The Predictive Role of Receiving Respectful Maternal Care on Breastfeeding Attitudes and Postpartum Depression Saygılı Annelik Bakımı Alma Durumunun Emzirme Tutumu ve Postpartum Depresyon Üzerindeki Yordayıcı Rolü
Journal of Nursing Effect, vol.19, no.2, pp.240-256, 2026 (Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 19 Issue: 2
- Publication Date: 2026
- Doi Number: 10.46483/jnef.1573284
- Journal Name: Journal of Nursing Effect
- Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
- Page Numbers: pp.240-256
- Keywords: Breastfeeding Attitudes, Postpartum Depression, Postpartum Women, Respectful Maternity Car
- Open Archive Collection: AVESIS Open Access Collection
- Ondokuz Mayıs University Affiliated: Yes
Abstract
Background: Respectful maternity care has a positive impact on both short-and long-term maternal and infant health outcomes. Objective: The aim of this study is to determine the predictive role of receiving respectful maternal care on breastfeeding attitudes and postpartum depression in primiparous women. Methods: A descriptive, correlational study design was employed. The study was conducted between April and October 2024. The research population consisted of postpartum women who gave birth in a public hospital in northern Türkiye, and the sample included 266 participants from this population. Data were collected using a Personal Information Form, the Women’s Perception of Respectful Maternity Care Scale, the Breastfeeding Attitudes Assessment Scale, and the Edinburgh Postpartum Depression Scale. Data were analyzed using the Mann–Whitney U test, Kruskal–Wallis test, Spearman correlation, and linear regression analysis. Results: Primiparous women’s mean scores were 57.11 ± 12.65 on the Respectful Maternity Care Scale, 120.96 ± 44.34 on the Breastfeeding Attitudes Assessment Scale, and 9.01 ± 6.54 on the Edinburgh Postpartum Depression Scale. A weak negative correlation was found between the Women’s Perception of Respectful Maternity Care Scale and the Edinburgh Postpartum Depression Scale scores, while a weak positive correlation was observed between the Breastfeeding Attitudes Assessment Scale and the Edinburgh Postpartum Depression Scale scores (p < .05). An increase in the mean score on the Women’s Perception of Respectful Maternity Care Scale was associated with a 0.346-fold decrease in the mean score on the Edinburgh Postpartum Depression Scale (p=.00). Conclusion: Women’s perception of respectful maternity care was moderate. As their perception of respectful maternity care increased, their postpartum depression scores decreased. It was also found that postpartum depression affects women’s perception of respectful maternal care. In this regard, it is recommended that in-service training programs be organized in health institutions and care services be inspected to improve the quality of respectful maternity care.