Araştırma Makalesi
An Investigation of the Relationship between Spousal Support and Perceived Stress on Breastfeeding Attitudes in the Early Postpartum Period through Path Analysis
Öz
This study aimed to determine the relationship between spousal support and perceived stress on breastfeeding attitudes during the early postpartum period using path analysis. The population of this descriptive and correlational study consisted of postpartum women living in Turkey. The research was completed with 233 postpartum women who met the inclusion criteria, without employing a sampling method. The Demographic Information Form, the Perceived Spousal Support Among Women in Early Postpartum Period Scale, the Perceived Stress Scale and the Breastfeeding Attitude Evaluation Scale were used to collect data. The mean age of the postpartum women in the study was 29.67±7.11. According to the path model, there is a positive effect of perceived spousal support in the early postpartum period on breastfeeding attitude (p<0.001, β=0.60), and a positive effect of perceived stress on perceived spousal support (p=0.004, β=0.21). In addition, it has been observed that perceived spousal support plays a mediating role in the relationship between perceived stress and breastfeeding attitude (p=0.002, β=0.12). It was determined that spousal support affected breastfeeding attitude in the postpartum period, and perceived stress level affected spousal support. Spousal support was found to play a mediating role in the relationship between perceived stress and breastfeeding attitude.
Anahtar Kelimeler
Etik Beyan
The ethical approval for the research was obtained from the Social and Human Sciences Ethics Committee of the institution to which one of the researchers is affiliated (2022-SBB-0160). The participants were provided information about the research at the beginning of the online data collection form. The participants provided written consent indicating their willingness to participate in the research
Destekleyen Kurum
None.
Proje Numarası
None.
Teşekkür
The authors thank the participants.
Kaynakça
- 1. Hotun Şahin N, Dişsiz M, Dinç H, Soypak F. Spousal support perceived by women in the early postpartum process: A scale development study, Anadolu Journal of Nursing and Health Sci. 2014;17(2):73-77. (in Turkish)
- 2. Osman H, Saliba M, Chaaya M, et al. Interventions to reduce postpartum stress in first-time mothers: a randomized-controlled trial. BMC Womens Health. 2014;14(1):1-8. https://doi.org/10.1186/1472-6874-14-125
- 3. Eslahi Z, Bahrami N, Allen KA, Alimoradi Z. Spouse’s social support in the postpartum period, predictors and its relationship with postpartum depression in a sample of Iranian primiparous women. Int. J. Gynecol Obstet. 2021;154(1):24-30. https://doi.org/10.1002/ijgo.13488
- 4. Durmazoğlu G, Çiçek Ö, Okumuş H. The effect of spousal perceived by mothers on breastfeedinf in the postpartum period. Turk. Arch. Pediatr. 2021;56(1):57-61. https://doi.org/10.14744/TurkPediatriArs.2020.09076
- 5. Akbay AS, Duran ET. How does spousal support affect women’s quality of life in the postpartum period in Turkish culture?. RIAW. 2018;34(3):29-45. https://doi.org/10.14431/aw.2018.09.34.3.29
- 6. Kızılırmak A, Calpbinici P, Tabakan G, Karal B. Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care Women Int. 2021;42(12):1325-1339. https://doi.org/10.1080/07399332.2020.1764562
- 7. Leonard KS, Evans MB, Kjerulff KH, Downs DS. Postpartum perceived stress explains the association between perceived social support and depressive symptoms. WHI. 2020;30(4):231-239. https://doi.org/10.1016/j.whi.2020.05.001
- 8. Ay ÖP, Aktaş S. The effect of maternal functional and postpartum depression status on breastfeeding selfefficacy of the mothers: a cross-sectional study. Health Care Women Int. 2021;1-15. https://doi.org/10.1080/07399332.2021.1973008
- 9. Gonzalez-Pascual, JL., Aguilar-Ortega, JM., Esteban-Gonzalo, L., Mesa-Leiva C, Perez-Garcia S, Cardente-Reyes C. Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid. Int. Breastfeed. J. 2018;13:45. https://doi.org/10.1186/s13006-018-0187-4
- 10. Khasawneh W, Kheirallah K, Mazin M, Abdulnabi S. Knowledge, attitude, motivation and planning of breastfeeding: a cross-sectional study among Jordanian women. Int. Breastfeed. J. 2020;15:1-9. https://doi.org/10.1186/s13006-020-00303-x
- 11. WHO. Breastfeeding. https://www.who.int/health-topics/breastfeeding#tab=tab_1 (Accessed July 28, 2023).
- 12. Mercan Y, Tari Selçuk K. Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. PLoS One. 2021;16(4):e0249538. https://doi.org/10.1371/journal.pone.0249538
- 13. Mahmoodi Z, Dolation M, Jalal M, Mirabzadeh A. A path analysis of the effects of mental health and socio-personal factors on breastfeeding problems in infants aged less than six months. EBCJ. 2018;7(4):38-45. https://doi.org/10.22038/EBCJ.2017.26740.1620
- 14. Erci B. Reliability and validity of the Turkish version of perceived stress scale. Journal of Atatürk University School of Nursing 2006;9(1):58-63. (in Turkish)
- 15. Arslan Özkan H. Breastfeeding attitude assessment scale. JOWHEN. 2015;2(1):53-58. (in Turkish) 16. Tavşancıl E. Measuring attitudes and data analysis with SPSS. Ankara: Nobel Publication Distribution; 2006. (in Turkish)
- 17. Meydan CH, Şeşen H. Structural equation modeling AMOS applications. Ankara: Detay Publishing; 2011. (in Turkish)
- 18. Tabachnick BG, Fidel LS. Using multivariate statistics (4th ed.). America: Allyn & Bacon, Inc; 2001.
- 19. Kılıç S, Can R, Dereli-Yılmaz S. Spousal support and dyadic adjustment in the early postpartum period. Women Health. 2024;64(2):121-130. https://doi.org/10.1080/03630242.2024.2304891
- 20. Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017;6:60. https://doi.org/10.4103/jehp.jehp_9_16
- 21. De Chiara L, Angeletti G, Anibaldi G, Chetoni C, Gualtieri F, Forcina F, et al. The impact of the COVID-19 pandemic on postpartum maternal mental health. J. Pers. Med. 2022;13(1):56. https://doi.org/10.3390/jpm13010056
- 22. Lee MS, Lee JJ, Park, S, Kim S, Lee H. Is social support associated with postpartum depression, anxiety and perceived stress among Korean women within the first year postpartum? J Psychosom Obstet Gynaecol. 2023;44(1):2231629. https://doi.org/10.1080/0167482X.2023.2231629
- 23. Hamze L, Mao J, Reifsnider E. Knowledge and attitudes towards breastfeeding practices: a cross-sectional survey of postnatal mothers in China. Midwifery. 2019;74:68-75. https://doi.org/10.1016/j.midw.2019.03.009
- 24. Adegbayl A, Scally A, Lesk V, Stewart-Knox BJ. A survey of breastfeeding attitudes and health locus of control in the Nigerian population. Matern Child Health J. 2023;27(6):1060–1069. https://doi.org/10.1007/s10995-023-03638-z
- 25. Gebeyehu NA, Tegegne KD, Shewangashaw NE, Biset G, Abebaw N, Tilahun L. Knowledge, attitude, practice and determinants of exclusive breastfeeding among women in Ethiopia: systematic review and meta-analysis. Public Health Pract. 2023;5:100373. https://doi.org/10.1016/j.puhip.2023.100373
- 26. Rempel LA, Rempel JK, Moore KC. Relationships between types of father breastfeeding support and breastfeeding outcomes. Matern. Child Nutr. 2017;13(3):e12337. https://doi.org/10.1111/mcn.12337
- 27. Zhao ZH, Huang YY, Qiao J, Huang WP, Redding SR, Wang R, et al. Co-parenting impact on breastfeeding: systematic review and meta-analysis. Breastfeed Med. 2023;18(6):431-448. https://doi.org/10.1089/bfm.2022.0237
- 28. Targhaq S, Hosseinzadeh M, Mirghafourvand M, Mousavi Z. Breastfeeding empowerment and its relationship with health literacy and spousal support among breastfeeding mothers in Tabriz, Iran: a cross-sectional study. BMJ Open. 2025;15(1):5:e084337. https://doi.org/10.1136/bmjopen-2024-084337
- 29. Özlüses E, Çelebioglu A. Educating fathers to improve breastfeeding rates and paternal-infant attachment. Indian Pediatr. 2014;51(8):654-657. https://doi.org/10.1007/s13312-014-0471-3
- 30. Tohotoa J, Maycock B, Hauck Y, Howat P, Burns S, Binns C. Supporting mothers to breastfeed: the development and process evaluation of a father inclusive perinatal education support program in Perth, Western Australia. Health Promot. Int. 2011:26(3):351-361. https://doi.org/10.1093/heapro/daq077
- 31. Sampson M, Villarreal Y, Padilla Y. Association between support and maternal stress at one year postpartum: does type matter?. Soc. Work Res. 2015;39(1):49-46. https://doi.org/10.1093/swr/svu031
- 32. Razurel C, Kaiser B, Antonietti JP, Epiney M, Sellenet C. Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women Health. 2017;57(2):154-172. https://doi.org/10.1080/03630242.2016.1157125
- 33. Faridvand F, Mirghafourvand M, Malakouti J, Mohammad-Alizadeh-Charandabi S. Relationship between social support and breastfeeding self-efficacy among women in Tabriz, Iran. Br. J. Midwifery. 2017;25(2):103– 109. https://doi.org/10.12968/bjom.2017.25.2.103
- 34. Maleki-Saghooni N, Amel Barez M, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J. Matern. -Fetal Neonatal Med. 2020;33(18):3097– 3102. https://doi.org/10.1080/14767058.2019.1568986
- 35. Isiguzo C, Mendez DD, Demirci JR, Youk A, Mendez G, Davis EM, et al. Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding. Matern. Child Nutr. 2023;19(2):e13459. https://doi.org/10.1111/mcn.13459
Erken Postpartum Dönemde Eş Desteği ve Algılanan Stresin Emzirme Tutumu İlişkisinin Path Analizi ile İncelenmesi
Öz
Araştırmada erken postpartum dönemde eş desteği ve algılanan stresin, emzirme tutumu ile ilişkisini path analizi ile belirlemek amaçlandı. Tanımlayıcı ve ilişki arayıcı tipteki araştırmanın evrenini Türkiye’de yaşayan lohuslar oluşturdu. Araştırma örneklem seçimine gidilmeyip dahil etme kriterlerine uyan 233 lohusa ile tamamlanmıştır. Araştırmanın verilerinin toplanmasında Tanıtıcı Bilgi Formu, Erken Lohusalık Sürecinde Kadınların Algıladıkları Eş Desteği Ölçeği, Algılanan Stres Ölçeği ve Emzirme Tutumunu Değerlendirme Ölçeği kullanılmıştır. Lohusaların yaş ortalaması 29.67±7.11’dir. Path modeline göre erken postpartum dönemde algılanan eş desteğinin emzirme tutumu üzerinde pozitif etkisi (p<0,001, β=0,60), algılanan stresin ise algılanan eş desteği üzerinde pozitif etkisi (p=0,004, β=0,21) bulunmaktadır. Ayrıca algılanan eş desteğinin algılanan stres ile emzirme tutumu arasındaki ilişkide aracı rol oynadığı görülmüştür (p=0,002, β=0,12). Postpartum dönemde emzirme tutumunu eş desteğinin, eş desteğini ise algılanan stres düzeyinin etkilediği belirlendi. Emzirme tutumu üzerinde eş desteğinin aracı bir rol üstlendiği görüldü.
Anahtar Kelimeler
Proje Numarası
None.
Kaynakça
- 1. Hotun Şahin N, Dişsiz M, Dinç H, Soypak F. Spousal support perceived by women in the early postpartum process: A scale development study, Anadolu Journal of Nursing and Health Sci. 2014;17(2):73-77. (in Turkish)
- 2. Osman H, Saliba M, Chaaya M, et al. Interventions to reduce postpartum stress in first-time mothers: a randomized-controlled trial. BMC Womens Health. 2014;14(1):1-8. https://doi.org/10.1186/1472-6874-14-125
- 3. Eslahi Z, Bahrami N, Allen KA, Alimoradi Z. Spouse’s social support in the postpartum period, predictors and its relationship with postpartum depression in a sample of Iranian primiparous women. Int. J. Gynecol Obstet. 2021;154(1):24-30. https://doi.org/10.1002/ijgo.13488
- 4. Durmazoğlu G, Çiçek Ö, Okumuş H. The effect of spousal perceived by mothers on breastfeedinf in the postpartum period. Turk. Arch. Pediatr. 2021;56(1):57-61. https://doi.org/10.14744/TurkPediatriArs.2020.09076
- 5. Akbay AS, Duran ET. How does spousal support affect women’s quality of life in the postpartum period in Turkish culture?. RIAW. 2018;34(3):29-45. https://doi.org/10.14431/aw.2018.09.34.3.29
- 6. Kızılırmak A, Calpbinici P, Tabakan G, Karal B. Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care Women Int. 2021;42(12):1325-1339. https://doi.org/10.1080/07399332.2020.1764562
- 7. Leonard KS, Evans MB, Kjerulff KH, Downs DS. Postpartum perceived stress explains the association between perceived social support and depressive symptoms. WHI. 2020;30(4):231-239. https://doi.org/10.1016/j.whi.2020.05.001
- 8. Ay ÖP, Aktaş S. The effect of maternal functional and postpartum depression status on breastfeeding selfefficacy of the mothers: a cross-sectional study. Health Care Women Int. 2021;1-15. https://doi.org/10.1080/07399332.2021.1973008
- 9. Gonzalez-Pascual, JL., Aguilar-Ortega, JM., Esteban-Gonzalo, L., Mesa-Leiva C, Perez-Garcia S, Cardente-Reyes C. Comparison of attitudes to breastfeeding among Spanish-born and Chinese-born postpartum women in Madrid. Int. Breastfeed. J. 2018;13:45. https://doi.org/10.1186/s13006-018-0187-4
- 10. Khasawneh W, Kheirallah K, Mazin M, Abdulnabi S. Knowledge, attitude, motivation and planning of breastfeeding: a cross-sectional study among Jordanian women. Int. Breastfeed. J. 2020;15:1-9. https://doi.org/10.1186/s13006-020-00303-x
- 11. WHO. Breastfeeding. https://www.who.int/health-topics/breastfeeding#tab=tab_1 (Accessed July 28, 2023).
- 12. Mercan Y, Tari Selçuk K. Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. PLoS One. 2021;16(4):e0249538. https://doi.org/10.1371/journal.pone.0249538
- 13. Mahmoodi Z, Dolation M, Jalal M, Mirabzadeh A. A path analysis of the effects of mental health and socio-personal factors on breastfeeding problems in infants aged less than six months. EBCJ. 2018;7(4):38-45. https://doi.org/10.22038/EBCJ.2017.26740.1620
- 14. Erci B. Reliability and validity of the Turkish version of perceived stress scale. Journal of Atatürk University School of Nursing 2006;9(1):58-63. (in Turkish)
- 15. Arslan Özkan H. Breastfeeding attitude assessment scale. JOWHEN. 2015;2(1):53-58. (in Turkish) 16. Tavşancıl E. Measuring attitudes and data analysis with SPSS. Ankara: Nobel Publication Distribution; 2006. (in Turkish)
- 17. Meydan CH, Şeşen H. Structural equation modeling AMOS applications. Ankara: Detay Publishing; 2011. (in Turkish)
- 18. Tabachnick BG, Fidel LS. Using multivariate statistics (4th ed.). America: Allyn & Bacon, Inc; 2001.
- 19. Kılıç S, Can R, Dereli-Yılmaz S. Spousal support and dyadic adjustment in the early postpartum period. Women Health. 2024;64(2):121-130. https://doi.org/10.1080/03630242.2024.2304891
- 20. Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017;6:60. https://doi.org/10.4103/jehp.jehp_9_16
- 21. De Chiara L, Angeletti G, Anibaldi G, Chetoni C, Gualtieri F, Forcina F, et al. The impact of the COVID-19 pandemic on postpartum maternal mental health. J. Pers. Med. 2022;13(1):56. https://doi.org/10.3390/jpm13010056
- 22. Lee MS, Lee JJ, Park, S, Kim S, Lee H. Is social support associated with postpartum depression, anxiety and perceived stress among Korean women within the first year postpartum? J Psychosom Obstet Gynaecol. 2023;44(1):2231629. https://doi.org/10.1080/0167482X.2023.2231629
- 23. Hamze L, Mao J, Reifsnider E. Knowledge and attitudes towards breastfeeding practices: a cross-sectional survey of postnatal mothers in China. Midwifery. 2019;74:68-75. https://doi.org/10.1016/j.midw.2019.03.009
- 24. Adegbayl A, Scally A, Lesk V, Stewart-Knox BJ. A survey of breastfeeding attitudes and health locus of control in the Nigerian population. Matern Child Health J. 2023;27(6):1060–1069. https://doi.org/10.1007/s10995-023-03638-z
- 25. Gebeyehu NA, Tegegne KD, Shewangashaw NE, Biset G, Abebaw N, Tilahun L. Knowledge, attitude, practice and determinants of exclusive breastfeeding among women in Ethiopia: systematic review and meta-analysis. Public Health Pract. 2023;5:100373. https://doi.org/10.1016/j.puhip.2023.100373
- 26. Rempel LA, Rempel JK, Moore KC. Relationships between types of father breastfeeding support and breastfeeding outcomes. Matern. Child Nutr. 2017;13(3):e12337. https://doi.org/10.1111/mcn.12337
- 27. Zhao ZH, Huang YY, Qiao J, Huang WP, Redding SR, Wang R, et al. Co-parenting impact on breastfeeding: systematic review and meta-analysis. Breastfeed Med. 2023;18(6):431-448. https://doi.org/10.1089/bfm.2022.0237
- 28. Targhaq S, Hosseinzadeh M, Mirghafourvand M, Mousavi Z. Breastfeeding empowerment and its relationship with health literacy and spousal support among breastfeeding mothers in Tabriz, Iran: a cross-sectional study. BMJ Open. 2025;15(1):5:e084337. https://doi.org/10.1136/bmjopen-2024-084337
- 29. Özlüses E, Çelebioglu A. Educating fathers to improve breastfeeding rates and paternal-infant attachment. Indian Pediatr. 2014;51(8):654-657. https://doi.org/10.1007/s13312-014-0471-3
- 30. Tohotoa J, Maycock B, Hauck Y, Howat P, Burns S, Binns C. Supporting mothers to breastfeed: the development and process evaluation of a father inclusive perinatal education support program in Perth, Western Australia. Health Promot. Int. 2011:26(3):351-361. https://doi.org/10.1093/heapro/daq077
- 31. Sampson M, Villarreal Y, Padilla Y. Association between support and maternal stress at one year postpartum: does type matter?. Soc. Work Res. 2015;39(1):49-46. https://doi.org/10.1093/swr/svu031
- 32. Razurel C, Kaiser B, Antonietti JP, Epiney M, Sellenet C. Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women Health. 2017;57(2):154-172. https://doi.org/10.1080/03630242.2016.1157125
- 33. Faridvand F, Mirghafourvand M, Malakouti J, Mohammad-Alizadeh-Charandabi S. Relationship between social support and breastfeeding self-efficacy among women in Tabriz, Iran. Br. J. Midwifery. 2017;25(2):103– 109. https://doi.org/10.12968/bjom.2017.25.2.103
- 34. Maleki-Saghooni N, Amel Barez M, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J. Matern. -Fetal Neonatal Med. 2020;33(18):3097– 3102. https://doi.org/10.1080/14767058.2019.1568986
- 35. Isiguzo C, Mendez DD, Demirci JR, Youk A, Mendez G, Davis EM, et al. Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding. Matern. Child Nutr. 2023;19(2):e13459. https://doi.org/10.1111/mcn.13459
Toplam 34 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Doğum ve Kadın Hastalıkları Hemşireliği |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | None. |
| Erken Görünüm Tarihi | 23 Nisan 2025 |
| Yayımlanma Tarihi | 26 Nisan 2025 |
| Gönderilme Tarihi | 22 Aralık 2024 |
| Kabul Tarihi | 25 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 |