Filiz ÖZÇOBAN, Hacer YALNIZ DİLCEN, Serap KAYNAK, Nesibe UZEL

Gebelikte Sigara Kullanımının Prenatal Bağlanmaya Etkisi

Amaç: Bu çalışma gebelikte sigara kullanım durumu, sigara kullanımının prenatal bağlanma üzerine etkisinin belirlenmesi amacıyla yapılmıştır. Materyal ve Metot: Kesitsel tipteki çalışma, 01.09.2017 ve 30.01.2018 tarihleri arasında bir devlet hastanesinde gerçekleştirildi. Çalışma 352 gebe ile yürütüldü. Verilerin toplanmasında sosyodemografik özellikler, obstetrik öykü, sigara içme özelliklerini içeren tanımlayıcı bilgi formu, nikotin bağımlılığı için Fagerstrom testi ve prenatal bağlanma envanteri kullanılmıştır. Bulgular: Gebelerin, % 64,5'i (n=227) hiç sigara içmediklerini, %35,5'i (n=125) sigara içtiğini belirtmiştir. Sigara içenlerin %19,6'sı (n=69) gebelik sırasında sigara içmeye devam etmiş ve %15,9'u (n=56) sigarayı bırakmıştır. Çalışmada, sigara içen gebelerin, içmeyen gebelere oranla daha az eğitimli, işsiz ve plansız gebeliği olduğu saptanmıştır. Sigara içen gebelerin, prenatal bağlanma düzeyleri sigara içmeyen gebelere göre anlamlı olarak daha düşüktür (p> 0,05). Sonuç: Sigara içmenin prenatal bağlanma üzerine etkisi saptanmıştır. Sigara içmenin zararları gebelikte anne ve bebeğe olan etkileri hakkında kadınlara danışmanlık yapılmalıdır. Özellikle sigara içen gebeler, antenatal izlemlerde ebelik bakımı kapsamında danışmanlık hizmetleriyle sigaranın bırakılması ve prenatal bağlanma konusunda desteklenmelidir.

Anahtar Kelimeler:

Gebelik, prenatal bağlanma, sigara içme

The Effect of Smoking During Pregnancy on Prenatal Attachment

Objective: This study was conducted to determine the smoking status during pregnancy and the effect of smoking on prenatal attachment. Materials and Methods: The cross-sectional study was carried out in a public hospital between 01.09.2017 and 30.01.2018. The study was conducted with 352 pregnant women. In collecting data, sociodemographic features, obstetric history, descriptive information form including smoking features, Fagerstrom test and prenatal attachment inventory for nicotine addiction were used. Results: While 64.5% (n=227) of pregnant women reported that they never smoked, 35.5% (n=125) stated that they smoked. 19.6% (n=69) of women who smoked said that they continued smoking during pregnancy and 15.9% (n=56) quit smoking. In the study, it was found that pregnant women who smoked had less educated, unemployed and unplanned pregnancy compared to non-smoker pregnant women. Prenatal attachment levels of pregnant women who smoke were significantly lower than nonsmoking women (p> 0.05). Conclusions: The effect of smoking on prenatal attachment was determined. Women should be counseled about the effects of smoking on the effects of the mother and baby during pregnancy. Especially smoking pregnant women should be supported in quitting smoking and prenatal attachment with consultancy services within the scope of midwifery care during antenatal follow-ups.

Keywords:

Pregnancy, prenatal attachment, smoking,

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