Pregnancy Adaptation and Prenatal Attachment Levels of Pregnant Women at Threat of Pre-Term Birth and Those not at Threat of Pre-Term Birth

Tuğba Özkan; Seyhan Çankaya

Makale detayları

Pregnancy Adaptation and Prenatal Attachment Levels of Pregnant Women at Threat of Pre-Term Birth and Those not at Threat of Pre-Term Birth

Yazarlar:

Tuğba Özkan | Seyhan Çankaya

Yayıncı:

Selcuk University

Ana Başlıklar:

Hemşirelik

Dergi:

Selçuk Sağlık Dergisi Vol.4 Issue 2, pp.256-274

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001298991

pISSN:

2717-8250

Anahtar kelimeler:

Özet:

 Aim: To determine the adjustment to pregnancy and prenatal attachment levels of pregnant women at threat of preterm birth PTB and those without. Method: This descriptive and comparative study included 500 pregnant women in gestational age of 20-37, presented to a university hospital, with and without PTB. Data were collected using a data collection form, the Prenatal Attachment Inventory PAI, and the Prenatal Self-Evaluation Questionnaire PSEQ. Results: The mean PSEQ score of those with and without PTB was 142.6222.14 and 138.8422.53, respectively. Mean PSEQ score of those with PTB was higher than those without PTB, albeit not significant p0.05. In those with PTB, thoughts about their own and their babys health and being ready for birth PSEQ sub-dimension mean scores were very significantly higher p0.001, and the fear of childbirth sub-dimension mean score was significantly higher p0.01 than those without PTB. Mean PSEQ acceptance of the maternal role sub-dimension score of those with PTB was significantly lower compared to those without PTB p0.001. Mean PAI score of the pregnant women with and without PTB was 64.278.68 and 63.269.18, respectively. There was no significant difference between the mean PTB score of pregnant women with and without PTB p0.05. Conclusions and Suggestions: It was determined that theme an scores of PSEQ and PAI of those with and without PTB were similar p0.05. PSEQ sub-dimensions of fear of childbirth, readiness for childbirth and thoughts about self and her babys health sub-dimensions of the PSEQ in those with PTB were lower compared to those without PTB, and maternal role sub-dimension compliance levels were higher. Midwives should evaluate the adaptation to pregnancy and prenatal attachment status of all pregnant women, observe the pregnant women during the prenatal period, determine their support needs, provide support and education for the needs, and show a holistic approach.

 Aim: To determine the adjustment to pregnancy and prenatal attachment levels of pregnant women at threat of preterm birth PTB and those without. Method: This descriptive and comparative study included 500 pregnant women in gestational age of 20-37, presented to a university hospital, with and without PTB. Data were collected using a data collection form, the Prenatal Attachment Inventory PAI, and the Prenatal Self-Evaluation Questionnaire PSEQ. Results: The mean PSEQ score of those with and without PTB was 142.6222.14 and 138.8422.53, respectively. Mean PSEQ score of those with PTB was higher than those without PTB, albeit not significant p0.05. In those with PTB, thoughts about their own and their babys health and being ready for birth PSEQ sub-dimension mean scores were very significantly higher p0.001, and the fear of childbirth sub-dimension mean score was significantly higher p0.01 than those without PTB. Mean PSEQ acceptance of the maternal role sub-dimension score of those with PTB was significantly lower compared to those without PTB p0.001. Mean PAI score of the pregnant women with and without PTB was 64.278.68 and 63.269.18, respectively. There was no significant difference between the mean PTB score of pregnant women with and without PTB p0.05. Conclusions and Suggestions: It was determined that theme an scores of PSEQ and PAI of those with and without PTB were similar p0.05. PSEQ sub-dimensions of fear of childbirth, readiness for childbirth and thoughts about self and her babys health sub-dimensions of the PSEQ in those with PTB were lower compared to those without PTB, and maternal role sub-dimension compliance levels were higher. Midwives should evaluate the adaptation to pregnancy and prenatal attachment status of all pregnant women, observe the pregnant women during the prenatal period, determine their support needs, provide support and education for the needs, and show a holistic approach.

 Aim: To determine the adjustment to pregnancy and prenatal attachment levels of pregnant women at threat of preterm birth PTB and those without. Method: This descriptive and comparative study included 500 pregnant women in gestational age of 20-37, presented to a university hospital, with and without PTB. Data were collected using a data collection form, the Prenatal Attachment Inventory PAI, and the Prenatal Self-Evaluation Questionnaire PSEQ. Results: The mean PSEQ score of those with and without PTB was 142.6222.14 and 138.8422.53, respectively. Mean PSEQ score of those with PTB was higher than those without PTB, albeit not significant p0.05. In those with PTB, thoughts about their own and their babys health and being ready for birth PSEQ sub-dimension mean scores were very significantly higher p0.001, and the fear of childbirth sub-dimension mean score was significantly higher p0.01 than those without PTB. Mean PSEQ acceptance of the maternal role sub-dimension score of those with PTB was significantly lower compared to those without PTB p0.001. Mean PAI score of the pregnant women with and without PTB was 64.278.68 and 63.269.18, respectively. There was no significant difference between the mean PTB score of pregnant women with and without PTB p0.05. Conclusions and Suggestions: It was determined that theme an scores of PSEQ and PAI of those with and without PTB were similar p0.05. PSEQ sub-dimensions of fear of childbirth, readiness for childbirth and thoughts about self and her babys health sub-dimensions of the PSEQ in those with PTB were lower compared to those without PTB, and maternal role sub-dimension compliance levels were higher. Midwives should evaluate the adaptation to pregnancy and prenatal attachment status of all pregnant women, observe the pregnant women during the prenatal period, determine their support needs, provide support and education for the needs, and show a holistic approach.

 Amaç: Bu araştırmada, erken doğum tehdidi EDT olan ve olmayan gebelerin gebeliğe uyum ve prenatal bağlanma düzeylerinin belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve karşılaştırmalı tipte dizayn edilen bu araştırma bir üniversite hastanesine başvuran 20-37 haftalar arasında EDT olan ve olmayan 500 gebe ile gerçekleştirilmiştir. Veriler, gebelerin veri toplama formu, Prenatal Bağlanma Envanteri PBE ve Prenatal Kendini Değerlendirme Ölçeği PKDÖ kullanılarak toplanmıştır. Bulgular: Araştırmamızda EDT olan gebelerin PKDÖ puan ortalaması 142.6222.14 olup, EDT olmayan gebelerin 138.8422.53 bulunmuştur. EDT olan gebelerin PKDÖ puan ortalamasının EDT olmayanlara göre yüksek olduğu, ancak gruplar arasındaki farkın anlamlı düzeyde olmadığı belirlenmiştir p0.05. EDT olan gebelerin PKDÖ alt boyutlarından, kendi ve bebeğinin sağlığı ile ilgili düşünceleri ve doğuma hazır oluş alt boyut puan ortalamalarının çok ileri düzeyde anlamlı olarak p0.001, doğum korkusu alt boyut puan ortalamasının ileri düzeyde anlamlı olarak p0.01 EDT olmayan gebelere göre yüksek olduğu belirlenmiştir. EDT olan ve olmayan gebelerin PKDÖ annelik rolünün kabulü alt boyut puan ortalamasının EDT olmayanlara göre düşük olduğu ve gruplar arasındaki farkın çok ileri düzeyde anlamlı olduğu belirlenmiştir p0.001. Araştırmamızda EDT olan gebelerin PBE puan ortalaması 64.278.68 iken EDT olmayan gebelerin puan ortalaması 63.269.18 olarak bulunmuştur. EDT olan ve olmayan gebelerin PBE puan ortalaması arasında anlamlı bir fark bulunmamıştır p0.05. Sonuç ve Öneriler: EDT olan ve olmayan gebelerin PKDÖ ve PBE puan ortalamalarının benzer olduğu belirlenmiştir p0.05. Çalışma sonucunda EDT olan gebelerin, EDT olmayan gebelere göre PKDÖ alt boyutlarından doğum korkusu, doğuma hazır oluş ve kendi ve bebeğinin sağlığı ile ilgili düşünceleri alt boyut uyum düzeyinin düşük, annelik rolü alt boyutu uyum düzeyleri ise yüksek bulunmuştur. Ebeler tüm gebelerin gebeliğe uyum ve prenatal bağlanma durumlarını değerlendirmeli, gebeyi prenatal süreçte gözlemlemeli ve gebenin destek ihtiyaçlarını belirleyip, ihtiyaçlara yönelik destek ve eğitim sağlamalı, bütüncül bir yaklaşım göstermelidir.

Makale detayları

Pregnancy Adaptation and Prenatal Attachment Levels of Pregnant Women at Threat of Pre-Term Birth and Those not at Threat of Pre-Term Birth

Yazarlar:

Tuğba Özkan | Seyhan Çankaya

Yayıncı:

Selcuk University

Ana Başlıklar:

Hemşirelik

Dergi:

Selçuk Sağlık Dergisi Vol.4 Issue 2, pp.256-274

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001298991

pISSN:

2717-8250

Premature Birth Threat

Pregnancy Adjustment

Prenatal Attachment

Midwifery CareErken Doğum Tehdidi

Ebelik Bakımı

Gebelik Uyumu

Prenatal Bağlanma

Sayı

Makale detayları

Yazarlar: Tuğba Özkan | Seyhan Çankaya

Yayıncı: Selcuk University

Ana Başlıklar: Hemşirelik

Dergi: Selçuk Sağlık Dergisi Vol.4 Issue 2, pp.256-274

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001298991

pISSN: 2717-8250

Sayı

Yazarlar:

Tuğba Özkan | Seyhan Çankaya

Yayıncı:

Selcuk University

Ana Başlıklar:

Hemşirelik

Dergi:

Selçuk Sağlık Dergisi Vol.4 Issue 2, pp.256-274

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001298991

pISSN:

2717-8250