (1), 9-17.
  • Yali, M. A., Lobel, M. (1999). Coping and distress in pregnancy: an investigation of medically high risk women. Journal of Psychosomatic Obstetrics & Gynecology, 20 (1), 39-52.
  • Yılmaz, E. B., Şahin, E. (2019). Factors associated with prenatal distress levels of pregnant women. Journal of Psychiatric Nursing, 10 (3), 197-203 DOI: 10.14744/phd.2019.17363
  • Yılmaz, Ş., Beji, N. K. (2013). Prenatal Bağlanma Envanterinin Türkçe’ye Uyarlanması: güvenirlilik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16 (2), 103-109.
  • Yuksel, F., Akin, S., Durna, Z. (2014). Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. Journal of Clinical Nursing, 23 (1-2), 54–64. https://doi.org/10.1111/j.1365-2702.2012.04283.x
  • Yüksel, F., Akın, S., Durna, Z. (2011). The Turkish Adaptation of the “Revised Prenatal Distress Questionnaire”: A Reliability / Validity and Factor Analysis Study. Hemşirelikte Eğitim ve Araştırma Dergisi, 8 (3), 43-51.

Gebelikte Yaşanan Distresin Prenatal Bağlanmaya Etkisi

Year 2024, Volume: 13 Issue: 1, 144 - 150, 20.03.2024
https://doi.org/10.53424/balikesirsbd.1138887

Abstract

Amaç: Araştırmamız son trimesterde kadının yaşadığı distresin prenatal bağlanmaya etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Çalışma, tanımlayıcı ve kesitsel tipte bir araştırmadır. Çalışmanın örneklemini araştırmanın yürütüldüğü tarihler arasında kadın doğum polikliniklerine başvuran, son trimesterde olan 154 gebe oluşturmuştur. Bulgular: Araştırmada Prenatal Distres Ölçeği (PDÖ) puan ortalamalarının 20–34 yaş aralığında, ortaokul mezunu, çalışmayan, gelir düzeyi giderlerinden az olan, geniş ailede yaşayan gebelerde daha yüksek olduğu görülmüştür. Prenatal Bağlanma Envanteri (PBE) puan ortalamaları ise yaşı 35 ve üzeri, okur-yazar olmayan, çalışmayan, gelir düzeyi giderlerinden az olan, geniş ailede yaşayan gebelerde daha yüksektir. Sonuç: Çalışmada gebelerin PDÖ ve PBE puanları arasında negatif yönlü zayıf bir ilişki olduğu, prenatal distres azaldıkça prenatal bağlanmanın arttığı saptanmıştır.
Anahtar Kelimeler: Distres, Ebe/hemşire desteği, Gebelik, Prenatal bağlanma.

Supporting Institution

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Project Number

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Thanks

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References

  • Alan Dikmen, H., Çankaya, S. (2018). Maternal Obezitenin Prenatal Bağlanma Üzerine Etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 9 (2), 118-123. https://doi.org/10.31067/0.2018.1
  • Capron, L. E., Glover, V., Pearson, R. M., Evans, J., O’Connor, T. G., Stein, A., et al. (2015). Associations of maternal and paternal antenatal mood with offspring anxiety disorder at age 18 years. Journal of Affective Disorders, 187, 20-26. https://doi.org/10.1016/j.jad.2015.08.012
  • Chang, H., Chen, S., Chen, C. (2016). Predictors of antenatal psychosocial stress in Taiwanese women. Journal of Nursing Research, 24 (3), 193-200. doi: 10.1097/jnr.0000000000000122
  • Copeland, D. B., Harbaugh, B. L. (2019). It’s Hard Being a Mama: Validation of the Maternal Distress Concept in Becoming a Mother. The Journal of Perinatal Education, 28 (1), 28-42. doi: 10.1891/1058-1243.28.1.28
  • Coşkun, A. M., Arslan, S., Okcu, G. (2020). Gebe kadınlarda gebelik algısının stres, demografik ve obstetrik özellikler açısından incelenmesi. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi, 17 (1), 1-8. doi:10.5222/HEAD.2020.001
  • Coşkun, A. M., Okcu, G., Arslan, S. (2019). Gebelikte distres durumunun prenatal bağlanmaya etkisi. Perinatoloji Dergisi, 27 (2), 49-55. doi:10.2399/prn.19.0272001
  • Çapık, A., Ejder-Apay, S., Sakar, T. (2015). Determination of the level of distress in pregnant women. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 18 (3), 196-203. https://doi.org/10.17049/ahsbd.97570
  • Elkin, N. (2015). Gebelerin prenatal bağlanma düzeyleri ve bunları etkileyen faktörler. Sürekli Tıp Eğitimi Dergisi, 24 (6), 230-236.
  • Erkal Aksoy, Y., Dereli Yılmaz, S., Aslantekin, F. (2016). Riskli gebeliklerde prenatal bağlanma ve sosyal destek. Türkiye Klinikleri Journal of Health Science, 1 (3), 163-169. https://doi.org/10.5336/healthsci.2016-50668
  • Goodman, J. H. (2019). Perinatal depression and infant mental health. Archives Psychiatric Nursing, 33:217–224. https://doi.org/10.1016/j.apnu.2019.01.010
  • Hung, C. H., Lin, C. J., Stocker, J., Yu, C. Y. (2011). Predictors of postpartum stress. Journal of Clinical Nursing, 20 (5-6), 666-74. https://doi.org/10.1111/j.1365-2702.2010.03555.x
  • Kaplan, S., Bahar, A. & Sertbas, G. (2007). Gebelerde doğum öncesi ve doğum sonrası dönemlerde durumluk kaygı düzeylerinin incelenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 10: 113-121.
  • Küçükkaya, B., Kahyaoğlu Süt, H., Öz, S., Altan Sarıkaya, N. (2020). Gebelik döneminde çiftler arası uyum ve prenatal bağlanma arasındaki ilişki. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 11 (1), 102-110. https://doi.org/10.31067/0.2020.246
  • Lobel, M. (2008a). The Stony Brook pregnancy project: Revised Prenatal Distress Questionnaire (NUPDQ) Scoring information. 2008.
  • Lobel, M. (2008b). The Stony Brook pregnancy project: Revised Prenatal Distress Questionnaire (NUPDQ): 17-Item Version, NUPDQ2.DOC 2008; 06/25/96 18.
  • Mako, H., Deak, A. (2014). Reliability and Validity of the Hungarian Version of the Maternal Antenatal Attachment Scale. International Journal of Gynecological and Obstetrical Research, 2(1), 1–13.
  • Maddahi-Sedat, M., Dolatian, M., Khoramabadi, M., Talebi, A. (2016). Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes. Electronic Physician, 8 (7), 2639-2644. http://dx.doi.org/10.19082/2639.
  • Mazzeschi, C., Pazzagli, C., Radi, G., Raspa, V., and Buratta, L. (2015). Antecedents of maternal parenting stress: the role of attachment style, prenatal attachment, and dyadic adjustment in first-time mothers. Frontiers Psychology, 6, 1443. doi: 10.3389/fpsyg.2015.01443
  • Metin, A., Pasinlioğlu, T. (2016). The relationship between perceived social support and prenatal attachment in pregnant women. International Refereed Journal of Gynaecology and Maternal Child Health, 49–66. doi:10.17367/JACSD.2016516857.
  • Muller, M. E. (1993). Development of the Prenatal Attachment Inventory. Western Journal of Nursing Researches, 15 (2), 199-211. https://doi.org/10.1177/019394599301500205
  • Polizzi, C., Perricone, G., Duca, V., Carollo, A., Marceca, M., & Fontana, V. (2017). A study on maternal-fetal attachment in pregnant women undergoing fetal echocardiography. Journal of Pediatric and Neonatal Individualized Medicine, 6 (1), e060137. https://doi.org/10.7363/060137
  • Rollè, L., Giordano, M., Santoniccolo, F., and Trombetta, T. (2020). Prenatal attachment and perinatal depression: A systematic review. International Journal of Environmental Research and Public Health, 17 (8), 2644. https://doi.org/10.3390/ijerph17082644
  • Smorti, M., Ponti, L., Tani, F. (2019). Maternal depressive symptomatology during pregnancy is a risk factor affecting newborn’s health: A longitudinal study. Journal of Reproductive and Infant Psychology, 37, 444–452. https://doi.org/10.1080/02646838.2019.1581919
  • Suplee, P. D., Gardner, M. R., & Borucki, L. C. (2014). Low-income, urban minority women's perceptions of self and infant care during the postpartum period. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 43 (6), 803–812. https://doi.org/10.1111/1552-6909.12506
  • Topaç Tunçel, N., Kahyaoğlu Süt, H. (2019). Gebelikte Yaşanan Anksiyete, Depresyon ve Prenatal Distres Düzeyinin Doğum Öncesi Bebeğe Bağlanmaya Etkisi. Jinekoloji - Obstetrik ve Neonatoloji Tıp Dergisi, 16 (1), 9-17.
  • Yali, M. A., Lobel, M. (1999). Coping and distress in pregnancy: an investigation of medically high risk women. Journal of Psychosomatic Obstetrics & Gynecology, 20 (1), 39-52.
  • Yılmaz, E. B., Şahin, E. (2019). Factors associated with prenatal distress levels of pregnant women. Journal of Psychiatric Nursing, 10 (3), 197-203 DOI: 10.14744/phd.2019.17363
  • Yılmaz, Ş., Beji, N. K. (2013). Prenatal Bağlanma Envanterinin Türkçe’ye Uyarlanması: güvenirlilik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16 (2), 103-109.
  • Yuksel, F., Akin, S., Durna, Z. (2014). Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. Journal of Clinical Nursing, 23 (1-2), 54–64. https://doi.org/10.1111/j.1365-2702.2012.04283.x
  • Yüksel, F., Akın, S., Durna, Z. (2011). The Turkish Adaptation of the “Revised Prenatal Distress Questionnaire”: A Reliability / Validity and Factor Analysis Study. Hemşirelikte Eğitim ve Araştırma Dergisi, 8 (3), 43-51.
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Derya Kaya Şenol 0000-0002-9101-2909

Aylin Pekyiğit 0000-0003-2923-4452

Project Number -
Publication Date March 20, 2024
Submission Date July 1, 2022
Published in Issue Year 2024 Volume: 13 Issue: 1

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APA Kaya Şenol, D., & Pekyiğit, A. (2024). Gebelikte Yaşanan Distresin Prenatal Bağlanmaya Etkisi. Balıkesir Sağlık Bilimleri Dergisi, 13(1), 144-150. https://doi.org/10.53424/balikesirsbd.1138887

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