The Relationship Between Pregnancy Stress and Maternal Attachment, Postpartum Depression, and Breastfeeding Self-Efficacy: A Descriptive and Prospective study

Bihter Akın; Süreyya Kılıç; Sema Yılmaz

Makale detayları

The Relationship Between Pregnancy Stress and Maternal Attachment, Postpartum Depression, and Breastfeeding Self-Efficacy: A Descriptive and Prospective study

Yazarlar:

Bihter Akın | Süreyya Kılıç | Sema Yılmaz

Yayıncı:

Marmara University

Ana Başlıklar:

Psychosocial Aspects of Childbirth and Perinatal Mental Health

Dergi:

Clinical and Experimental Health Sciences Vol.15 Issue 3, pp.481-488

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359592

pISSN:

2459-1459

Anahtar kelimeler:

Özet:

 Objective: This study aimed to examine the relationship between pregnancy stress and maternal attachment, postpartum depression risk, and breastfeeding self-efficacy. Methods: This study was designed as a descriptive and prospective study. A total of 237 pregnant women were included. The Pregnancy Stress Rating Scale PSRS was administered at hospital admission for delivery. The Maternal Attachment Scale MAS, Edinburgh Postpartum Depression Scale EPDS, and Breastfeeding Self-Efficacy Scale BSES were used in the 1st and 3rd months postpartum. Results: The mean PSRS score was 75.7628.25, indicating moderate stress. Mean maternal attachment scores were 100.267.00 1st month and 102.555.12 3rd month, while EPDS scores were 17.053.51 and 19.172.59, suggesting high depression risk. Breastfeeding self-efficacy decreased from 59.1614.63 to 52.4417.69. A positive correlation was found between PSRS and maternal attachment r .32, p .001, while PSRS was negatively correlated with breastfeeding self-efficacy r  .28, p.002 and positively with EPDS 1st: r  .35; 3rd: r .41; p .001. Maternal attachment and breastfeeding self-efficacy were positively correlated r .39, p .001, while both were negatively correlated with EPDS scores p .05. Conclusion: Pregnancy stress is associated with increased postpartum depression risk, reduced breastfeeding self-efficacy, and higher maternal attachment. These findings highlight the need for early stress screening and psychosocial support during and after pregnancy.

 Objective: This study aimed to examine the relationship between pregnancy stress and maternal attachment, postpartum depression risk, and breastfeeding self-efficacy. Methods: This study was designed as a descriptive and prospective study. A total of 237 pregnant women were included. The Pregnancy Stress Rating Scale PSRS was administered at hospital admission for delivery. The Maternal Attachment Scale MAS, Edinburgh Postpartum Depression Scale EPDS, and Breastfeeding Self-Efficacy Scale BSES were used in the 1st and 3rd months postpartum. Results: The mean PSRS score was 75.7628.25, indicating moderate stress. Mean maternal attachment scores were 100.267.00 1st month and 102.555.12 3rd month, while EPDS scores were 17.053.51 and 19.172.59, suggesting high depression risk. Breastfeeding self-efficacy decreased from 59.1614.63 to 52.4417.69. A positive correlation was found between PSRS and maternal attachment r .32, p .001, while PSRS was negatively correlated with breastfeeding self-efficacy r  .28, p.002 and positively with EPDS 1st: r  .35; 3rd: r .41; p .001. Maternal attachment and breastfeeding self-efficacy were positively correlated r .39, p .001, while both were negatively correlated with EPDS scores p .05. Conclusion: Pregnancy stress is associated with increased postpartum depression risk, reduced breastfeeding self-efficacy, and higher maternal attachment. These findings highlight the need for early stress screening and psychosocial support during and after pregnancy.

 Objective: This study aimed to examine the relationship between pregnancy stress and maternal attachment, postpartum depression risk, and breastfeeding self-efficacy. Methods: This study was designed as a descriptive and prospective study. A total of 237 pregnant women were included. The Pregnancy Stress Rating Scale PSRS was administered at hospital admission for delivery. The Maternal Attachment Scale MAS, Edinburgh Postpartum Depression Scale EPDS, and Breastfeeding Self-Efficacy Scale BSES were used in the 1st and 3rd months postpartum. Results: The mean PSRS score was 75.7628.25, indicating moderate stress. Mean maternal attachment scores were 100.267.00 1st month and 102.555.12 3rd month, while EPDS scores were 17.053.51 and 19.172.59, suggesting high depression risk. Breastfeeding self-efficacy decreased from 59.1614.63 to 52.4417.69. A positive correlation was found between PSRS and maternal attachment r .32, p .001, while PSRS was negatively correlated with breastfeeding self-efficacy r  .28, p.002 and positively with EPDS 1st: r  .35; 3rd: r .41; p .001. Maternal attachment and breastfeeding self-efficacy were positively correlated r .39, p .001, while both were negatively correlated with EPDS scores p .05. Conclusion: Pregnancy stress is associated with increased postpartum depression risk, reduced breastfeeding self-efficacy, and higher maternal attachment. These findings highlight the need for early stress screening and psychosocial support during and after pregnancy.

 Objective: This study aimed to examine the relationship between pregnancy stress and maternal attachment, postpartum depression risk, and breastfeeding self-efficacy. Methods: This study was designed as a descriptive and prospective study. A total of 237 pregnant women were included. The Pregnancy Stress Rating Scale PSRS was administered at hospital admission for delivery. The Maternal Attachment Scale MAS, Edinburgh Postpartum Depression Scale EPDS, and Breastfeeding Self-Efficacy Scale BSES were used in the 1st and 3rd months postpartum. Results: The mean PSRS score was 75.7628.25, indicating moderate stress. Mean maternal attachment scores were 100.267.00 1st month and 102.555.12 3rd month, while EPDS scores were 17.053.51 and 19.172.59, suggesting high depression risk. Breastfeeding self-efficacy decreased from 59.1614.63 to 52.4417.69. A positive correlation was found between PSRS and maternal attachment r .32, p .001, while PSRS was negatively correlated with breastfeeding self-efficacy r  .28, p.002 and positively with EPDS 1st: r  .35; 3rd: r .41; p .001. Maternal attachment and breastfeeding self-efficacy were positively correlated r .39, p .001, while both were negatively correlated with EPDS scores p .05. Conclusion: Pregnancy stress is associated with increased postpartum depression risk, reduced breastfeeding self-efficacy, and higher maternal attachment. These findings highlight the need for early stress screening and psychosocial support during and after pregnancy.

Makale detayları

The Relationship Between Pregnancy Stress and Maternal Attachment, Postpartum Depression, and Breastfeeding Self-Efficacy: A Descriptive and Prospective study

Yazarlar: Bihter Akın | Süreyya Kılıç | Sema Yılmaz

Yayıncı: Marmara University

Ana Başlıklar: Psychosocial Aspects of Childbirth and Perinatal Mental Health

Dergi: Clinical and Experimental Health Sciences Vol.15 Issue 3, pp.481-488

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001359592

pISSN: 2459-1459

Pregnancy

stress

attachment

postpartum depression risk

breastfeeding

Sayı

Yazarlar:

Bihter Akın | Süreyya Kılıç | Sema Yılmaz

Yayıncı:

Marmara University

Ana Başlıklar:

Psychosocial Aspects of Childbirth and Perinatal Mental Health

Dergi:

Clinical and Experimental Health Sciences Vol.15 Issue 3, pp.481-488

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001359592

pISSN:

2459-1459