scholarly journals Maternal-Fetal Attachment and its Sociodemographic Determinants in Women With Unplanned Pregnancy

2018 ◽  
Vol 7 (1) ◽  
pp. 106-111
Author(s):  
Fatemeh Ekrami ◽  
Mojgan Mirghafourvand ◽  
Sakineh Mohammad-Alizadeh Charandabi ◽  
Jalil Babapour Kheyradin

Objectives: Attachment to the fetus is formed before the birth and stronger prenatal maternal-fetal attachment is related to more desirable prenatal and postpartum behaviors and cares as well as better acceptance of the parenting role. Therefore, this study aimed to determine maternal-fetal attachment and its socio-demographic determinants among women with an unplanned pregnancy. Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on a convenience sample of 200 women with unplanned pregnancies attending the maternity clinic of Alavi hospital (Ardebil, Iran) during 2016-2017. To collect the data, a socio-demographic questionnaire and the maternal-fetal attachment scale (MFAS) were completed through the interviews. Data were analyzed using independent t tests, one-way ANOVA, and the general linear model. Results: The mean (standard deviation) of maternal-fetal attachment score in women with an unplanned pregnancy was 79.2 (11.2) ranging from 23 to 115. The mean attachment score was significantly higher in women with a mistimed pregnancy [83.5 (9.0)] than in those with an unwanted pregnancy [72.9 (11.0)]. The highest and lowest mean scores were observed in the "interaction with the fetus" [14.2 (3.3)] and the "role-taking" [9.2 (3.0)] sub-domains, respectively. Based on the general linear model, only the type of unplanned pregnancy (mistimed or unwanted) indicated a significant relationship with maternal-fetal attachment (P < 0.001). Conclusions: Based on the results, the type of unplanned pregnancy had a significant association with maternal-fetal attachment. Moreover, mothers with unwanted pregnancies needed greater counseling and support compared to those with mistimed pregnancies.

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Solmaz Ghanbari Homaie ◽  
Sonia Hasani ◽  
Mojgan Mirghafourvand

Background: Anxiety during pregnancy may affect maternal-fetal attachment (MFA) and the prevalence of pregnancy symptoms. Objectives: The present study aimed to assess the correlation of anxiety with pregnancy symptoms and MFA. Methods: This cross-sectional study was conducted on 220 pregnant women in the health centers of Tabriz, Iran, in 2020. Samples were selected by the cluster sampling method. Data were collected using the socio-demographic questionnaire, Pregnancy-related Anxiety Questionnaire-revised 2 (PRAQ-R2), MFA Scale (MFAS), and Pregnancy Symptoms Inventory (PSI), all of which were completed as self-administered in the second half of pregnancy. The Pearson’s correlation coefficient and adjusted general linear model were used for data analysis. Results: The results of Pearson’s correlation showed no correlation between anxiety during pregnancy and MFA among nulliparous (r = -0.003, P = 0.976) and multiparous (r = -0.003, P = 0.712) pregnant women. However, anxiety and pregnancy symptoms were significantly correlated among nulliparous (r = 0.424, P < 0.001) and multiparous (r = 0.227, P = 0.028) pregnant women. According to the general linear model, after adjusting the socio-demographic variables, a significant correlation was observed between anxiety and pregnancy symptoms (P < 0.001), while no relationship was found between anxiety and MFA (P = 0.705). Conclusions: Given the significant correlation between anxiety and pregnancy symptoms, pregnant women with anxiety symptoms need to be screened and treated by an expert psychological team if their disorder is confirmed.


2020 ◽  
Author(s):  
Mahlagha Dehghan ◽  
Hakimeh Ferdosi ◽  
Faroukh Abazari ◽  
Jamileh Farokhzadian

Abstract Background: Domestic violence against pregnant women is becoming more frequent and intense. Studies have shown that women who were under more physical and psychological violence experienced a lot of stress and depression and had less ability to communicate with their fetuses. International statistics show a high prevalence of violence against Afghan women and the communities migrated to Afghanistan. Therefore, the present study aimed to compare the maternal-fetal attachment and domestic violence between Iranian and Afghan pregnant women.Methods: This study has a descriptive-comparative cross-sectional design. The study population consisted of Iranian and Afghan pregnant women referred to Kerman Health Centers in 2018-2019. One hundred-forty-six Iranian pregnant women and 142 Afghan pregnant women were enrolled in the study by the quota sampling. Data collection tools were demographic and clinical information questionnaire, questionnaires of domestic violence against women, and maternal-fetal attachment scale. Results: The mean score of maternal-fetal attachment in Iranian and Afghan pregnant women was higher than the average. Also, scores of maternal-fetal attachment and its dimensions in Afghan pregnant women were significantly higher than that of Iranian pregnant women (P < 0.001). The mean score of domestic violence was low in Iranian and Afghan pregnant women. There was no significant difference between Iranian and Afghan pregnant women in the total score of domestic violence (P > 0.05). There was a significant inverse correlation between maternal-fetal attachment and domestic violence in Iranian pregnant women (P < 0.05). In Afghan pregnant women, there was a positive and significant correlation between maternal-fetal attachment and sexual violence in while there was a significant and reverse relationship between other dimensions of attachment and violence (P < 0.05).Conclusion: This study showed that the rate of violence in the studied populations was low, and maternal-fetal attachment rate is appropriate. The relationship between violence and mother-fetal attachment had a different pattern in Iranian and Afghan women. Therefore, further studies are needed to investigate the factors affecting maternal-fetal attachment, especially in Afghan women.


2020 ◽  
Vol 151 (1) ◽  
pp. 98-103 ◽  
Author(s):  
Xia Luo ◽  
Qing Liao ◽  
Ying Shen ◽  
Huijun Li ◽  
Liming Cheng

ABSTRACT Background Vitamin D might have beneficial potential in influencing the natural history of the coronavirus disease 2019 (COVID-19) due to its immunomodulatory and anti-inflammatory properties. Objective The aim was to investigate whether vitamin D deficiency is associated with COVID-19 incidence and disease severity in Chinese people. Methods In a cross-sectional study we retrospectively analyzed 335 COVID-19 patients (median: 56.0; IQR: 43.0–64.0 y) who were admitted to the Wuhan Tongji Hospital between 27 February and 21 March 2020. We also included an age- and sex-matched population of 560 individuals (median: 55; IQR: 49.0–60.0 y) who underwent the physical examination program. Their serum 25-hydroxyvitamin D [25(OH)D] concentrations were measured during the same period from 2018–2019. Serum 25(OH)D concentrations were measured for all COVID-19 patients on admission. Severity of COVID-19 was determined based on the level of respiratory involvement. A general linear model with adjustment for covariates was used to compare 25(OH)D concentrations between the COVID-19 and 2018–2019 control groups. Adjusted ORs with 95% CIs for associations between vitamin D status and COVID-19 severity were estimated via multivariable logistic regression. Results In the general linear model adjusted for age, sex, comorbidities, and BMI, serum 25(OH)D concentrations were significantly lower among COVID-19 patients than the 2018–2019 controls [ln transformed values of 3.32 ± 0.04 vs. 3.46 ± 0.022 ln (nmol/L), P = 0.014]. Multivariable logistic regression showed that male sex (OR: 2.26; 95% CI: 1.06, 4.82), advanced age (≥65 y) (OR: 4.93; 95% CI: 1.44, 16.9), and vitamin D deficiency (&lt;30 nmol/L) (OR: 2.72; 95% CI: 1.23, 6.01) were significantly associated with COVID-19 severity (all P &lt; 0.05). Conclusions These findings suggested that vitamin D deficiency impacts COVID-19 hospitalization and severity in the Chinese population.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Fovziye Sanaati ◽  
Mehrnaz Geranmayeh ◽  
Zahra Behboodi Moghadam ◽  
Armin Zareiyan ◽  
Keshvar Samadaee Gelehkolaee ◽  
...  

Abstract Background Health-promoting lifestyle (HPL) is any measure taken to maintain a person’s health. The most important and influential factor in maintaining and enhancing health are health-promoting behaviors (HPB). This study aimed to determine HPB and their predictors among Iranian men. Methods In this cross-sectional study, 783 Iranian men, living in Tehran, were selected, using multistage cluster sampling. The employed questionnaires, namely the sociodemographic questionnaire, Health-Promoting Lifestyle Profile II (HPLP-II), and the second part of the Personal Resource Questionnaire (PRQ 85-Part 2), were completed through interviews. The relationship between the dependent variables (HPLP-II and its subdomains) and independent variables (sociodemographic characteristics and social support) was investigated using the adjusted General Linear Model (GLM). Results The mean ± standard deviation of the total HPLP-II score was 2.72 ± 0.44 in the range of 1–4. Among the six dimensions of the HPB, the participants achieved the highest score (3.00 ± 0.52) and lowest score (1.96 ± 0.56) in spiritual growth and physical activity, respectively. The Pearson test showed that the perceived social support was significantly correlated with HPLP-II (r = 0.23; p < 0.001) and all of its subdomains (r = 0.09–0.24; p < 0.001). Based on the adjusted general linear model, social support, age, job, and income adequacy were the predictors of HPL in men and could explain 30.9% of the variance of the HPL score. Conclusions The research findings confirmed the importance of social support and modifying variables (social and personal) in the incidence of HPB in men.


2020 ◽  
Author(s):  
Robab Hassanzadeh ◽  
Fateme Abbas-Alizadeh ◽  
Shahla Meedya ◽  
Sakineh Mohammad-Alizadeh Charandabi ◽  
Mojgan Mirghafourvand

Abstract Background Assessment of women’s childbirth experience is an important indicator of maternal care systems. Positive childbirth experiences improve mothers’ health, whereas negative childbirth experiences can cause psychological stresses and, in extreme cases, may lead to postpartum depression. This study compared childbirth experiences and postpartum depression levels in three groups of primiparous women with no participation, irregular participation, and regular participation in childbirth preparation classes. Methods In this cohort study, 204 primiparous women at 35-37 weeks of gestation were selected using cluster sampling from the health centers of Tabriz, Iran. The participants were assigned to three groups of no participation, irregular participation (attending 1-3 sessions), and regular participation (attending 4-8 sessions) in childbirth preparation classes. Interviews were conducted one month after delivery to complete the Childbirth Experience Questionnaire (CEQ) and Edinburgh Postnatal Depression Scale (EPDS). The general linear model (GLM) was used to compare childbirth experience and postpartum depression among groups. Results Based on the general linear model, the mean score of childbirth experience in women in the regular participation group was significantly higher than those of women in irregular participation (P= 0.032) and in no participation (P<0.001) groups. In addition, the mean score of postpartum depression was significantly lower in women in the regular participation group than that of the women in the no participation group (P<0.001). However, no significant difference was found between the regular and irregular participation groups in terms of postpartum depression levels (P= 0.257). Conclusion Prenatal training classes improved childbirth experience and reduced postpartum depression levels. These training classes seem to improve mothers’ health by increasing their knowledge and awareness of their abilities to endure labor pain. Ethical Code IR.TBZMED.REC.1398.066


2018 ◽  
Vol 12 (1) ◽  
pp. 160
Author(s):  
Simone Ferreira dos Anjos Reis ◽  
Vinicius Henrique Candido ◽  
Cristiane Fonseca Freitas ◽  
Cristiane Aparecida Silveira

RESUMOObjetivo: caracterizar o perfil de praticantes de musculação quanto ao uso de recursos ergogênicos e relacioná-lo à autopercepção corporal. Método: estudo quantitativo, transversal, realizado em academias de musculação de duas cidades de Minas Gerais com entrevistas estruturadas utilizando um questionário e o conjunto de silhuetas. A análise foi pelo Statistical Package for Social Sciences (SPSS15.0), General Linear Model de medidas repetidas e a correlação de Pearson. Resultados: a prática de musculação, em ambos os sexos, foi pela melhora da saúde. A maioria afirmou que realiza as atividades físicas e consome suplementos sem orientação médica ou nutricional. O mais utilizado é o de proteínas, sendo que os homens consomem mais em relação às mulheres. Conclusão: não houve evidências de alterações de autoimagem relacionadas ao uso de suplementos, apesar da falta de orientação. Descritores: Autoimagem; Anabolizantes; Suplementos nutricionais; Promoção da Saúde; Enfermagem. ABSTRACT Objective: to characterize the profile of bodybuilders regarding the use of ergogenic resources and to relate it to body self perception. Method: a quantitative, cross-sectional study carried out at two-city fitness centers in Minas Gerais with structured interviews using a questionnaire and the set of silhouettes. The analysis was by the Statistical Package for Social Sciences (SPSS15.0), General Linear Model of repeated measures and Pearson's correlation. Results: the practice of bodybuilding, in both sexes, was due to improved health. Most said they perform physical activities and consume supplements without medical or nutritional guidance. The most commonly used is the protein, being that men consume more, compared to women. Conclusion: there was no evidence of self-image changes related to the use of supplements, despite the lack of orientation. Descriptors: Self image; Anabolics; Dietary Supplements; Health Promotion. Nursing.RESUMEN Objetivo: caracterizar el perfil de practicantes de musculación en cuanto al uso de recursos ergogénicos y relacionarlo al auto percepción corporal. Método: estudio cuantitativo, transversal, realizado en gimnasios de musculación de dos ciudades de Minas Gerais con entrevistas estructuradas utilizando un cuestionario y el conjunto de siluetas. El análisis fue por el Statistical Package for Social Sciences (SPSS15.0), General Linear Model de medidas repetidas y la correlación de Pearson. Resultados: la práctica de musculación, en ambos sexos, fue por la mejora de la salud. La mayoría afirmó que realizan las actividades físicas y consumen suplementos sin orientación médica o nutricional. El más utilizado es el de proteínas, y los hombres consumen más en relación a las mujeres. Conclusión: no hubo evidencias de alteraciones de autoimagen relacionadas al uso de suplementos, a pesar de la falta de orientación. Descriptores: Autoimagen; Anabolizantes; Suplementos Dietéticos; Promoción de la Salud; Enfermería.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Somayyeh Naghizadeh ◽  
Mojgan Mirghafourvand ◽  
Roghaye Mohammadirad

Abstract Background During the COVID-19 pandemic, pregnant women bear considerable physical and psychological stress because of their special conditions, which combined with other stress factors such as violence, makes their situation even more critical. This study aimed to investigate the prevalence of domestic violence and its relationship with quality of life in pregnant women during the COVID-19 pandemic. Methods This cross-sectional study was performed with the participation of 250 pregnant women in the obstetrics clinic of 29-Bahman Hospital, Tabriz city. Using a three-part questionnaire consisting of the socio-demographic and obstetrics information, the domestic violence questionnaire developed by WHO, and the SF-12 quality of life questionnaire, the required information was collected. A general linear model was then used to determine the relationship between domestic violence and quality of life, while adjusting the socio-demographic and obstetrics information. Results According to the data, more than one-third of pregnant women (35.2 %) had experienced domestic violence. The most common type of violence experienced was emotional violence (32.8 %), followed by sexual violence (12.4 %), and physical violence (4.8 %). The mean score of the physical health department of quality of life in the group of women exposed to violence (50.21) was lower compared to the unexposed group (53.45), though there was no significant difference between them (P = 0.25). However, the mean score of the mental health department of quality of life in women exposed to violence (46.27) was significantly lower compared to unexposed women (61.17) (P < 0.001). Based on the general linear model, the mean score for quality of life in the mental health dimension was significantly higher among unexposed women compared to those exposed to violence (β = 9.3, 95 %CI: 3.5 to 15.0, P = 0.002). Conclusions The findings of this study indicate a high prevalence of domestic violence and its relationship with a low quality of life during the COVID-19 pandemic. Therefore, the findings signify the importance of screening pregnant women in terms of domestic violence in respective centers as well as the necessity of conducting proper interventions to address domestic violence to improve the quality of life in women.


2010 ◽  
Vol 41 (02) ◽  
Author(s):  
J Möhring ◽  
D Coropceanu ◽  
F Möller ◽  
S Wolff ◽  
R Boor ◽  
...  

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