scholarly journals The mediating role of prenatal depression in adult attachment and maternal-fetal attachment in primigravida in the third trimester

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
Shu Cui ◽  
...  
Keyword(s):  
Maternal Depression ◽  
Adult Attachment ◽  
Depression Scale ◽  
Depression Score ◽  
Prenatal Depression ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Close Relationship ◽  
General Data ◽  
Fetal Attachment

Abstract Background Prenatal depression and adult attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different types of adult attachment and the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. An exploratory analysis was performed to analyze the effects of the depression score and adult attachment on MFA. Results The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total MFA scores, and lower MFA quality compared with those women with secure adult attachment. The explorative analysis showed that the depression scores mediated the relationship between adult attachment avoidance and MFA quality. Conclusions Primigravida who had insecure adult attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and adult attachment may affect the emotional bond between a mother and fetus. This finding should be seriously considered, and timely intervention needs to take personality traits into consideration.

Mediating role of prenatal depression in attachment and maternal-fetal attachment in primigravida in late pregnancy

2020 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
Shu Cui ◽  
...  
Keyword(s):  
Maternal Depression ◽  
Depression Scale ◽  
Late Pregnancy ◽  
Depression Score ◽  
Prenatal Depression ◽  
Insecure Attachment ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Close Relationship ◽  
Fetal Attachment

Abstract Background: Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between different type of attachment as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with fetus.Methods: The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 260 primigravida. Exploratory analysis was performed to analyze the effects of depression score and attachment on MFA.Results: The results showed that pregnant women with insecure attachment exhibited an increased prevalence of prenatal depression, lower total score of MFA and lower MFA quality compared with those women with secure attachment. Explorative analysis showed that depression score mediated the relationship between attachment avoidance and MFA quality.Conclusions: Primigravida who had insecure attachment exhibited an increased prevalence of prenatal depression and lower MFA. Maternal depression and attachment may affect the emotional bond between a mother and fetus. This finding should be taken seriously, and early intervention needs to take personality traits into consideration.

Mediating role of prenatal depression in attachment and maternal-fetal attachment in women who receive prenatal education

2020 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Qiuyu Yuan ◽  
Shu Cui ◽  
Cui Huang ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Depression ◽  
Depression Scale ◽  
Depression Score ◽  
Prenatal Depression ◽  
Prenatal Education ◽  
Attachment Avoidance ◽  
Education Group ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Abstract Background Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus, and prenatal education plays an important role in helping pregnant women adapt to a maternal role and changes during pregnancy. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between a prenatal education group and no prenatal education group, as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 222 pregnant women who received prenatal education and 118 pregnant women who did not receive prenatal education in the third trimester of pregnancy. An exploratory analysis was performed to analyze the effects of depression score and attachment on MFA in pregnant women who received prenatal education. Results The results showed that pregnant women who received prenatal education had higher MFA and lower depression scores than those who did not receive prenatal education, and prenatal depression partially mediated the relationship between attachment avoidance and MFA quality. Conclusions Women who received prenatal education had low prenatal depression scores and high MFA. Maternal depression and attachment avoidance may affect the emotional bond between mother and fetus and should be taken seriously; they can be prevented by prenatal education and early intervention.

scholarly journals Relation between Mother’s Taekyo, Prenatal and Postpartum Depression, and Infant’s Temperament and Colic: A Longitudinal Prospective Approach

2020 ◽  
Vol 17 (20) ◽  
pp. 7691
Author(s):  
Kyung-Sook Bang ◽  
Insook Lee ◽  
Sungjae Kim ◽  
Yunjeong Yi ◽  
Iksoo Huh ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Maternal Depression ◽  
Depression Scale ◽  
Final Analysis ◽  
Significant Negative Correlation ◽  
Infant Temperament ◽  
Maternal Fetal Attachment ◽  
Before And After ◽  
Depression Level ◽  
Fetal Attachment

This longitudinal cohort correlational study aimed to confirm the relation among taekyo or traditional prenatal practice, prenatal depression, postpartum depression, maternal–fetal interaction, and infant temperament and colic using a prospective design. We recruited 212 women 16–20 weeks pregnant from July 2017 to September 2018; they were followed up until six months postpartum. Data from 97 participants were used in the final analysis. We used the Edinburgh Postnatal Depression Scale, Cranley’s Maternal–Fetal Attachment Scale, and What My Baby Is Like as measurement tools. We observed a significant correlation between prenatal maternal depression in the first to third trimesters and 6–8 weeks and six months postpartum. In addition, infant temperament at six months old showed a significant negative correlation with prenatal and postpartum depression: the higher the prenatal and postpartum depression level, the more difficult the infant’s temperament. Taekyo practice was significantly related to maternal–fetal attachment (r = 0.45−0.68, p < 0.001). Difficult infants showed more colic episodes than any other type of infant (χ2 = 18.18, p < 0.001). Prenatal and postnatal maternal depression affected infants’ temperament and colic episodes. The management of mothers’ mental health before and after pregnancy is important for infants’ and mothers’ health.

scholarly journals The Mediation Effect of Health Behavior on the Relationship Between Maternal Depression and Maternal-Fetal Attachment

2020 ◽  
Author(s):  
Rufidah Maulina ◽  
◽  
Su-Chen Kuo ◽  
Chieh Yu Liu ◽  
Yu-Ying Lu ◽  
...  
Keyword(s):  
Health Behavior ◽  
Maternal Depression ◽  
Depression Scale ◽  
Mediating Effect ◽  
Mediation Effect ◽  
Maternal Fetal Attachment ◽  
Health Promoting ◽  
Health Promoting Lifestyle ◽  
Fetal Attachment ◽  
The Relationship

Background: Numerous studies have shown the adverse effects of maternal depression, which impacts both mother and child as well as can lower the maternal-fetal attachment. However, during pregnancy, a pregnant woman tends to practice healthier behavior to improve her health and the baby. A gap remains in our understanding of the effect of health behavior as the variable which influences the relationship between depression and maternal-fetal attachment. This study aimed to investigate the mediating effect of healthy behavior on the relationship between maternal depression and maternal-fetal attachment. Subjects and Method: A cross sectional study was conducted at Community Health Centers in Surakarta, from July to September 2019. A sample of 224 pregnant women was selected for this study. The dependent variable was a healthy lifestyle. The independent variable was depression and maternal-fetal attachment. Depression was measured by Edinburgh Postpartum Depression Scale (EPDS). The data were analyzed by Hayes’ process mediation analysis. Results: Health-promoting lifestyle totally mediated the relationship between maternal depression and maternal-fetal attachment (b= -0.25; SE= 0.10; 95% CI= -0.47 to 0.05). Conclusion: Health-promoting lifestyle and behavior mediates the relationship between maternal depression and maternal-fetal attachment. Keywords: Nursing, midwife, maternal-fetal attachment, prenatal depression, health-promoting lifestyle Correspondence: Rufidah Maulina. National Taipei University of Nursing and Health Sciences. Taipei, Taiwan. Email: [email protected]. Mobile: +6282221525673. DOI: https://doi.org/10.26911/the7thicph.02.40

scholarly journals Prenatal Depression in Women in the Third Trimester: Prevalence, Predictive Factors, and Relationship With Maternal-Fetal Attachment

2021 ◽  
Vol 8 ◽  
Author(s):  
Ling Zhang ◽  
Lei Wang ◽  
Shu Cui ◽  
Qiuyu Yuan ◽  
Cui Huang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Correlation Analysis ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Prenatal Depression ◽  
Prenatal Education ◽  
Third Trimester ◽  
The Third ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Objective: The prevalence of prenatal depression in pregnant women has found to be high, which may adversely affect the intimacy of a mother to her fetus. Few studies have investigated the relationship between prenatal depression and maternal-fetal attachment in pregnant Chinese women. This study is thus designed to evaluate the prevalence rate, predictive factors of prenatal depression in Chinese pregnant women in the third trimester of pregnancy, and the effect of prenatal depression on maternal-fetal attachment.Methods: A total of 340 pregnant women in the third trimester of pregnancy were recruited from a hospital in Anhui Province. The Edinburgh Postpartum Depression Scale (EPDS) was rated to assess the prenatal depression; the Pittsburgh Sleep Quality Index (PSQI) and Zung Self-Rating Anxiety Scale (SAS) were used to assess sleep quality and anxiety level for all participants. The Maternal Antenatal Attachment Scale (MAAS) was used to assess maternal-fetal attachment.Results: The prevalence of prenatal depression in the participants was high (19.1%) in our study. The scores of prenatal anxiety and sleep disorders were higher with prenatal depression than in those without prenatal depression (47.6 ± 9.5 vs. 38.9 ± 6.9; 8.3 ± 3.3 vs. 6.1 ± 2.7, all p &lt; 0.01). MAAS quality was lower in prenatal depression women than those in non-prenatal depression women (43.8 ± 5.6 vs. 46.4 ± 4.5, p &lt; 0.01). Correlation analysis showed that prenatal depression was associated with parity, prenatal education, education level, marital satisfaction, anxiety and sleep disorders (all p &lt; 0.05). Furthermore, binary logistic regression results showed that anxiety and sleep disorders were risk factors for prenatal depression. Prenatal education, higher marriage satisfaction were protective factors for prenatal depression. In addition, correlation analysis also showed that prenatal depression was positively correlated with MAAS intensity, but negatively correlated with MAAS quality.Conclusions: Our results indicated a high prevalence of prenatal depression in women in the third trimester. Prenatal education and higher marital satisfaction were protective factors for prenatal depression; antenatal anxiety and sleep disorders during pregnancy were risk factors for prenatal depression. Prenatal depression was negatively correlated with MAAS quality, but positively correlated with MAAS intensity.

Prenatal Predictors of Maternal-infant Attachment

2020 ◽  
Vol 87 (4) ◽  
pp. 265-277
Author(s):  
Grace Branjerdporn ◽  
Pamela Meredith ◽  
Trish Wilson ◽  
Jenny Strong
Keyword(s):  
Mental Health ◽  
Adult Attachment ◽  
Multivariate Regression ◽  
Regression Models ◽  
Perinatal Care ◽  
Occupational Therapists ◽  
Infant Attachment ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Background. Increasingly, occupational therapists are working with women in the perinatal period, including supporting the developing mother-child relationship. Purpose. To examine prenatal predictors of maternal-infant attachment (maternal-fetal attachment, sensory patterns, adult attachment, perinatal loss, and mental health) that may provide possible avenues for assessment and intervention by occupational therapists. Method. Women (N = 60) were assessed during pregnancy and within one year postpartum in a cohort study. Independent t-tests, correlations, and multivariate regression models were conducted. Findings. Low threshold maternal sensory patterns, more insecure adult attachment, and poorer quality of maternal-fetal attachment were each correlated with less optimal maternal-infant attachment. Quality of prenatal attachment was the best predictor of overall postnatal attachment in multivariate regression models. Implications. Occupational therapists working in a range of clinical settings (e.g., mental health, substance use, and perinatal care) may work with women during pregnancy to promote their relationship with their developing baby in utero and after birth.

Maternal–fetal attachment protects against postpartum anxiety: the mediating role of postpartum bonding and partnership satisfaction

2019 ◽  
Vol 301 (1) ◽  
pp. 107-117 ◽  
Author(s):  
Lina Maria Matthies ◽  
Mitho Müller ◽  
Anne Doster ◽  
Christof Sohn ◽  
Markus Wallwiener ◽  
...  
Keyword(s):  
Postpartum Anxiety ◽  
Mediating Role ◽  
Maternal Fetal Attachment ◽  
Partnership Satisfaction ◽  
Postpartum Bonding ◽  
Fetal Attachment

scholarly journals Does Interactive Ultrasound Intervention Relieve Minor Depressive Symptoms in Pregnancy? A Randomized Controlled Trial

2021 ◽  
Author(s):  
Henrika Peppiina Pulliainen ◽  
Sari Ahlqvist-Björkroth ◽  
Eeva Ekholm
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Perinatal Depression ◽  
Controlled Trial ◽  
Intervention Group ◽  
Depression Scale ◽  
Minor Depression ◽  
4D Ultrasound ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Abstract BackgroundPerinatal depression, especially minor depression, is common during pregnancy and is likely to continue into the postpartum period. It impairs the mother’s health, infant’s neurodevelopment, and the mother-infant relationship. Screening for perinatal depression is recommended; however, there is no uniform alignment of how to treat depressive symptoms while simultaneously supporting the mother-infant relationship. Ultrasound screenings might be potential as an intervention method because it has shown to improve maternal-fetal attachment among pregnant women. Our aim is to develop a 4 dimensional-based (4D) interactive ultrasound intervention and test whether it relieves minor depressive symptoms and improves maternal-fetal attachment. Previous studies show that supporting the mother-infant relationship aids in relieving maternal depression. Until now, few studies have combined pregnancy ultrasound and psychological support. MethodsA controlled randomized setting was designed to assess whether interactive 4D-ultrasound intervention would decrease maternal depressive symptoms, strengthen maternal-fetal attachment, and mother-infant relationship. A sonographer and a psychologist specialized in infant mental health conduct the interventions. The focus of the session is to jointly observe the behavior of the fetus according to the mothers’ wishes. Altogether, 100 women scoring 10-15 in Edinburgh Pre/-Postnatal Depression Scale (EPDS) and with singleton pregnancy will be recruited using a web-based questionnaire. Half of the participants will be randomized to the intervention group and will receive three interactive ultrasound examinations. The primary outcome is the change in the mean EPDS score. EPDS measurements will be done at three time points: before and after the intervention and four to five months after delivery. The secondary outcomes are maternal representations that will be assessed using the Working Model of the Child Interview (WMCI) and prenatal attachment that will be assessed using the Maternal Antenatal Attachment Scale (MAAS) questionnaire. The postnatal mother-infant interaction will be assessed with the Parent-Child Early Relational Assessment (PCERA) and Maternal Postnatal Attachment Scale (MPAS). DiscussionUltrasound is widely used during pregnancy. The interactive approach is unique and it would be feasible as part of routine screenings and maternity clinic visits. Intervention decreasing depression and simultaneously supporting maternal-fetal attachment could be a valuable addition in treating minor depression among pregnant women. Trial registrationRegistered on January 5th 2018, ClinicalTrials.gov NCT03424642. https://clinicaltrials.gov/ct2/show/NCT03424642

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