Sabri HERGÜNER, Erdinç ÇİÇEK, Ali ANNAGÜR, Arzu HERGÜNER, Rahmi ÖRS

Association of Delivery Type with Postpartum Depression, Perceived Social Support and Maternal Attachment

Amaç: Yazında doğum şeklinin, doğum sonrası depresyon ve anne-bebek etkileşimi üzerine etkilerini inceleyen çalışmalarda farklı sonuçlar bulunmaktadır. Bu çalışmanın amacı doğum şekli ile doğum sonrası depresyon, algılanan sosyal destek ve maternal bağlanma arasındaki ilişkiyi incelemektir. Yöntem: Vajinal doğum yapan 40 kadın ve sezaryen doğum yapan 40 kadın çalışmaya alınmıştır. Depresif belirtilerinin taranmasında Edinburg Doğum Sonrası Depresyon Ölçeği (EDSDÖ), maternal bağlanmanın incelenmesinde Maternal Bağlanma Ölçeği (MBÖ) kullanılmıştır. Sosyal destek Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ) ile değerlendirilmiştir. Bulgular: Doğum sonrası depresyon ve algılanan sosyal destek puanları açısından iki grup arasında fark bulunmamıştır. Diğer yandan MBÖ puanları SD yapan kadınlarda anlamlı olarak daha düşük bulunmuştur. Sonuç: Çalışmamızın sonuçları doğum şeklinin doğum sonrası depresyon gelişimi üzerine bir etkisinin olmadığını desteklemektedir. Bunun yanında SD'nin maternal bağlanma üzerine olumsuz bir etkisi olabilir

Doğum şeklinin doğum sonrası depresyon, algılanan sosyal destek ve maternal bağlanma ile ilişkisi

Objective: There are contradictory findings in the literature about the effects of delivery type on postpartum depression and mother–infant interaction. The aim of this study was to investigate the relationship between delivery mode and postpartum depression, perceived social support, and maternal attachment.Method: Forty females, who had vaginal delivery (VD) and 40 females, who had cesarean delivery (CD) were recruited to participate in the study. Edinburgh Postpartum Depression Scale (EPDS) was used to screen depressive symptoms and Maternal Attachment Scale (MAS) was used to detect maternal attachment. Social support was assessed by using Multidimensional Scale of Perceived Social Support (MSPSS).Results: We found no significant differences in postpartum depression and perceived social support scores between the two groups. On the other hand, MAS scores were significantly lower in CD women.Discussion: Our findings support that delivery mode had no impact on the development of postpartum depression. However CD may have negative effect on maternal attachment

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