Parite ve doğum, gebelerde kaygı seviyelerini etkiliyor mu?

Mehmet Ferdi KINCI, Aşkın Evren GÜLER, Zeliha Çiğdem Demirel GÜLER, Erhan AKTÜRK

Özet

Amaç: Bu çal›flmadaki amac›m›z, farkl› parite ve do¤um türlerinin varl›¤›nda prenatal dönemde durumluk kayg› seviyelerini incelemektir. Yöntem: Haziran – Aral›k 2013 tarihleri aras›nda üçüncü basamak merkezimizde farkl› paritelere ve do¤um türlerine sahip gebelerin sonuçlar›n› toplamak amac›yla retrospektif bir çal›flma gerçeklefltirdik. Yüz seksen alt› olgu 3 gruba ayr›ld›. Grup 1 (n=60) spontan do¤um yapmas› beklenen primipar gebelerden, Grup 2 (n=64) spontan vajinal do¤um ile ikinci do¤umlar›n› yapacak multipar gebelerden ve Grup 3 (n=62) elektif sezaryen ve ikinci trimester gebelerden oluflmaktayd›. Gebeli¤in 37. haftas›ndaki antenatal gebelik takibi esnas›nda Durumluk ve Sürekli Kayg› Envanteri (State and Trait Anxiety Inventory, STAI) analizi yap›ld›. Bulgular: Hastalar normal, hafif kayg›, orta seviye kayg› ve fliddetli kayg› gruplar›na ayr›ld› ve 124 (%66.6) hastada kayg› saptand›. Kayg› hastalar›n›n oldu¤u grupta hastalar›n %95.9’unda hafif kayg› bulundu. Hiçbir hasta fliddetli kayg›ya sahip de¤ildi. Özellikle Grup 1’in hasta oran›, %85 oran ile di¤er gruplardan daha fazlayd›. Grup 3’teki hastalar›n ço¤u (%50), di¤er gruplara k›yasla normal olarak de¤erlendirildi. Sonuç: Gebelerin kayg› seviyeleri genellikle hafiftir ve daha önce do¤um yapm›fl ve a¤r› yaflamam›fl gebeler düflük kayg› seviyelerine sahiptir.

Abstract

Objective: Our aim for this study is to examine state anxiety levels in the prenatal period in the presence of different forms of parity and birth types. Methods: A retrospective study was conducted to collect the results of pregnant woman which has different parities and type of deliveries in our tertiary center between June and December 2013. 186 cases were divided into 3 groups. Group 1 (n=60) consists of primiparous pregnant women who are expected to give birth spontaneously, Group 2 (n=64) consists of multiparous pregnant women whose will be their second birth with spontaneous vaginal delivery and Group 3 (n=62) consists of elective cesarean section and second-trimester pregnant women. State and Trait Anxiety Inventory (STAI) analysis was made during antenatal pregnancy follow-up at 37 weeks of gestation. Results: When patients were divided into groups of normal, mild anxiety, moderate anxiety and severe anxiety, 124 (66.6%) of the patients were found to be anxious. In the group of anxious patients, it was found that 95.9% of the patients had mild anxiety. No patient is severely anxious. Especially in Group 1, the patient ratio was higher than the other groups with 85%. In Group 3, it was shown that the majority of the patients (50%) evaluated as normal compared to other groups. Conclusion: The anxiety levels of pregnant women are generally mild and women who have already experienced birth and did not experience pain have reduced anxiety levels.