Efecto de las preocupaciones maternas sobre el parto y el puerperio en las conductas obsesivas y compulsivas relacionadas con el cuidado del bebé
Resumen
Introducción. La ansiedad del parto y el posparto es una condición común entre las mujeres embarazadas por la incertidumbre de vivir el embarazo y el parto por primera vez o por previas experiencias negativas. El miedo al parto puede afectar el proceso del cuidado del bebé de la madre.
Objetivo. Determinar el efecto de las preocupaciones maternas sobre el parto y el puerperio y su efecto sobre las conductas obsesivas y compulsivas relacionadas con el cuidado del bebé.
Materiales y métodos. El estudio se realizó con 260 madres. Los datos fueron recolectados en el formulario de información descriptiva y se usaron la “Escala de miedo al parto y al período posparto” y la de “Comportamientos obsesivos y compulsivos de las madres en el período posparto relacionados con el cuidado del bebé”. Los datos fueron evaluados mediante el software SPSS™ mediante el cálculo de porcentajes, promedio, prueba t, ANOVA, correlación de Pearson y análisis de regresión múltiple.
Resultados. Se encontró una correlación positiva y estadísticamente significativa entre la “Escala de miedo al parto y del período posparto” y la de “Comportamientos obsesivos y compulsivos de las madres en el período posparto relacionadas con el cuidado del bebé” (p < 0.01). En el modelo creado por análisis de regresión se observó que el 18,0% del cambio en la escala de comportamientos obsesivos-compulsivos estaba explicado por el miedo al parto y al puerperio (R2 corregido = 0,180).
Conclusiones. En el estudio se determinó que el miedo al parto y al puerperio era moderado. Sin embargo, a medida que aumentaba el puntaje de miedo al parto y al período posparto, también aumentaban los comportamientos obsesivos y compulsivos de las madres en el puerperio relacionados con el cuidado del bebé.
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Referencias bibliográficas
Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: Systematic review and meta-analysis. Br J Psychiatry. 2017;210:315-23. https://doi.org/10.1192/bjp.bp.116.187179
Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H, et al. Causes and outcomes in studies of fear of childbirth: A systematic review. Women Birth. 2019;32:99-111. https://doi.org/10.1016/j.wombi.2018.07.004
Çıtak Bilgin N, Coşkun H, Coşkuner Potur D, İbar Aydın E, Uca E. Psychosocial predictors of the fear of childbirth in Turkish pregnant women. J Psychosom Obstet Gynaecol. 2021;42:123-31. https://doi.org/10.1080/0167482X.2020.1734791
Darıcı Sümer A, Üneri ÖŞ. Obsesif kompulsif ve ilişkili bozukluklar: Obsesif kompulsif bozukluğun genetiği. 1. Ankara: Türkiye Klinikleri Yayınevi; 2019. p. 14-20.
Challacombe FL, Salkovskis PM, Woolgar M, Wilkinson EL, Read J, Acheson R. Parenting and mother-infant interactions in the context of maternal postpartum obsessive-compulsive disorder: Effects of obsessional symptoms and mood. Infant Behav Dev. 2016;44:11-20. https://doi.org/10.1016/j.infbeh.2016.04.003
Starcevic V, Eslick GD, Viswasam K. Symptoms of obsessive-compulsive disorder during pregnancy and the postpartum period: A systematic review and meta-analysis. Psychiatr Q. 2020;91:965-81. https://doi.org/10.1007/s11126-020-09769-8
Fawcett EJ, Fairbrother N, Cox ML, White IR, Fawcett JM. The prevalence of anxiety disorders during pregnancy and the postpartum period: A multivariate Bayesian metaanalysis. J Clin Psychiatry. 2019;80:18r12527. https://doi.org/10.4088/JCP.18r12527
Bernard K, Nissim G, Vaccaro S, Harris JL, Lindhiem O. Association between maternal depression and maternal sensitivity from birth to 12 months: A meta-analysis. Attach Hum Dev. 2018;20:578-99. https://doi.org/10.1080/14616734.2018.1430839
Challacombe FL, Salkovskis PM, Woolgar M, Wilkinson EL, Read J, Acheson R. A pilot randomized controlled trial of time-intensive cognitive-behaviour therapy for postpartum obsessive-compulsive disorder: Effects on maternal symptoms, mother-infant interactions and attachment. Psychol Med. 2021;47:1478-88. https://doi.org/10.1017/S0033291716003573
Nath S, Pearson RM, Moran P, Pawlby S, Molyneaux E, Challacombe FL, et al. The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality. J Anxiety Disord. 2019;68:102148. https://doi.org/10.1016/j.janxdis.2019.102148
Hudepohl N, MacLean JV, Osborne LM. Perinatal obsessive-compulsive disorder: Epidemiology, phenomenology, etiology, and treatment. Curr Psychiatry Rep. 2022;24:229-37. https://doi.org/10.1007/s11920-022-01333-4
Miller ES, Hoxha D, Wisner KL, Gossett DR. Obsessions and compulsions in postpartum women without obsessive compulsive disorder. J Women Ment Health. 2015;24:825-30. https://doi.org/10.1089/jwh.2014.5063
Tietz A, Zietlow A, Reck C. Maternal bonding in mothers with postpartum anxiety disorder: The crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Arch Womens Ment Health. 2014;17:433-42. https://doi.org/10.1007/s00737-014-0423-x
Kitapçioglu G, Yanikkerem E, Sevil Ü, Yüksel D. Fear of childbirth and the postpartum period: A scale development and validation study. Meandros Med Dental J. 2008;9:47-54.
Özdemir K, Menekşe D, Çınar N. Development of obsessive and compulsive behaviors scale of mothers in postpartum period regarding baby care: Validity and reliability. Perspect Psychiatr Care. 2020;56:379-85. https://doi.org/10.1111/ppc.12445
Fairbrother N, Collardeau F, Albert AYK, Challacombe FL, Thordarson DS, Woody SR, et al. High prevalence and incidence of obsessive-compulsive disorder among women across pregnancy and the postpartum. J Clin Psychiatry. 2021;82:20m13398. https://doi.org/10.4088/JCP.20m13398
Uguz F, Ayhan M.G. Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: A review. J. Mood Disord. 2011;1:178-86. https://doi.org/10.5455/jmood.20111219111846
Challacombe FL, Salkovskis PM, Woolgar M, Wilkinson EL, Read J, Acheson R. A pilot randomized controlled trial of time-intensive cognitive–behaviour therapy for postpartum obsessive-compulsive disorder: Effects on maternal symptoms, mother-infant interactions and attachment. Psychol Med. 2021;47:1478-88. https://doi.org/10.1017/S0033291716003573
Akgün M, Boz İ, Özer Z. The effect of psychoeducation on fear of childbirth and birth type: Systematic review and meta-analysis. J Psychosom Obstet Gynaecol. 2020;41:253-65. https://doi.org/10.1080/0167482X.2019.1689950
Fan S, Guan J, Cao L, Wang M, Zhao H, Chen L, et al. Psychological effects caused by COVID-19 pandemic on pregnant women: A systematic review with meta-analysis. Asian J Psychiatr. 2021;56:102533. https://doi.org/10.1016/j.ajp.2020.102533
Sanjari S, Chaman R, Salehin S, Goli S, Keramat A. Update on the global prevalence of severe fear of childbirth in low-risk pregnant women: A systematic review and meta-analysis. Int J Women Heal Rep. 2022;10:3-10. https://doi.org/10.15296/ijwhr.2022.02
Zengin H, Bafali IO, Caka SY, Tiryaki O, Cinar N. Childbirth and postpartum period fear and the related factors in pregnancy. J Coll Physicians Surg Pak. 2020;30:144-8. https://doi.org/10.29271/jcpsp.2020.02.144
Blackmore ER, Gustafsson H, Gilchrist M, Wyman C, O’Connor TG. Pregnancy-related anxiety evidence of distinct clinical significance from a prospective longitudinal study. J Affect Disord. 2016;197:251-8. https://doi.org/10.1016/j.jad.2016.03.008
Bilgiç G, Çıtak Bilgin N. Relationship between fear of childbirth and psychological and spiritual well‑being in pregnant women. J Relig Health. 2021;60:295-310. https://doi.org/10.1007/s10943-020-01087-4
Üst ZD, Pasinlioğlu T. Determination of anxieties related to delivery and postpartum period in primiparous and multiparous pregnant women. Arch Health Sci Res. 2015;2:306-17. https://doi.org/10.17681/hsp.96963
Mortazavi F, Mehrabadi M. Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: A cross-sectional study. BMC Pregnancy Childbirth. 2021;21:316 https://doi.org/10.1186/s12884-021-03790-w
Küçükkaya B, Dindar İ, Erçel Ö, Yılmaz E. Anxieties of pregnant women related to delivery and postpartum period during gestational periods. J Acad Res Nurs. 2018;4:28-36. https://doi.org/10.5222/jaren.2018.028
Voogand M, Alehagen S, Salomonsson B. The relationship between fear of childbirth and sense of coherence in women expecting their first child. Sex Reprod Healthc. 2020;26:100555. https://doi.org/10.1016/j.srhc.2020.100555
Thukral A, Lockyer J, Bucher SL, Berkelhamer S, Bose C, Deorari A, et al. Evaluation of an educational program for essential newborn care in resource-limited settings: Essential care for every baby. BMC Pediatr. 2015;15:71. https://doi.org/10.1186/s12887-015-0382-z
Shafaie FS, Mirghafourvand M, Bagherinia M. The association between maternal selfconfidence and functional status in primiparous women during postpartum period, 2015-2016. Int J Womens Health Reprod Sci. 2017;5:200-4. https://doi.org/10.15296/ijwhr.2017.36
Kabul F, Çınar N. Investigation of the relationship between social support perception and obsessive-compulsive behaviors of mothers regarding the care of their babies with structural equation model. Sakarya Univ Holist Saglik Derg. 2023;6:107-23. https://doi.org/10.54803/sauhsd.1125916
Guy B, Arthur B. Academic motherhood during COVID-19: Navigating our dual roles as educators and mothers. Gend Work Organ. 2020;27:887-99. https://doi.org/10.1111/gwao.12493
Çağan ES, Alış B, Ekşioğlu A. The relationship between mothers’ COVID-19 fear levels and baby care behaviors. Karya J Health Sci. 2022;3:176-81. https://doi.org/10.52831/kjhs.1106665
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