Araştırma Makalesi
BibTex RIS Kaynak Göster

Determination of Prenatal Care Receipt Status of Pregnant Women Affected by Earthquake and Prenatal Care

Yıl 2025, Cilt: 15 Sayı: 2, 236 - 243, 22.05.2025

Mevhibe Çoban , Esra Güney

https://doi.org/10.33631/sabd.1439240

Öz

Aim: This study was conducted to determine the status of prenatal care received by pregnant women affected by the earthquake.
Material and Methods: The research was conducted in Türkiye between June 2023 and August 2023. The population of the research consisted of pregnant women affected by the Kahramanmaraş-centered earthquake in February 2023. The data of the study was collected via social media using a web-based survey. A sample calculation was not made in the study, and all 349 pregnant women who approved to participate in the study and met the inclusion criteria were included. Post hoc power analysis was performed after the study. After the analysis, the power of the test was determined as 99.9% according to the 95% confidence interval and one-way hypothesis.
Results: In the study, it was determined that pregnant women had difficulties in providing regular pregnancy check-ups, reaching a specialist doctor and family midwife, accessing toilets, baths, showers, personal care and body care, that they could not rest enough after the earthquake, and that the level of anxiety they felt about birth, postpartum period and baby care increased.
Conclusion: It was determined that pregnant women affected by the earthquake had difficulties in receiving prenatal care, and their anxiety scores about the birth and postpartum periods and the anxiety scores about the care of their babies in the postpartum period were above average.

Anahtar Kelimeler

anxiety earthquake pregnancy prenatal care

Kaynakça

  • Michel A, Fontenot H. Adequate prenatal care: An integrative review. J Midwifery Womens Health. 2023; 68(2): 233-47.
  • Kilpartick SJ, Papile LA. Guidelines for Perinatal Care. (8th ed). American College of Obstetrics and Gynecology. Washington. D.C; 2017.
  • T.C. Halk Sağlığı Genel Müdürlüğü. [Internet]. Doğum öncesi bakım yönetim rehberi. [Güncellenme Tarihi: 28 Kasım 2018; Son erişim tarihi: 20.12. 2023]. Erişim adresi: https://hsgm.saglik.gov.tr/depo/birimler/Kadin_ve_Ureme_Sagligi_Db/dokumanlar/rehbler/dogum_oncesi_bakim_2020.pdf. 2020.
  • World Health Organization. [Internet]. New guidelines on antenatal care for a positive pregnancy experience. 2016. [Updated: 2016; Cited: 2023 October 02]. Available from: https://www.who.int/news/item/07-11- 2016-new-guidelines-on-antenatal-care-for-apositive-pregnancy-experience.
  • Haruna U, Dandeebo G, Galaa SZ. Improving access and utilization of maternal healthcare services through focused antenatal care in Rural Ghana: A qualitative study. Adv Public Health. 2019; 1-11. https://doi.org/10.1155/2019/9181758.
  • Prasad RD, Arora S, Salve PS, Goli S, James KS, Pallikadavath S, et al. Why there is underutilization of four and more antenatal care services despite the colossal rise in institutional deliveries in Bihar. India. J Soc Econ Dev. 2022; 24(2): 355-78.
  • Uzun Aksoy M, Gürsoy E. Olumlu bir gebelik deneyimi için dünya sağlık örgütü antenatal bakım önerileri. JACSD. 2018; 14: 1-15. https://doi.org/10.17367/JACSD.2018.3.6
  • Taşkın L. Doğum ve kadın sağlığı hemşireliği. 16. Baskı. Ankara: Akademisyen Kitabevi; 2016.
  • United Nations Development Programme. [Internet]. United Nations [UN]. Sustainable Development Goals. [Updated: 2018October 28 ; Cited: 2023 October 20]. Erişim adresi: https://www.undp.org/content/dam/undp/library/corporate/brochure/SDGs_Booklet_Web_En.pdf. 2015.
  • Ilgın HÖ, Karagül D. Afet süreçlerinde kadınlara yönelik toplumsal cinsiyet eşitsizliğinde sivil toplum kuruluşu çalışanlarının deneyimleri: Çanakkale ili örneği. JOEEP. 2022; 7(2): 85-103.
  • Gündüz F. Afetlerde kadın ve toplumsal cinsiyet perspektifi ile çıkarılması gereken dersler (Haiti ve Japonya depremi örneği). IBAD Sosyal Bilimler Dergisi. 2022; 12: 440-60. https://doi.org/10.21733/ibad.1039215.
  • Gökçe İ, Öter EG. Bütünleşik afet yönetim sisteminde afetlerde cinsel sağlık ve üreme sağlığı hizmetleri. ICFAR. 2022; 1: 523-29.
  • Maher MJ. Emergency preparedness in obstetrics: meeting unexpected key challenges. J Perinat Neonatal Nurs. 2019; 33(3): 238-45.
  • Goodyear S. Hundreds of thousands of pregnant women need help in earthquake-torn Türkiye, Syria. CBC. [Internet]. [Updated: 2023 February 20 ; Cited: 2023 February 27]. Available from: https://www.cbc.ca/radio/asithappens/Türkiye-syria-earthquakes-pregnant-1.6754582.
  • Ahmed SK, Khdhir RM. Protecting the health of pregnant women in Türkiye and Syria earthquake-affected areas: Challenges and opportunities. Women's Health. 2023; 19. doi:10.1177/17455057231166281
  • Mesrkanlou HA, Hezaveh SJG, Tahmasebi S, Nikniaz Z, Nikniaz L. The effect of an earthquake experienced during pregnancy on maternal health and birth outcomes. Disaster Med Public Health Prep. 2023; 17(e157): 1-4. https://doi.org/https://doi.org/10.1017/dmp.2022.132.
  • Kipay SS. Deprem gerçeği ve kadın sağlığı üzerine etkileri. İKÇÜSBFD. 2023; 8(2): 855-60.
  • Çuvadar A, Çamur N. Kahramanmaraş depremi yaşamış gebe kadınların emzirme yaklaşımları: iki vaka sunumu. 1st International Conference on Modern and Advanced Research ICMAR. 2023.
  • MirMohamadaliIe M, Jazani RK, Sohrabizadeh S, Nasrabadi AN. Barriers to breastfeeding in disasters in the context of Iran. Prehosp Disaster Med. 2019; 34(1): 20-4.
  • Harville EW, Beitsch L, Uejio CK, Sherchan S, Lichtveld MY. Assessing the effects of disasters and their aftermath on pregnancy and infant outcomes: A conceptual model. IJDRR. 2021; 62: 102415. https://doi.org/10.1016/j.ijdrr.2021.102415.
  • Pike A, Mikolas C, Tompkins K, Olson J, Olson DM, Brémault-Phillips S. New life through disaster: a thematic analysis of women's experiences of pregnancy and the 2016 fort mcmurray wildfire. Front Public Health. 2022; 10: 725256.
  • Previdi IL, Welton M, Díaz Rivera J, Watkins DJ, Diaz Z, Torres HR, et al. The impact of natural disasters on maternal health: Hurricanes Irma and María in Puerto Rico. Children. 2022; 9(7): 940.
  • King S, Dancause K, Turcotte‐Tremblay AM, Veru, Laplante DP. Using natural disasters to study the effects of prenatal maternal stress on child health and development. Birth Defects Res C Embryo Today. 2012; 96(4): 273-88.
  • Stokenberga A, Escalante C, Gonzalez KD, Espinet X, Becoulet M. The rough road to services and livelihood opportunities in rural haiti and the added ımpact of natural disasters. Policy Research Working Paper. 2023; 1-29.
  • Brislane Á, Larkin F, Jones H, Davenpor MH. Access to and quality of healthcare for pregnant and postpartum women during the covıd-19 pandemic. Front Glob Womens Health. 2021; 2: 628625.
  • Nazik F, Yüksekol ÖD, Baltacı N, Ulucan M. Gebe kadınların doğum öncesi bakım alma durumu ve covid-19 pandemisinin etkisi. Journal of TOGU Health Sciences. 2022; 2(2): 111- 22.
  • Ciampi MC, Gell F, Lasap L, Turvill E. Gender and disaster risk reduction: A training pack. [Internet]. [Updated: 2011; Cited: 2023 February 27]. https://oxfamilibrary.openrepository.com/bitstream/handle/10546/136105/gender-drr-training-pack-040711-en.pdf?sequence=2&isAllowed=y. 2011.
  • Budhathoki SS, Bhattachan M, Castro-Sánchez E, Sagtani RA, Rayamajhi RB, Rai P, et al. “Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal”. BMC Women’s Health. 2018; 18(1): 1-8.
  • Li XH, Qin L, Hu H, Luo S, Li L, Fan W, et al. Influence of the Wenchuan earthquake on self-reported irregular menstrual cycles in surviving women. Gynecological Endocrinology. 2011; 27(9): 706-10.
  • Mamun MA, Huq N, Papia ZF, Tasfina S, Gozal D. Prevalence of depression among Bangladeshi village women subsequent to a natural disaster: a pilot study. Psychiatry Res. 2019; 276: 124-28.
  • Xiong X, Harville EW, Mattison DR, ElkindHirsch K, Pridjian G, Buekens P. “Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women”. Am J Disaster Med. 2010; 5(3): 181-7.
  • Watanabe Z, Iwama N, Nishigori H, Nishigori T, Mizuno S, Sakurai K, et al. Psychological distress during pregnancy in Miyagi after the great east Japan earthquake: The Japan environment and children's study. J Affective Disord. 2016;190: 341-8.
  • Qobadi M, Collier C, Zhang L. The effect of stressful life events on postpartum depression: Findings from the 2009–2011 Mississippi pregnancy risk assessment monitoring system. Matern Child Health J. 2016; 20: 164-72.
  • Pop-Tudose ME, Popescu-Spineni DM, Manolescu LSC, Radu MC, Iancu FC, Armean SM. Psychological profile and mood disturbance of women who gave birth during the COVID-19 pandemic in Romania. Midwifery. 2023; 117: 1-7.

Depremden Etkilenen Gebelerin Prenatal Bakım Alma Durumlarının Belirlenmesi

Yıl 2025, Cilt: 15 Sayı: 2, 236 - 243, 22.05.2025

Mevhibe Çoban , Esra Güney

https://doi.org/10.33631/sabd.1439240

Öz

Amaç: Bu araştırma depremden etkilenen gebelerin prenatal bakım alma durumlarının belirlenmesi amacıyla yürütüldü.
Gereç ve Yöntemler: Araştırma, Haziran – Ağustos 2023 tarihleri arasında Türkiye’de gerçekleştirildi. Araştırmanın evrenini Şubat 2023 tarihli Kahramanmaraş merkezli depremden etkilenen gebeler oluşturdu. Veri toplama formunda yer alan sorular, araştırmacılar tarafından yapılan literatür taraması sonucu oluşturuldu. Araştırmanın verileri web tabanlı anket kullanılarak sosyal medya aracılığı toplandı. Araştırmada örneklem hesaplaması yapılmayıp çalışmaya katılmayı onaylayan ve alınma kriterlerini sağlayan toplam 349 gebe alındı. Çalışma sonrasında Post hoc power analizi yapıldı. Analiz sonrasında %95 güven aralığı ve tek yönlü hipoteze göre testin gücü %99,9 olarak tespit edildi.
Bulgular: Çalışmada gebelerin %50’sinden fazlasının düzenli gebelik kontrolü sağlamada, uzman doktor ve aile ebesine ulaşmada, tuvalet, banyo, duş, kişisel bakım ve vücut bakımına ulaşmada sıkıntı yaşadığı, deprem sonrasında yeterince dinlenemediği belirlendi. Bununla birlikte doğum, doğum sonu dönem ve bebek bakımı hakkında kaygı yaşadıkları ve kaygı düzeylerinin arttığı belirlendi.
Sonuç: Depremden etkilenen gebelerin prenatal bakım almada sıkıntı yaşadıkları, doğum ve doğum sonu dönemleri hakkında hissettikleri kaygı puanları ile doğum sonu dönemde bebeklerinin bakımları hakkında hissettikleri kaygı puanlarının ortalamanın üstünde olduğu belirlendi.

Anahtar Kelimeler

deprem kaygı prenatal bakım gebelik

Etik Beyan

Bu çalışma için İnönü Üniversitenin girişimsel olmayan klinik çalışmalar etik kurulundan izin alındı (Tarih: 09.05.2023, Karar Sayısı: 2023/4639).

Destekleyen Kurum

Bu çalışma herhangi bir kurum tarafından desteklenmemektedir.

Kaynakça

  • Michel A, Fontenot H. Adequate prenatal care: An integrative review. J Midwifery Womens Health. 2023; 68(2): 233-47.
  • Kilpartick SJ, Papile LA. Guidelines for Perinatal Care. (8th ed). American College of Obstetrics and Gynecology. Washington. D.C; 2017.
  • T.C. Halk Sağlığı Genel Müdürlüğü. [Internet]. Doğum öncesi bakım yönetim rehberi. [Güncellenme Tarihi: 28 Kasım 2018; Son erişim tarihi: 20.12. 2023]. Erişim adresi: https://hsgm.saglik.gov.tr/depo/birimler/Kadin_ve_Ureme_Sagligi_Db/dokumanlar/rehbler/dogum_oncesi_bakim_2020.pdf. 2020.
  • World Health Organization. [Internet]. New guidelines on antenatal care for a positive pregnancy experience. 2016. [Updated: 2016; Cited: 2023 October 02]. Available from: https://www.who.int/news/item/07-11- 2016-new-guidelines-on-antenatal-care-for-apositive-pregnancy-experience.
  • Haruna U, Dandeebo G, Galaa SZ. Improving access and utilization of maternal healthcare services through focused antenatal care in Rural Ghana: A qualitative study. Adv Public Health. 2019; 1-11. https://doi.org/10.1155/2019/9181758.
  • Prasad RD, Arora S, Salve PS, Goli S, James KS, Pallikadavath S, et al. Why there is underutilization of four and more antenatal care services despite the colossal rise in institutional deliveries in Bihar. India. J Soc Econ Dev. 2022; 24(2): 355-78.
  • Uzun Aksoy M, Gürsoy E. Olumlu bir gebelik deneyimi için dünya sağlık örgütü antenatal bakım önerileri. JACSD. 2018; 14: 1-15. https://doi.org/10.17367/JACSD.2018.3.6
  • Taşkın L. Doğum ve kadın sağlığı hemşireliği. 16. Baskı. Ankara: Akademisyen Kitabevi; 2016.
  • United Nations Development Programme. [Internet]. United Nations [UN]. Sustainable Development Goals. [Updated: 2018October 28 ; Cited: 2023 October 20]. Erişim adresi: https://www.undp.org/content/dam/undp/library/corporate/brochure/SDGs_Booklet_Web_En.pdf. 2015.
  • Ilgın HÖ, Karagül D. Afet süreçlerinde kadınlara yönelik toplumsal cinsiyet eşitsizliğinde sivil toplum kuruluşu çalışanlarının deneyimleri: Çanakkale ili örneği. JOEEP. 2022; 7(2): 85-103.
  • Gündüz F. Afetlerde kadın ve toplumsal cinsiyet perspektifi ile çıkarılması gereken dersler (Haiti ve Japonya depremi örneği). IBAD Sosyal Bilimler Dergisi. 2022; 12: 440-60. https://doi.org/10.21733/ibad.1039215.
  • Gökçe İ, Öter EG. Bütünleşik afet yönetim sisteminde afetlerde cinsel sağlık ve üreme sağlığı hizmetleri. ICFAR. 2022; 1: 523-29.
  • Maher MJ. Emergency preparedness in obstetrics: meeting unexpected key challenges. J Perinat Neonatal Nurs. 2019; 33(3): 238-45.
  • Goodyear S. Hundreds of thousands of pregnant women need help in earthquake-torn Türkiye, Syria. CBC. [Internet]. [Updated: 2023 February 20 ; Cited: 2023 February 27]. Available from: https://www.cbc.ca/radio/asithappens/Türkiye-syria-earthquakes-pregnant-1.6754582.
  • Ahmed SK, Khdhir RM. Protecting the health of pregnant women in Türkiye and Syria earthquake-affected areas: Challenges and opportunities. Women's Health. 2023; 19. doi:10.1177/17455057231166281
  • Mesrkanlou HA, Hezaveh SJG, Tahmasebi S, Nikniaz Z, Nikniaz L. The effect of an earthquake experienced during pregnancy on maternal health and birth outcomes. Disaster Med Public Health Prep. 2023; 17(e157): 1-4. https://doi.org/https://doi.org/10.1017/dmp.2022.132.
  • Kipay SS. Deprem gerçeği ve kadın sağlığı üzerine etkileri. İKÇÜSBFD. 2023; 8(2): 855-60.
  • Çuvadar A, Çamur N. Kahramanmaraş depremi yaşamış gebe kadınların emzirme yaklaşımları: iki vaka sunumu. 1st International Conference on Modern and Advanced Research ICMAR. 2023.
  • MirMohamadaliIe M, Jazani RK, Sohrabizadeh S, Nasrabadi AN. Barriers to breastfeeding in disasters in the context of Iran. Prehosp Disaster Med. 2019; 34(1): 20-4.
  • Harville EW, Beitsch L, Uejio CK, Sherchan S, Lichtveld MY. Assessing the effects of disasters and their aftermath on pregnancy and infant outcomes: A conceptual model. IJDRR. 2021; 62: 102415. https://doi.org/10.1016/j.ijdrr.2021.102415.
  • Pike A, Mikolas C, Tompkins K, Olson J, Olson DM, Brémault-Phillips S. New life through disaster: a thematic analysis of women's experiences of pregnancy and the 2016 fort mcmurray wildfire. Front Public Health. 2022; 10: 725256.
  • Previdi IL, Welton M, Díaz Rivera J, Watkins DJ, Diaz Z, Torres HR, et al. The impact of natural disasters on maternal health: Hurricanes Irma and María in Puerto Rico. Children. 2022; 9(7): 940.
  • King S, Dancause K, Turcotte‐Tremblay AM, Veru, Laplante DP. Using natural disasters to study the effects of prenatal maternal stress on child health and development. Birth Defects Res C Embryo Today. 2012; 96(4): 273-88.
  • Stokenberga A, Escalante C, Gonzalez KD, Espinet X, Becoulet M. The rough road to services and livelihood opportunities in rural haiti and the added ımpact of natural disasters. Policy Research Working Paper. 2023; 1-29.
  • Brislane Á, Larkin F, Jones H, Davenpor MH. Access to and quality of healthcare for pregnant and postpartum women during the covıd-19 pandemic. Front Glob Womens Health. 2021; 2: 628625.
  • Nazik F, Yüksekol ÖD, Baltacı N, Ulucan M. Gebe kadınların doğum öncesi bakım alma durumu ve covid-19 pandemisinin etkisi. Journal of TOGU Health Sciences. 2022; 2(2): 111- 22.
  • Ciampi MC, Gell F, Lasap L, Turvill E. Gender and disaster risk reduction: A training pack. [Internet]. [Updated: 2011; Cited: 2023 February 27]. https://oxfamilibrary.openrepository.com/bitstream/handle/10546/136105/gender-drr-training-pack-040711-en.pdf?sequence=2&isAllowed=y. 2011.
  • Budhathoki SS, Bhattachan M, Castro-Sánchez E, Sagtani RA, Rayamajhi RB, Rai P, et al. “Menstrual hygiene management among women and adolescent girls in the aftermath of the earthquake in Nepal”. BMC Women’s Health. 2018; 18(1): 1-8.
  • Li XH, Qin L, Hu H, Luo S, Li L, Fan W, et al. Influence of the Wenchuan earthquake on self-reported irregular menstrual cycles in surviving women. Gynecological Endocrinology. 2011; 27(9): 706-10.
  • Mamun MA, Huq N, Papia ZF, Tasfina S, Gozal D. Prevalence of depression among Bangladeshi village women subsequent to a natural disaster: a pilot study. Psychiatry Res. 2019; 276: 124-28.
  • Xiong X, Harville EW, Mattison DR, ElkindHirsch K, Pridjian G, Buekens P. “Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women”. Am J Disaster Med. 2010; 5(3): 181-7.
  • Watanabe Z, Iwama N, Nishigori H, Nishigori T, Mizuno S, Sakurai K, et al. Psychological distress during pregnancy in Miyagi after the great east Japan earthquake: The Japan environment and children's study. J Affective Disord. 2016;190: 341-8.
  • Qobadi M, Collier C, Zhang L. The effect of stressful life events on postpartum depression: Findings from the 2009–2011 Mississippi pregnancy risk assessment monitoring system. Matern Child Health J. 2016; 20: 164-72.
  • Pop-Tudose ME, Popescu-Spineni DM, Manolescu LSC, Radu MC, Iancu FC, Armean SM. Psychological profile and mood disturbance of women who gave birth during the COVID-19 pandemic in Romania. Midwifery. 2023; 117: 1-7.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Mevhibe Çoban 0000-0002-0312-9542

Esra Güney 0000-0002-9679-9325

Yayımlanma Tarihi 22 Mayıs 2025
Gönderilme Tarihi 18 Şubat 2024
Kabul Tarihi 13 Mart 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 15 Sayı: 2

Kaynak Göster

Vancouver Çoban M, Güney E. Depremden Etkilenen Gebelerin Prenatal Bakım Alma Durumlarının Belirlenmesi. SABD. 2025;15(2):236-43.
 Kapak Resmi İndir