The effects of midwifery care provided to primiparous mothers during the postpartum period on maternal attachment and post-traumatic growth

Turan S. B., AKSOY DERYA Y.

MIDWIFERY, cilt.103, 2021 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 103
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1016/j.midw.2021.103140
  • Dergi Adı: MIDWIFERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, Gender Studies Database, MEDLINE
  • Anahtar Kelimeler: Home visit, Maternal attachment, Midwifery care, Postpartum period, Post-traumatic growth
  • İnönü Üniversitesi Adresli: Evet

Özet

Aim: This study was conducted to determine the effects of midwifery care provided to primiparous mothers during the postpartum period on maternal attachment and post-traumatic growth. Method: The study was conducted based on a quasi-experimental model with a pre-test/post-test control group. The population of the study was composed of primiparous mothers who gave birth in a public hospital located in eastern Turkey, and the sample consisted of 128 postpartum women (64 women in the control group and 64 women in the experimental group); the sample size was determined via power analysis. Midwifery care was pro-vided to the mothers in the experimental group throughout their hospitalisation in accordance with the Postpar -tum Care Management Guidelines (PCMG) published by the Republic of Turkey's Ministry of Health. In addition, 3 home visits were carried out between the postpartum 2nd and 5th days, 13th and 17th days and 36th and 42 nd days. The mothers in the control group were not subjected to any intervention. The data were collected using a personal information form, the Maternal Attachment Inventory (MAI) and the Post-traumatic Growth Inventory (PTGI). Statistical analyses were conducted using percentage distribution, arithmetic mean, standard deviation, chi-square testing, independent samples t-testing and dependent samples t-testing. Results: Based on the mean MAI and PTGI pre-test scores, it was determined that the mothers in the experimen-tal and control groups were similar in terms of maternal attachment and post-traumatic growth characteristics (p 0.05). The mean MAI post-test score was 101.85 +/- 2.85 in the experimental group and 98.68 +/- 5.91 in the con-trol group, and the difference between the groups was statistically significant (p < 0.001). The mean PTGI post-test score was 86.21 +/- 20.39 in the experimental group and 79.54 +/- 22.32 in the control group, and the difference be-tween the groups' mean scores was statistically significant (p < 0.05). The mean post-test score of the PTGI Change in Philosophy of Life subscale was 19.37 +/- 6.04 in the experimental group and 16.17 +/- 6.83 in the control group, and the difference between the mean scores was statistically significant (p < 0.05). Conclusion: It was determined that the midwifery care provided to primiparous mothers during the postpartum period had a positive effect on levels of post-traumatic growth and maternal attachment.