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    The effect of childbirth fear and anxiety in the Turkish population on maternal self-efficacy for breastfeeding: A survey study
    (Bayrakol Medical Publisher, 2022) Akbas, Bakiye; Sagir, Gulten; Atalar, Sevim; Ozdemir, Ozgur; Kasap, Zeliha Aydin
    Aim: The aim of the present study was to investigate the effects of childbirth fear and anxiety experienced by pregnant patients in the prenatal period on breastfeeding self-efficacy of mothers in the postpartum period. Material and Methods: This prospective cross-sectional study included pregnant patients at later stages of pregnancy between the 38th and 42nd weeks who had regular pregnancy follow-ups at the Obstetrics Outpatient Clinic in Turkey, who had no problems with pregnancy, had no psychiatric disorders, gave vaginal birth and agreed to participate. Under the physician's supervision, the patients were asked to complete the Visual Analog Scale (VAS) to measure fear of childbirth and the Beck Anxiety Inventory to assess their anxiety. In addition, the breastfeeding and breast milk arrival status of the patients were evaluated using Breastfeeding Self-Efficacy Scale on the first day of the postpartum period. Correlations of the obtained data were analyzed with Pearson's or Spearmen's correlation tests. Results: It was observed that the Beck Anxiety Inventory score and VAS score measured in the prenatal period in 211 patients who participated in the study had negative correlations with breastfeeding status of patient in the postpartum period. Based on the results of this study, patients with intense fear of childbirth and patients with high anxiety during the prenatal period had low breastfeeding self-efficacy during the postpartum period. Discussion: It is necessary that pregnant patients with fear of childbirth and with a high level of anxiety should be identified by their physicians during the prenatal follow-ups. Education programs should be organized to meet the needs of the parents, and support groups should be established for these parents. Further studies are needed in this regard.
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    The effect of COVID-19 infection in pregnancy on childbirth fear and prenatal attachment level in pregnant women: A survey study
    (Bayrakol Medical Publisher, 2022) Bingul, Eda; Akbas, Bakiye; Asir, Berna; Karaca, Selvihan Tapanoglu; Tekgunduz, Sibel Ejder; Aksoy, Ayse Nur
    Aim: Fear of childbirth is an emotional stress that affects the mental health and well-being of mothers during pregnancy. The aim of the present study was to compare the prenatal attachment, childbirth fear and hopelessness levels of pregnant women who had and did not have COVID-19 infection during pregnancy. Material and Methods: This prospective questionnaire study was conducted with participants between the ages of 18 and 40 who had 20 or more gestational weeks. Two groups were formed as follows: Group 1: Participants who had COVID-19 infection, and Group 2: Participants who did not have COVID-19 infection during pregnancy. Patients in both groups were given questionnaires using Wijma Delivery Expectancy/Experience Questionnaire, Prenatal Attachment Inventory and Beck Hopelessness Scale, and the results were recorded. Results: Childbirth fear and Beck Hopelessness Scale scores were higher in Group 1 than in Group 2 (p < 0.001 and p = 0.023, respectively). The Prenatal Attachment Inventory scale score of Group 2 was higher than that of Group 1 (p = 0.001). A negative correlation was observed between childbirth fear and prenatal attachment scores (p = 0.012, r= -0.250). There was a negative correlation between the Beck Hopelessness Scale score and Prenatal Attachment Inventory scores (p < 0.001, r= -0.416). Discussion: Covid-19 infection during pregnancy increased the childbirth fear and hopelessness levels in pregnant women while reducing the prenatal attachment level. Pregnant women should be informed about prevention methods against COVID-19 infection and necessary measures should be taken.