Doğum Şekline Göre Annelerde Postpartum Posttravmatik Stres Bozukluğu Belirtileri Görülme Durumu ve Etkileyen Faktörler

Abstract

ABSTRACT Çelik, G., The Incidence of Postpartum Posttraumatic Stress Disorder Symptomsin Mothers According to Their Delivery Method and Affecting Factors, Hacettepe Stress Disorder Checklist- Civilian Version (PTSDC-CV)”. “Personal Information Form” filled by the researcher through interviewing with the mothers while PTSDC-CV filled by the mothers. Numbers, percentages, minimum-maximum values, mean, standard deviation, independent samples t test, Shapiro-Wilk, Mann Whitney U, Pearson’s Chi-Squared, one-way ANOVA and LSD tests were used to analyze the data. According to the results, it was found that PTSDC-CV scores of mothers who gave birth by emergency cesarean section (31.88 ±6.29) were higher thanscores of mothers who gave birth by vaginal (26.98±7.20) and elective cesarean section (21.32±4.55) (p<0.05). It was also found that there was a significant University Instituteof Health Sciences. Obstetrics and Gynecology Nursing Program, Master of Sciences, Ankara, 2018. This descriptive study aimed to identify the incidence of posttraumatic stress disorder (PTSD) symptoms following childbirth in accordance with the delivery method and affecting factors. The study was conducted with 150 mothers who gave birth by vaginal (n=50), emergency cesarean section (n=50) and elective cesarean section (n=50) at Bingöl Maternity and Pediatric Hospital andapplied to gynecology and obstetrics out patient clinics 4-6 weeks after birth. The data were collected through “Personal Information Form” and “Post-traumatic difference between PTSDC-CV scores of mothers who gave birth byemergency cesarean section according to their education level (p<0.05). In elective cesarean group, PTSDC-CV scores of mothers who received help for own and her baby’s care were lower than that of mothers who did not receive help (p<0.05). There was a significant difference between PTSDC-CV scores of mothers in the three groups in terms of mother’s employment status, infant’s gender,attitudes of medical personnel during delivery and status of having difficulty in caring herself and her baby (p<0.05). Besides, PTSDC-CV scores of mothers who gave birth by emergency cesarean section who are in 19-24 and 25-29 age groups, graduated from“primary and secondary schools”, “high school” and “university and upper”, live in city center, perceives her in come below or equal to the expenditure, is primigravid, did not receive training about pregnancy, birth and postpartum and get supportfor own and her baby’s care are significantly higher than PTSDC-CV scores of mothers who gave birth by vaginal and elective cesarean section (p<0.05). In the light of the results, it is suggested that nurses should monitor PTSD symptoms especially in mothers who gave birth by emergency cesarean section, make themto receive professional support when necessary, evaluate their feelings about the delivery and help them adjust to the postpartum period psychologically by appropriate and supportive nursing care and home care services. Keywords: Delivery method, Postpartum, Post-traumatic Stress Disorder, Nursing