Research Article
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The Effect of Smoking During Pregnancy on Prenatal Attachment

Year 2020, Volume: 5 Issue: 3, 444 - 454, 30.09.2020
https://doi.org/10.26453/otjhs.696268

Abstract

Objective: This study was conducted to determine the smoking status during pregnancy and the effect of smoking on prenatal attachment.
Materials and Methods: The cross-sectional study was carried out in a public hospital between 01.09.2017 and 30.01.2018. The study was conducted with 352 pregnant women. In collecting data, sociodemographic features, obstetric history, descriptive information form including smoking features, Fagerstrom test and prenatal attachment inventory for nicotine addiction were used.
Results: While 64.5% (n=227) of pregnant women reported that they never smoked, 35.5% (n=125) stated
that they smoked. 19.6% (n=69) of women who smoked said that they continued smoking during pregnancy and 15.9% (n=56) quit smoking. In the study, it was found that pregnant women who smoked had less educated, unemployed and unplanned pregnancy compared to non-smoker pregnant women. Prenatal attachment levels of pregnant women who smoke were significantly lower than nonsmoking women (p> 0.05).
Conclusions: The effect of smoking on prenatal attachment was determined. Women should be counseled about the effects of smoking on the effects of the mother and baby during pregnancy. Especially smoking pregnant women should be supported in quitting smoking and prenatal attachment with consultancy services within the scope of midwifery care during antenatal follow-ups.

References

  • Yang SI, Kim BJ, Lee SY, Kim YB, Lee CM, Yu J. COCOA Study Group. Prenatal particulate matter/ tobacco smoke ıncreases ınfants' respiratory ınfections: cocoa study. Allergy Asthma Immunol Res. 2015;7(6):573-582. doi: 10.4168/aair.2015.7.6.573.
  • Ergin I, Hassoy H, Tanık FA, Aslan G. Maternal age, education level and migration: socieconomic determinants for smoking during pregnancy in a field study from Turkey. BMC Public Health. 2010;10:325. doi: 10.1186/1471-2458-10-325.
  • Tarhan P, Yilmaz T. Gebelikte sigara kullanımı ve etkileyen faktörler. Smoking during pregnancy and the effecting factors. HSP 2016;3(3):40-47 doi 10.17681/hsp.61635
  • Magee SR, Bublitz MH, Orazin C, ve ark. The relationship between maternal-fetal attachment and cigarette smoking over pregnancy. Maternal and Child Health Journal. 2014;18(1):1017–1022. doi:10.1007/s10995-013-1330-x
  • Elkin N. Levels of prenatal attachment in pregnant women and factors affecting. Sted 2015;24:(6):230-236.
  • Massey SH, Reiss D, Neiderhiser JM, Leve LD, Shaw DS, Ganiban JM. Maternal personality traits associated with patterns of prenatal smoking and exposure: ımplications foretiologicand prevention research. Neurotoxicol Teratol. 2015;(53):48-54. doi: 10.1016/j.ntt.2015.11.010.
  • Bowlby J, Attachment and Loss, Vol. 1. 2nd ed.. New York: Basic Books; 1969. ISBN 0-465-00543-8.
  • Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh 2004;36(3):226-532.
  • Metin A, & Pasinlioğlu T. The relatıonshıp between perceıved socıal support and prenatal attachment ın pregnant women. International Refereed Journal of Gynaecology And Maternal Child Health 2016;(05) ISSN Print: 2148-4775 Online 2149-245X doi: 10.17367/JACSD.2016516857.
  • Figueiredo B, Costa R, Pacheco A, Pais AMother-to infant emotional involvement at birth. Matern Child Health J. 2009;13(4):539-549. doi: 10.1007/s10995-008-0312-x.
  • Pollock PH, & Percy A. Maternal antenatal attachment style and potential fetal abuse. Child Abuse & Neglect. 1999;3(12):1345-1357; doi: 10.1016/S0145-2134(99)00
  • Rodriguez CM & Tucker MC. Behind the cycle of violence, beyond abuse history: a brief report on the association of parental attachment to physical child abuse potential. Violence and Victims 2011;26(2):246-256. doi:10.1891/0886-6708.26.2.246.
  • Wedekind D, Bandelow B, Heitmann S, Havemann-Reinecke U, Engel KR, Huether G. Attachment style, anxiety coping, and personality-styles in withdrawn alcohol addicted inpatients. Subst Abuse Treat Prev Policy. 2013;(8)1186-1747.
  • Uysal MA, Kadakal F, Karşıdağ C, Bayram NG, Uysal O, Yilmaz V. Fagerström test fornicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks.2004;52(2):115-121.
  • Yilmaz SD & Beji NK. Prenatal bağlanma envanterinin Türkçe’ye uyarlanması: güvenilirlik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(2):103-109.
  • Erkal Aksoy Y, Yilmaz S, Aslantekin F. Riskli gebelerde prenatal bağlanma ve sosyal destek. Türkiye Klinikleri J Health Sci. 2016;1(3):163-169. doi: 10.5336/healthsci.2016-50668.
  • Bakır N, Ölçer Z, Oskay Ü. Prenatal attachment level of high risk pregnants and factors affecting ınternational refereed. Journal Of Gynaecology And Matenal Child Health. 2014;(01):25-37 doi: 10.17367/JACSD.2014019296.
  • Bülbül M, Dilbaz B, Koyuncu Boybay S, Yağmur, Y. Is ıncreased stress affecting prenatal attachment in high risk pregnancies? Journal Of Medical Practice And Review. 2018;2(8):217- http://jmpr.info/index.php/jmpr/article/view/78/67. Acessed in 2019 (Mar 01).
  • Massey SH, Bublitz MH, Magee SR, ve ark. Maternal-fetal attachment differentiates patterns of prenatal smoking and exposure. Addict Behav. 2015; 45:51-56. doi: 10.1016/j.addbeh.2015.01.028.
  • Ossa X, Bustos L, Fernandez L. Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery. 2012 28(5):689-696. doi: 10.1016/j.midw.2011.08.015.
  • Abasi E, Tahmasebi H, Zafari M. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Science Journal. 2012;9(1):68-75. http://www.lifesciencesite.com/lsj/life0901s/012_13436life0901s_68_75.pdf. Accessed in 2019 (Mar 01).
  • Lindgren K. Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Res Nurs Health. 2001;24(3):203-217. doi: 10.1002/nur.1023
  • Kown M, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. J Korean Acad Nurs. 2011;41(2):276-283. doi: 10.4040/jkan.2011.41.2.276.
  • Lucas A. Promoting maternal-fetal attachment with women affected by HIV and/or substance use. The Administration for Children and Families. 2013 Washington, DC National Abandoned Infants Assistance Resource Center. Research to Practice Brief. page:23. https://www.acf.hhs.gov/sites/default/files/cb/bibliography_nrc.pdf. Accessed in 2019 (Mar 01).
  • Neethu T, Bhavya SV, Sheela W. Effect of fetal movement counting on prenatal attachment and maternal worries among primigravida mothers in selected hospital, Mysuru. International Journal of Nursing Education and Research. 2018;6(2):200-204 doi: 10.5958/2454-2660.2018.00045.5.

Gebelikte Sigara Kullanımının Prenatal Bağlanmaya Etkisi

Year 2020, Volume: 5 Issue: 3, 444 - 454, 30.09.2020
https://doi.org/10.26453/otjhs.696268

Abstract

Amaç: Bu çalışma gebelikte sigara kullanım durumu, sigara kullanımının prenatal bağlanma üzerine etkisinin belirlenmesi amacıyla yapılmıştır.
Materyal ve Metot: Kesitsel tipteki çalışma, 01.09.2017 ve 30.01.2018 tarihleri arasında bir devlet hastanesinde
gerçekleştirildi. Çalışma 352 gebe ile yürütüldü. Verilerin toplanmasında sosyodemografik özellikler, obstetrik öykü, sigara içme özelliklerini içeren tanımlayıcı bilgi formu, nikotin bağımlılığı için Fagerstrom testi ve prenatal bağlanma envanteri kullanılmıştır.
Bulgular: Gebelerin, % 64,5'i (n=227) hiç sigara içmediklerini, %35,5'i (n=125) sigara içtiğini belirtmiştir. Sigara içenlerin %19,6'sı (n=69) gebelik sırasında sigara içmeye devam etmiş ve %15,9'u (n=56) sigarayı bırakmıştır. Çalışmada, sigara içen gebelerin, içmeyen gebelere oranla daha az eğitimli, işsiz ve plansız gebeliği olduğu saptanmıştır. Sigara içen gebelerin, prenatal bağlanma düzeyleri sigara içmeyen gebelere göre anlamlı olarak daha düşüktür (p> 0,05).
Sonuç: Sigara içmenin prenatal bağlanma üzerine etkisi saptanmıştır. Sigara içmenin zararları gebelikte anne ve bebeğe olan etkileri hakkında kadınlara danışmanlık yapılmalıdır. Özellikle sigara içen gebeler, antenatal izlemlerde ebelik bakımı kapsamında danışmanlık hizmetleriyle sigaranın bırakılması ve prenatal bağlanma konusunda desteklenmelidir.

References

  • Yang SI, Kim BJ, Lee SY, Kim YB, Lee CM, Yu J. COCOA Study Group. Prenatal particulate matter/ tobacco smoke ıncreases ınfants' respiratory ınfections: cocoa study. Allergy Asthma Immunol Res. 2015;7(6):573-582. doi: 10.4168/aair.2015.7.6.573.
  • Ergin I, Hassoy H, Tanık FA, Aslan G. Maternal age, education level and migration: socieconomic determinants for smoking during pregnancy in a field study from Turkey. BMC Public Health. 2010;10:325. doi: 10.1186/1471-2458-10-325.
  • Tarhan P, Yilmaz T. Gebelikte sigara kullanımı ve etkileyen faktörler. Smoking during pregnancy and the effecting factors. HSP 2016;3(3):40-47 doi 10.17681/hsp.61635
  • Magee SR, Bublitz MH, Orazin C, ve ark. The relationship between maternal-fetal attachment and cigarette smoking over pregnancy. Maternal and Child Health Journal. 2014;18(1):1017–1022. doi:10.1007/s10995-013-1330-x
  • Elkin N. Levels of prenatal attachment in pregnant women and factors affecting. Sted 2015;24:(6):230-236.
  • Massey SH, Reiss D, Neiderhiser JM, Leve LD, Shaw DS, Ganiban JM. Maternal personality traits associated with patterns of prenatal smoking and exposure: ımplications foretiologicand prevention research. Neurotoxicol Teratol. 2015;(53):48-54. doi: 10.1016/j.ntt.2015.11.010.
  • Bowlby J, Attachment and Loss, Vol. 1. 2nd ed.. New York: Basic Books; 1969. ISBN 0-465-00543-8.
  • Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh 2004;36(3):226-532.
  • Metin A, & Pasinlioğlu T. The relatıonshıp between perceıved socıal support and prenatal attachment ın pregnant women. International Refereed Journal of Gynaecology And Maternal Child Health 2016;(05) ISSN Print: 2148-4775 Online 2149-245X doi: 10.17367/JACSD.2016516857.
  • Figueiredo B, Costa R, Pacheco A, Pais AMother-to infant emotional involvement at birth. Matern Child Health J. 2009;13(4):539-549. doi: 10.1007/s10995-008-0312-x.
  • Pollock PH, & Percy A. Maternal antenatal attachment style and potential fetal abuse. Child Abuse & Neglect. 1999;3(12):1345-1357; doi: 10.1016/S0145-2134(99)00
  • Rodriguez CM & Tucker MC. Behind the cycle of violence, beyond abuse history: a brief report on the association of parental attachment to physical child abuse potential. Violence and Victims 2011;26(2):246-256. doi:10.1891/0886-6708.26.2.246.
  • Wedekind D, Bandelow B, Heitmann S, Havemann-Reinecke U, Engel KR, Huether G. Attachment style, anxiety coping, and personality-styles in withdrawn alcohol addicted inpatients. Subst Abuse Treat Prev Policy. 2013;(8)1186-1747.
  • Uysal MA, Kadakal F, Karşıdağ C, Bayram NG, Uysal O, Yilmaz V. Fagerström test fornicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks.2004;52(2):115-121.
  • Yilmaz SD & Beji NK. Prenatal bağlanma envanterinin Türkçe’ye uyarlanması: güvenilirlik ve geçerlilik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16(2):103-109.
  • Erkal Aksoy Y, Yilmaz S, Aslantekin F. Riskli gebelerde prenatal bağlanma ve sosyal destek. Türkiye Klinikleri J Health Sci. 2016;1(3):163-169. doi: 10.5336/healthsci.2016-50668.
  • Bakır N, Ölçer Z, Oskay Ü. Prenatal attachment level of high risk pregnants and factors affecting ınternational refereed. Journal Of Gynaecology And Matenal Child Health. 2014;(01):25-37 doi: 10.17367/JACSD.2014019296.
  • Bülbül M, Dilbaz B, Koyuncu Boybay S, Yağmur, Y. Is ıncreased stress affecting prenatal attachment in high risk pregnancies? Journal Of Medical Practice And Review. 2018;2(8):217- http://jmpr.info/index.php/jmpr/article/view/78/67. Acessed in 2019 (Mar 01).
  • Massey SH, Bublitz MH, Magee SR, ve ark. Maternal-fetal attachment differentiates patterns of prenatal smoking and exposure. Addict Behav. 2015; 45:51-56. doi: 10.1016/j.addbeh.2015.01.028.
  • Ossa X, Bustos L, Fernandez L. Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery. 2012 28(5):689-696. doi: 10.1016/j.midw.2011.08.015.
  • Abasi E, Tahmasebi H, Zafari M. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Science Journal. 2012;9(1):68-75. http://www.lifesciencesite.com/lsj/life0901s/012_13436life0901s_68_75.pdf. Accessed in 2019 (Mar 01).
  • Lindgren K. Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Res Nurs Health. 2001;24(3):203-217. doi: 10.1002/nur.1023
  • Kown M, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. J Korean Acad Nurs. 2011;41(2):276-283. doi: 10.4040/jkan.2011.41.2.276.
  • Lucas A. Promoting maternal-fetal attachment with women affected by HIV and/or substance use. The Administration for Children and Families. 2013 Washington, DC National Abandoned Infants Assistance Resource Center. Research to Practice Brief. page:23. https://www.acf.hhs.gov/sites/default/files/cb/bibliography_nrc.pdf. Accessed in 2019 (Mar 01).
  • Neethu T, Bhavya SV, Sheela W. Effect of fetal movement counting on prenatal attachment and maternal worries among primigravida mothers in selected hospital, Mysuru. International Journal of Nursing Education and Research. 2018;6(2):200-204 doi: 10.5958/2454-2660.2018.00045.5.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research article
Authors

Filiz Aslantekin Özçoban 0000-0002-0402-6959

Hacer Yalnız Dilcen 0000-0001-5911-7201

Serap Kaynak 0000-0001-9482-5254

Nesibe Uzel 0000-0001-8679-0987

Publication Date September 30, 2020
Submission Date February 28, 2020
Acceptance Date July 2, 2020
Published in Issue Year 2020 Volume: 5 Issue: 3

Cite

AMA Aslantekin Özçoban F, Yalnız Dilcen H, Kaynak S, Uzel N. The Effect of Smoking During Pregnancy on Prenatal Attachment. OTJHS. September 2020;5(3):444-454. doi:10.26453/otjhs.696268

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