The Effect of Health Literacy Level on Postpartum Maternal Adaptation
Keywords:Health Literacy, Postpartum Self-Evaluation, Puerperants
Objective: This study was conducted to evaluate the influence of health literacy level on postpartum maternal adaptation.
Material and Method: A total of 314 postpartum mothers participated in this cross-sectional research. The data was collected using the Personal Information Form, the Health Literacy Scale (HLS), and the Postpartum Self-Evaluation Questionnaire (PSEQ). In the statistical evaluation, descriptive statistics (number, percentage, mean, standard deviation) and Pearson correlation analysis were employed.
Results: The mean age of the women who participated in the study was 28.00±5.41 years. It was determined that 73.2% of the women had a nuclear family structure, 69.1% of the women's income was equal to their expenses, 72.3% had a planned and desired pregnancy, 81.5% went for prenatal care checks regularly, 85.7% did not attend childbirth-preparation class, and 90.1% of births of them attended by a midwife. The women's total scores of the HLS and PSEQ were 105.21±15.17 and 135.19±27.38, respectively. It was found that there was a weak significant correlation between the total scores of the HLS and PSEQ and all of their sub-dimensions, with the exception of the sub-dimensions of access to information in the HLS and satisfaction with the birth experience in the PSEQ, and that postpartum adaptation increased as the level of health literacy increased (p<0.001, p<0.05).
Conclusion: It was found that as the level of health literacy increased in women in the postpartum period, the level of postpartum adaptation to motherhood also increased. The health literacy level of women can make easier their adaptation to motherhood in the postpartum period.
Alinejad-Naeini, M., Razavi, N., Sohrabi, S., Heidari-Beni, F. (2021). The association between health literacy, social support and self-efficacy in mothers of preterm neonates. The Journal of Maternal-Fetal & Neonatal Medicine: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 34(11), 1703–1710.
Aljassim, N., Ostini, R. (2020). Health literacy in rural and urban populations: A systematic review. Patient Education and Counseling, 103(10), 2142-2154.
Alshikh-Ahmad, H., Alkhatib, A., Luo, J. (2021). Prevalence and risk factors of postpartum depression in the Middle East: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 21(1), 542.
Altuntuğ, K ve Ege, E. (2013). Effects of health education on mothers' readiness for postpartum discharge from hospital, on postpartum complaints, and quality of life, Journal of Research and Development in Nursing, 15(2), 45-56.
Aras Z, Temel-Bayık, A. (2017). Evaluation of the validity and reliability of the Turkish form of the Health Literacy Scale. Florence Nightingale Nursing Journal, 25(2), 85–94.
Asadi, M., Noroozi, M., Alavi, M. (2020). factors affecting women's adjustment to postpartum changes: A narrative review. Iranian Journal of Nursing and Midwifery Research, 25(6), 463–470.
Barnes, L., Barclay, L., McCaffery, K., Aslani, P. (2019). Women's health literacy and the complex decision-making process to use complementary medicine products in pregnancy and lactation. Health expectations: An İnternational Journal of Public Participation in Health Care and Health Policy, 22(5), 1013–1027.
Başar, F., Arıöz, D. T. (2017). The evaluation of the education for the pregnants on puerperium care and baby care. Journal of Current Researches on Health Sector, 7(2), 169-182.
Charoghchian-Khorasani, E., Peyman, N., Esmaily, H. (2017). Relations between breastfeeding self-efficacy and maternal health literacy among pregnant women. Evidence Based Care, 6(4), 18-25.
Charoghchian-Khorasani, E., Tavakoly Sany, S. B., Orooji, A., Ferns, G., Peyman, N. (2020). Health literacy in Iranian women: A systematic review and meta-analysis. Iranian Journal of Public Health, 49(5), 860–874.
Cheong, S. M., Mohamad Nor, N. S., Ahmad, M. H., Manickam, M., Ambak, R., Shahrir, S. N., Aris, T. (2018). Improvement of health literacy and intervention measurements among low socio-economic status women: findings from the MyBFF@ home study. BMC women's health, 18(1), 63-70.
Cooklin, A. R., Amir, L. H., Nguyen, C. D., Buck, M. L., Cullinane, M., Fisher, J., Donath, S. M., CASTLE Study Team (2018). Physical health, breastfeeding problems and maternal mood in the early postpartum: A prospective cohort study. Archives of Women's Mental Health, 21(3), 365–374.
de Buhr, E., Tannen, A. (2020). Parental health literacy and health knowledge, behaviours and outcomes in children: A cross-sectional survey. BMC Public Health, 20(1), 1096.
Demir, R., Taşpınar, A. (2022). The effect of discharge education given with different postpartum education methods on discharge ready, postpartum adaptation process and breastfeeding self-efficiency. Journal of Adnan Menderes University Health Sciences Faculty, 6(1), 97-115.
Dennison, R. A., Ward, R. J., Griffin, S. J., Usher-Smith, J. A. (2019). Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice. Diabetic medicine : A journal of the British Diabetic Association, 36(6), 702–717.
Ferguson, B. (2008). Health literacy and health disparities: The role they play in maternal and child health. Nursing For Women's Health, 12(4), 286–298.
França, A. S., Pirkle, C. M., Sentell, T., Velez, M. P., Domingues, M. R., Bassani, D. G., Câmara, S. (2020). Evaluating health literacy among adolescent and young adult pregnant women from a low-ıncome area of northeast Brazil. International Journal of Environmental Research and Public Health, 17(23), 8806.
Gökçe-İşbir, G., İnci, F., Bektaş, M., Dikmen-Yıldız, P., & Ayers, S. (2016). Risk factors associated with post-traumatic stress symptoms following childbirth in Turkey. Midwifery, 41, 96–103.
Gümüsşoy, S., Ünsal-Atan, S (2019). The effect of maternal adaptation on breastfeeding self-efficacy. Worldwide Medicine, 1(5), 154-163.
Hacettepe University Institute of Population Studies (2019). 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TUBITAK Ankara, Turkey.
Hussey, L. C., Frazer, C., Kopulos, M. I. (2016). Impact of health literacy levels in educating pregnant Millennial women. International Journal of Childbirth Education, 31(3):13-18.
Institute of Medicine (US) Committee on Health Literacy, Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (Eds.). (2004). Health Literacy: A Prescription to End Confusion. National Academies Press (US).
Jarahi, L., Asadi, R., Hakimi, H. R. (2017). General Health Literacy Assessment of Iranian women in Mashhad. Electronic Physician, 9(11), 5764–5769.
Kaya-Şenol, D., Göl, I., Aydın-Ozkan, S. (2019). The effect of health literacy levels of pregnant women on receiving prenatal care: A cross-sectional descriptive study. International Journal of Caring Sciences, 2(3), 1717-1724.
Kharazi, S., Peyman, N., Esmaily, H. (2016). Association between maternal health literacy level with pregnancy care and its outcomes. The Iranian Journal of Obstetrics, Gynecology and Infertility, 19(37), 40-50.
Khorasani, E. C., Sany, S. B. T., Orooji, A., Ferns, G., Peyman, N. (2020). Health literacy in Iranian women: A systematic review and meta-analysis. Iranian Journal of Public Health, 49(5), 860.
Kilfoyle, K. A., Vitko, M., O'Conor, R., Bailey, S. C. (2016). Health literacy and women's reproductive health: A systematic review. Journal of Women's Health, 25(12), 1237-1255.
Lederman, R. P., Weingarten, C. G., Lederman, E. (1981). Postpartum self-evaluation questionnaire: Measures of maternal adaptation. Birth Defects Original Article Series, 17(6), 201-231.
Lee, S. Y., Arozullah, A. M., Cho, Y. I. (2004). Health literacy, social support, and health: A research agenda. Social Science & Medicine (1982), 58(7), 1309–1321.
Mobley, S. C., Thomas, S. D., Sutherland, D. E., Hudgins, J., Ange, B. L., Johnson, M. H. (2014). Maternal health literacy progression among rural perinatal women. Maternal and Child Health Journal, 18(8), 1881–1892.
Nutbeam, D. (2009). Defining and measuring health literacy: What can we learn from literacy studies?. International Journal of Public Health, 54(5), 303-305.
OpenEpi. (2020). http://www.openepi.com/SampleSize/SSPropor.htm
Öztürk, S., Nacar, G., Timur-Taşhan, S. (2022). Does health literacy level affect traditional practices towards postpartum mother? The Journal of Gynecology- Obstetrics and Neonatology, 19(2):1277-1282.
Ratzan, S. C., Parker, R. M., Selden, C., Zorn, M. (2000). National library of medicine current bibliographies in medicine: health literacy. Bethesda, MD: National Institutes of Health, US Department of Health and Human Services.
Shieh, C., Halstead, J. A. (2009). Understanding the impact of health literacy on women's health. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 38(5), 601–612.
Shrestha, A., Singh, S. B., Khanal, V. K., Bhattarai, S., Maskey, R., Pokharel, P. K. (2018). Health literacy and knowledge of chronic diseases in Nepal. Health Literacy Research and Practice, 2(4), e221–e230.
Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., (HLS-EU) Consortium Health Literacy Project European (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12, 80.
Taşçı, K. D., Mete, S. (2007). Validity and reliability study of the Postpartum Self Evaluation Questionnaire. Journal of Atatürk University School of Nursing High School, 10(2), 20-29
Tavasoli, Z., Nava, F. (2017). The relationship between health literacy and marital satisfaction and quality of life of married women aged 30 to 40 in Mashhad. Journal of Health Literacy, 2(1), 31-38.
Tehrani, H., Rahmani, M., Jafari, A. (2018). Health literacy and Its relationship with general health of women referring to health care centers. Journal of Health Literacy, 3(3), 191-198.
Toci, E., Burazeri, G., Jerliu, N., Sørensen, K., Ramadani, N., Hysa, B., Brand, H. (2015). Health literacy, self-perceived health and self-reported chronic morbidity among older people in Kosovo. Health Promotion International, 30(3), 667–674.
Toksoy, K. H., Cesur, B. (2020). The Relationship between health literacy and breastfeeding attitude in primiparous women. International Journal of Caring Sciences, 13(3), 1930.
Tseng, H. M., Liao, S. F., Wen, Y. P., Chuang, Y. J. (2017). Stages of change concept of the transtheoretical model for healthy eating links health literacy and diabetes knowledge to glycemic control in people with type 2 diabetes. Primary Care Diabetes, 11(1), 29–36.
Velardo S. (2015). The nuances of health literacy, nutrition literacy, and food literacy. Journal of Nutrition Education and Behavior, 47(4), 385–9.e1.
Weiss, B. D., Sheehan, C. P., Gushwa, L. L. (2009). Is low literacy a risk factor for symptoms of depression in postpartum women?. The Journal of Reproductive Medicine, 54(9), 563-568.
How to Cite
Copyright (c) 2022 WORLD WOMEN STUDIES JOURNAL
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.