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Journals / Kocatepe Tıp Dergisi / 2026 / Cilt: 27 Sayı: 1

BREASTFEEDING SUPPORT CENTER APPLICATIONS IN SCREENING AND MONITORING POSTPARTUM DEPRESSION STATUS OF MOTHERS WITH BREASTFEEDING PROBLEMS

EMZİRME SORUNLARI OLAN ANNELERİN POSTPARTUM DEPRESYON DURUMUNUN TARANMASI VE İZLENMESİNDE EMZİRME DESTEK MERKEZİ UYGULAMALARI

Melda Çelik(HACETTEPE UNIVERSITY)0000-0001-6093-2027
Figen Önal(HACETTEPE ÜNİVERSİTESİ)0009-0008-2660-8192
Elmas Turan Hasbay(HACETTEPE ÜNİVERSİTESİ)0009-0001-4203-2583
S. Songül Yalçın(HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-9061-4281
Pages
130–140
Publication Date
2026-01-12
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The findings emphasize the need for a comprehensive approach to address breastfeeding difficulties.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: Maternal postpartum depression (PPD) is a common problem and can be associated with early breastfeeding problems, or even cause breastfeeding problems itself.
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Key Findings & Data:In this study, we aimed to examine the association of pathological (≥13) Edinburgh Postpartum Depression Scale (EPDS) scores with mother-baby’s demographic characteristics and breastfeeding problems in mothers who applied to the Breastfeeding Support Center and changes in follow-up after breastfeeding counseling.
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Conclusion & Impact:The findings emphasize the need for a comprehensive approach to address breastfeeding difficulties.
🔬Design:Survey & Empirical Study
📍Scope:2023 Verileri
⚙️Variables:Anneler · Emzirme · Danışmanlık

Abstract

OBJECTIVE: Maternal postpartum depression (PPD) is a common problem and can be associated with early breastfeeding problems, or even cause breastfeeding problems itself. In this study, we aimed to examine the association of pathological (≥13) Edinburgh Postpartum Depression Scale (EPDS) scores with mother-baby’s demographic characteristics and breastfeeding problems in mothers who applied to the Breastfeeding Support Center and changes in follow-up after breastfeeding counseling. MATERIAL AND METHODS: Mothers of 0-6-month-old infants who applied to Hacettepe University Breastfeeding Support Center between March 1, 2023 – March 1, 2024 were included. Participants, whose infants were between 0 and 6 months old, completed an initial questionnaire that included demographic information and the first EPDS (EPDS 1). Mothers with pathological scores (≥13) were re-evaluated with a second EPDS (EPDS 2) 14 days after counseling, and a third EPDS (EPDS 3) was administered to those whose pathology persisted. Univariate and multiple logistic regression analyses were used to analyze the data. RESULTS: Of the 308 mothers included, 76 (24.7%) had pathological scores on the first EPDS. Significant associations with pathological scores were found for being a university graduate, having a history of depression, and having a premature infant. After the second evaluation, 14 days post-counseling, 30 (39.5%) of the 76 mothers with initial pathological EPDS scores had normalized, while 28 (36.8%) remained pathological. A third evaluation for 23 of these mothers showed that 14 (50.0%) had normal scores, but 9 (32.1%) were still pathological and were referred to the psychiatry clinic. Of the 232 mothers with initially normal scores, six developed pathological scores on their second evaluation, but their scores returned to normal after additional counseling. CONCLUSIONS: The study concludes that mothers with breastfeeding problems should be screened for PPD and provided with follow-up counseling. The findings emphasize the need for a comprehensive approach to address breastfeeding difficulties.

Özet

AMAÇ: Maternal postpartum depresyon (PPD), sık görülen bir sorundur ve erken dönemde emzirme sorunları ile ilişkili olabildiği gibi, kendisi de emzirme sorunlarına neden olabilir. Bu çalışmada Emzirme Destek Merkezi’ne başvuran annelerin Edinburgh Postpartum Depresyon Ölçeği (EPDÖ) skorlarının patolojik (≥13) bulunmasının anne-bebeğin demografik özellikleri ve emzirme sorunlarıyla ilişkisini ve emzirme danışmanlığı sonrasındaki izlemdeki değişimini incelemeyi amaçladık. GEREÇ VE YÖNTEM: Hacettepe Üniversitesi Emzirme Destek Merkezi’ne 1 Mart 2023 - 1 Mart 2024 tarihlerinde başvuran 0-6 aylık bebeklerin anneleri çalışmaya alındı. Annelere başvuruda demografik özellikleriyle ilgili anket ve ilk EPDÖ (EPDÖ 1) uygulandı. EPDÖ skoru patolojik (≥13) olan annelere emzirme danışmanlığı verildikten 14 gün sonra ikinci EPDÖ (EPDÖ 2), bunun patolojik olduğu annelere tekrar danışmanlık verildikten 14 gün sonra üçüncü EPDÖ (EPDÖ 3) uygulandı. EPDÖ normal olanlara da ihtiyaçlarına göre danışmanlık verildi. Patolojik EPDÖ skorlarıyla anne-bebek özellikleri ve emzirme sorunları arasındaki ilişki tek değişkenli ve çoklu lojistik regresyon analizleriyle incelendi. BULGULAR: Çalışmaya 308 anne-bebek çifti alındı. Annelerin %45,3’ü 30 yaşın altında, %79,1’inin ilk gebeliğiydi. İlk başvuruda EPDÖ uygulanan 308 annenin 76’sında (%24,7) patolojik skor saptandı. Üniversite mezunu olma, geçmişte depresyon öyküsü bulunma ve bebeğin prematüre doğması, patolojik EPDÖ skorlarıyla anlamlı şekilde ilişkiliydi (sırasıyla p=0,039; p<0,001; p=0,027). İlk başvuruda EPDÖ skoru patolojik olan annelerin 58’ine(%76,3) 14 gün sonra uygulanan EPDÖ 2’ye göre 28’inde (%36,8) patoloji devam ederken 30’unda (%39,5) skorlar normale döndü. Patolojik sonucu devam eden 28 anneden ulaşılabilen 23’üne EPDÖ 3 uygulandığında 14’ünün (%50,0) skorları normal, 9’unun (%32,1) halen patolojik olduğu görüldü; bu dokuz anne psikiyatri polikliniğine yönlendirildi. İlk başvuruda EPDÖ sonucu normal olan 232 annenin 6’sında EPDÖ 2 skoru patolojikti. Bu annelere tekrar emzirme danışmanlığı verildi ve 14 gün sonraki üçüncü değerlendirmede ulaşılabilen 5 annenin (%83,3) skorları normale döndü. SONUÇ: Emzirme sorunlarıyla başvuran annelerin PPD açısından taranması ve danışmanlık verildikten sonra takibi gereklidir. Çalışmamızın bulguları, emzirme sorunlarının çözümünde kapsamlı bir yaklaşımın önemini vurgulamaktadır.

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Cite This Article

Çelik, M., Önal, F., Hasbay, E. T., Yalçın, S. S. (2026). BREASTFEEDING SUPPORT CENTER APPLICATIONS IN SCREENING AND MONITORING POSTPARTUM DEPRESSION STATUS OF MOTHERS WITH BREASTFEEDING PROBLEMS. Kocatepe Tıp Dergisi, Cilt: 27 Sayı: 1, 130–140. https://doi.org/10.18229/kocatepetip.1767385

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