The Effect of Mother-Baby Yoga Baby Perception, Maternal Attachment,Depression-Anxiety-Stress
Condition: Mother-Infant Interaction
MeSH terms: Depression
Study type: Interventional

Summary: 
      The research will be carried out in a randomized controlled manner to determine the positive
      benefits of yoga for mothers and babies who have given birth preterm and have been
      discharged, and to determine its effect on Fragile Baby Perception Syndrome, maternal
      attachment, depression-anxiety-stress levels.
    

Detailed description: 
      The World Health Organization (WHO) defines preterm newborns as babies born alive before
      completing the 37th week of gestation, regardless of birth weight. While the preterm birth
      rate in the world is 10%, the preterm rate in live births in our country in 2021 has
      increased compared to previous years and has been determined as 12.2%. Preterm babies account
      for 35% of neonatal deaths worldwide. According to WHO, approximately 15 million babies are
      born preterm every year. Complications arising from preterm birth are the leading cause of
      mortality among children under 5 years of age. Again, according to WHO, 16% of neonatal (0-27
      days) deaths are caused by preterm birth.Preterm babies face many problems at home after
      discharge. It is reported in the literature that preterm babies need special care after
      birth, that they may need to stay in the neonatal intensive care unit (NICU) for a long time,
      and that babies' stay in the hospital or NICU is traumatic for families . In a study
      comparing the parenting competencies of families with a preterm baby at home with the
      parenting competencies of families with a term baby, it was reported that parents with a
      preterm baby were less self-confident and preferred to watch as spectators rather than
      actively participating in the baby's care . In the study titled Permanent Postnatal
      Depression After Preterm Birth conducted by Kukreja et al., it was determined that postpartum
      psychological distress and stress continued in mothers who gave birth preterm in the 6th week
      after birth.As a result of the preterm baby being hospitalized in the NICU, the mother's
      separation from her baby and her inability to give him the care he desires increases anxiety
      and stress in the mother. The mother, who feels guilty for giving birth to her baby early,
      sees herself as inadequate and feels a lack of self-confidence and cannot pay enough
      attention to her baby. The stress experienced by mothers in the first days also negatively
      affects the mother-infant relationship and maternal attachment . Stressful situations that
      negatively affect attachment can also increase the risk of anxiety and depression in the
      mother. A mother's loving attachment to her baby is one of the most important elements that
      affects the healthy development of the child. If a secure attachment cannot be established
      between mother and baby, the risk of developing emotional, social, physical and mental
      problems in the baby increases. The healthier the mother's communication and interaction with
      her baby in the early period; The faster the feeling of motherhood will develop.
      Additionally, the mother's anxiety, stress and fear will decrease .

      Another problem experienced in preterm babies is that the mother, who gave birth before
      completing the pregnancy process, may fear losing her baby at any time after being discharged
      from home . The mother may not touch her baby, thinking that it will harm her, or she may
      delay this process and make it difficult to participate in the baby's care. These situations
      cause mothers to have difficulties in their relationship with their preterm babies and in
      baby care, and Fragile Baby Syndrome, defined by mothers as sensitive babies, may develop.One
      of the practices that will support the mother and baby during this period is yoga practice.
      Yoga is the oldest system in the world that emphasizes the importance of body, mind and
      spiritual balance in human development. Yoga, although mostly seen as a physical pursuit, is
      also a physio-psychological and psycho-spiritual subject; It is a teaching that ensures the
      mental, emotional and spiritual maturation of individuals along with physical maturation.
      When yoga is practiced in a disciplined manner, it enables the individual to become aware of
      his soul by connecting with his body and mind. Yoga is a practice that not only reduces
      stress but can also direct one's emotions and thoughts. Instead of questioning the negative
      experiences of the person, they accept them as they are and help them cope. Yoga has a very
      important place in supporting mother-baby communication after birth. It has been seen in the
      literature review that yoga is generally good for a person's psychological health and has a
      positive effect on self-efficacy . It is known that this practice enables mothers to
      intuitively be in close contact with their bodies and emotions . In line with the studies
      conducted, mother-baby yoga practice; helps the woman adapt to the changes occurring in her
      body, during meditation.This is due to the fact that she communicates spiritually with her
      baby by touching her baby and making eye contact.It is thought that it may contribute to
      mother-infant bonding and change in the mother's perception of her baby, as a result of being
      able to cope with physiological and psychological stressors. It also has positive effects on
      the baby, such as increased growth and development, regular sleep, reduced stress, sensory,
      motor, mental and social development and many more.

      The aim of the research was planned to consider the positive benefits of yoga for mothers and
      babies who had preterm birth and were discharged, and to examine its effect on depression,
      anxiety, stress level, mother-infant attachment levels and mothers' perception of fragility.
    

Intervention name(s): Mother Baby Yoga; No intervention:control
Intervention type(s): Behavioral; Other
Intervention description(s): Fragile Baby Perception Syndrome, Maternal Attachment, Depression-Anxiety-Stress Level; the control group received the usual care
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Mother-Baby Yoga; Fragile Baby Perception Syndrome; Maternal Attachment; Depression-Anxiety-Stress