Adaptation of Pregnancy in Prenatal Period Women and Factors Associated With Adaptation

Abstract

Prenatal dönemdeki kadınların gebeliğe uyumu ve ilişkili faktörlerAmaç: Bu çalışmanın amacı, prenatal dönemdeki kadınların gebeliğe, annelik rolüne uyumu ve bu uyumu etkileyen faktörleri değerlendirmektir. Gereç ve Yöntem: Bu araştırma tanımlayıcı bir çalışmadır. Çalışmaya İstanbul Üsküdar'da prenatal dönemde bulunan 390 kadın dahil edilmiştir. Veriler Nisan 2012-Temmuz 2012 tarihleri arasında altı aile sağlığı merkezinde toplanmıştır. Veriler demografik soru formu ve Prenatal Kendini Değerlendirme Ölçeği kullanılarak elde edilmiş ve tanımlayıcı istatistik, bağımsız gruplarda t testi, Mann-Whitney U testi ve Kruskal-Wallis testi ile değerlendirilmiştir. Bulgular: Prenatal Kendini Değerlendirme Ölçeği puan ortalaması 147.87±27.43 olarak bulunmuştur. Lise veya üniversite mezunu olan (p<0.01), çalışan (p<0.05), çekirdek ailede yaşayan (p<0.05), yüksek veya iyi gelir düzeyine sahip (p<0.01), sosyal güvencesi olan (p<0.01), isteyerek gebe kalan (p<0.01) ve gebelik hakkında bilgi alan (p<0.01) kadınların gebeliğe ve anneliğe daha uyumlu oldukları bulunmuştur. Sonuç: Kadınların gebeliğe uyumu pek çok değişkenden etkilenmekte ve bu uyumun sağlanmasında prenatal dönemde verilen bakım hizmeti büyük önem taşımaktadır. Gebelere hizmet veren tüm sağlık bakım profesyonellerinin, gebenin fiziksel bakımının yanısıra psikososyal bakımıyla da ilgilenmeleri gerekmektedir.

Association between fear of childbirth and maternal acceptance of pregnancy

“…Having a planned pregnancy increases adaptation to pregnancy. Demirbaş & Kadıoğlu () found an important association between AP, being ready for IMR and finding the strength to cope with possible problems. Demirbaş and Kadıoğlu's study supports our findings.…”

“…In literature, it has been reported that women who have difficulty accepting pregnancy have a harder time adapting to pregnancy and motherhood and experience more fears related to childbirth (Demirbaş & Kadıoğlu ; Lederman & Weis ). However, this assumption was not supported by studies and no international nor national studies have examined the associations between AP, IMR, and FOC.…”

“…), level of income (Lederman & Weis ) and social characteristics such as social support (Choi ; Mercer ; Serçekuş & Mete ) and family or spouse support (Lederman & Weis ). A study conducted in Turkey found that women who were highly educated, were employed, had a planned pregnancy, had knowledge about the pregnancy process, had a high income level and had social security adapted to pregnancy and IMR better than those who did not (Demirbaş & Kadıoğlu ).…”

Farklı İki Coğrafik Bölgede Yaşayan Gebelerin Duygu İfadeleri ve Gebeliğe Uyum Durumları: Macaristan ve Türkiye Örneği

“…10,11 In the literature, women who have diffi culty accepting pregnancy are reported to have more diffi culties in adapting to pregnancy and motherhood, and to develop negative attitudes towards pregnancy and the baby due to physical discomforts they experience. [12][13][14] Women who can express their feelings and who receive social support have been demonstrated to have less diffi culty in complying with the role of motherhood. 13 However, the way a pregnant woman expresses her feelings is affected by her beliefs, role in society, relationships with the spouse and other members of the family, fi nancial situation, expectations from life, level of education and philosophy of life, and the meaning attributed to pregnancy and the value of the child in society.…”

“…[12][13][14] Women who can express their feelings and who receive social support have been demonstrated to have less diffi culty in complying with the role of motherhood. 13 However, the way a pregnant woman expresses her feelings is affected by her beliefs, role in society, relationships with the spouse and other members of the family, fi nancial situation, expectations from life, level of education and philosophy of life, and the meaning attributed to pregnancy and the value of the child in society. 6 In Turkey and in some cultures, there are practises that have a special meaning for the preparation of pregnant woman about sexual activity, birth and baby.…”