scholarly journals Maternal-fetal attachment and anxiety in pregnant women who conceived through assisted reproductive technology: A longitudinal study

2022 ◽  
pp. 1075-1084
Author(s):  
Fahimeh Ranjbar ◽  
Catja Warmelink ◽  
Robab Mousavi ◽  
Maryam Gharacheh
Keyword(s):  
Longitudinal Study ◽  
Pregnant Women ◽  
Assisted Reproductive Technology ◽  
Reproductive Technology ◽  
Third Trimester ◽  
Pregnancy Anxiety ◽  
Maternal Fetal Attachment ◽  
Significant Difference ◽  
Key Words Attachment ◽  
Fetal Attachment

Background: Pregnancy through assisted reproductive technology (ART) is a stressful experience that may affect prenatal attachment. However, maternal-fetal attachment (MFA) and anxiety in pregnancy after ART are understudied in Iran. Objective: To compare changes in MFA and pregnancy-related anxiety (PRA) in the first and third trimester of pregnancy in women who conceived through ART compared to those who conceived naturally. Materials and Methods: This longitudinal study was conducted in 2019 with 187 pregnant women (ART conception = 43, natural conception = 144). Participants were recruited using the consecutive sampling method from a prenatal clinic in Tehran. The Cranley MFA Scale and the Van Den Bergh PRA Questionnaire were used to collect the data. Results: The MFA score in the 12th wk of gestation was lower in the women who conceived with ART compared to in the women who conceived naturally, but there was no statistically significant difference between the groups in wk 36. MFA in both groups was significantly higher at gestational wk 36 than wk 12 (p ≤ 0.001). The increase in MFA score was significantly higher in the women who conceived with ART than in those who conceived naturally (p ≤ 0.001). The anxiety score declined in the two groups and no statistically significant difference was observed in the changes of anxiety scores between the two groups (p = 0.84). Conclusion: Pregnant women who conceived through ART were as attached to their fetus in the third trimester of pregnancy as other women and did not experience more PRA. Key words: Attachment, Maternal fetal relations, Assisted reproductive technology, Pregnancy, Anxiety.

scholarly journals Anxiety and Maternal Fetal Attachment

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Evi Wahyuntari ◽  
Ika Puspitasari
Keyword(s):  
Pregnant Women ◽  
Health Workers ◽  
Measurement Tool ◽  
P Value ◽  
Third Trimester ◽  
Cross Sectional ◽  
Psychological Condition ◽  
The Third ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

Maternal Fetal Attachment and fetal growth are strongly influenced by the emotional state or anxiety of the mother, this can be seen from the psychological condition of the mother before giving birth.  The psychological condition of the mother will have an impact on the health and development of the fetus. In Indonesia, there are about 28.7% of pregnant women who experience anxiety in the third trimester. The research objective was to determine the relationship between anxiety and maternal fetal attachment. Cross sectional study. With a population of pregnant women in the third trimester aged 20-35 years as many as 42 respondents. The sampling technique used non probability sampling with a total sampling of 42 pregnant women in the third trimester. The anxiety measurement tool uses the Zung self-rating anxiety scale (ZSAS) questionnaire and the MFA uses the Prenatal attachment inventory (PAI) questionnaire. Pearson analysis (product moment). The p value is 0.023 with a correlation coefficient of -0.350. The conclusion is that there is a relationship between anxiety and maternal fetal attachment at Gamping II Public Health Center with weak relationship closeness, it means that the lower the anxiety score received, the higher the maternal fetal attachment score. Suggestions for pregnant women in the third trimester to be more active in seeking information, both electronic print media, health workers and others about maternal-fetal attachment since pregnancy.

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 < 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 < 0.01). Correlation analysis showed that prenatal depression was associated with parity, prenatal education, education level, marital satisfaction, anxiety and sleep disorders (all p < 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.

scholarly journals Maternal-Fetal Attachment and Domestic Violence in Iranian and Afghan Pregnant Women: A Cross-Cultural Study

2020 ◽  
Author(s):  
Mahlagha Dehghan ◽  
Hakimeh Ferdosi ◽  
Faroukh Abazari ◽  
Jamileh Farokhzadian
Keyword(s):  
Domestic Violence ◽  
Pregnant Women ◽  
Inverse Correlation ◽  
Psychological Violence ◽  
Cross Sectional ◽  
Afghan Women ◽  
Maternal Fetal Attachment ◽  
Significant Difference ◽  
The Mean ◽  
Fetal Attachment

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.

scholarly journals Comparative effectiveness of recombinant human follicle-stimulating hormone alfa (r-hFSH-alfa) versus highly purified urinary human menopausal gonadotropin (hMG HP) in assisted reproductive technology (ART) treatments: a non-interventional study in Germany

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Klaus F. Bühler ◽  
Robert Fischer ◽  
Patrice Verpillat ◽  
Arthur Allignol ◽  
Sandra Guedes ◽  
...  
Keyword(s):  
Assisted Reproductive Technology ◽  
Live Birth ◽  
Pregnancy Loss ◽  
Follicle Stimulating Hormone ◽  
Reproductive Technology ◽  
Clinical Pregnancy ◽  
Human Menopausal Gonadotropin ◽  
Ongoing Pregnancy ◽  
Complete Cycle ◽  
Significant Difference

Abstract Background This study compared the effectiveness of recombinant human follicle-stimulating hormone alfa (r-hFSH-alfa; GONAL-f®) with urinary highly purified human menopausal gonadotropin (hMG HP; Menogon HP®), during assisted reproductive technology (ART) treatments in Germany. Methods Data were collected from 71 German fertility centres between 01 January 2007 and 31 December 2012, for women undergoing a first stimulation cycle of ART treatment with r-hFSH-alfa or hMG HP. Primary outcomes were live birth, ongoing pregnancy and clinical pregnancy, based on cumulative data (fresh and frozen-thawed embryo transfers), analysed per patient (pP), per complete cycle (pCC) and per first complete cycle (pFC). Secondary outcomes were pregnancy loss (analysed per clinical pregnancy), cancelled cycles (analysed pCC), total drug usage per oocyte retrieved and time-to-live birth (TTLB; per calendar week and per cycle). Results Twenty-eight thousand six hundred forty-one women initiated a first treatment cycle (r-hFSH-alfa: 17,725 [61.9%]; hMG HP: 10,916 [38.1%]). After adjustment for confounding variables, treatment with r-hFSH-alfa versus hMG HP was associated with a significantly higher probability of live birth (hazard ratio [HR]-pP [95% confidence interval (CI)]: 1.10 [1.04, 1.16]; HR-pCC [95% CI]: 1.13 [1.08, 1.19]; relative risk [RR]-pFC [95% CI]: 1.09 [1.05, 1.15], ongoing pregnancy (HR-pP [95% CI]: 1.10 [1.04, 1.16]; HR-pCC [95% CI]: 1.13 [1.08, 1.19]; RR-pFC [95% CI]: 1.10 [1.05, 1.15]) and clinical pregnancy (HR-pP [95% CI]: 1.10 [1.05, 1.14]; HR-pCC [95% CI]: 1.14 [1.10, 1.19]; RR-pFC [95% CI]: 1.10 [1.06, 1.14]). Women treated with r-hFSH-alfa versus hMG HP had no statistically significant difference in pregnancy loss (HR [95% CI]: 1.07 [0.98, 1.17], were less likely to have a cycle cancellation (HR [95% CI]: 0.91 [0.84, 0.99]) and had no statistically significant difference in TTLB when measured in weeks (HR [95% CI]: 1.02 [0.97, 1.07]; p = 0.548); however, r-hFSH-alfa was associated with a significantly shorter TTLB when measured in cycles versus hMG HP (HR [95% CI]: 1.07 [1.02, 1.13]; p = 0.003). There was an average of 47% less drug used per oocyte retrieved with r-hFSH-alfa versus hMG HP. Conclusions This large (> 28,000 women), real-world study demonstrated significantly higher rates of cumulative live birth, cumulative ongoing pregnancy and cumulative clinical pregnancy with r-hFSH-alfa versus hMG HP.

scholarly journals Maternal-fetal attachment and perceived parental bonds of pregnant women

2021 ◽  
Vol 154 ◽  
pp. 105310
Author(s):  
Kathreim Macedo da Rosa ◽  
Carolina Coelho Scholl ◽  
Lidiane Aguiar Ferreira ◽  
Jéssica Puchalski Trettim ◽  
Gabriela Kurz da Cunha ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Fetal Attachment ◽  
Parental Bonds ◽  
Fetal Attachment

scholarly journals Predictors of Sensitivity in Mothers of 8-Month-Old Infants

2013 ◽  
Vol 23 (56) ◽  
pp. 311-320 ◽  
Author(s):  
Patricia Alvarenga ◽  
Maria Virginia Machado Dazzani ◽  
Eulina da Rocha Lordelo ◽  
Cristiane Ajnamei dos Santos Alfaya ◽  
Cesar Augusto Piccinini
Keyword(s):  
Postpartum Depression ◽  
Maternal Mental Health ◽  
Maternal Sensitivity ◽  
Multiple Regression Model ◽  
Third Trimester ◽  
Child Interaction ◽  
Mother Child Interaction ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment ◽  
The Impact

This longitudinal study investigated the impact of maternal mental health, including postpartum depression, and of maternal-fetal attachment, on maternal sensitivity when babies were eight months old. The study included 38 mother-infant dyads. The women answered the SRQ-20 and the Maternal-Fetal Attachment Scale in the third trimester of pregnancy, and the BDI, for evaluation of postpartum depression in the first month following birth. Maternal sensitivity was examined through an observation of mother-child interaction when babies were eight months old. The multiple regression model considering the three factors explained 18.6% of the variance in sensitivity, and only maternal-fetal attachment was a significant predictor. The results indicate the importance of interventions to promote the bond of pregnant women with their babies, which may even minimize possible harmful effects of postpartum depression on mother-child interaction.

Antenatal mind-mindedness and its relationship to maternal-fetal attachment in pregnant women

2022 ◽  
pp. 1-23
Author(s):  
Josephine McNamara ◽  
Annaleise S. Mitchell ◽  
Sophie Russell ◽  
Michelle L. Townsend ◽  
Jane S. Herbert
Keyword(s):  
Pregnant Women ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment

scholarly journals Az anya–magzat kötődést mérő Maternal–Fetal Attachment Scale kérdőív magyar nyelvű adaptálása és felhasználásának lehetőségei az ultrahang-kommunikációs vizsgálatok során

2016 ◽  
Vol 157 (20) ◽  
pp. 789-795
Author(s):  
Andrea Andrek ◽  
Éva Hadházi ◽  
Zoltán Kekecs
Keyword(s):  
Married Women ◽  
Ultrasound Screening ◽  
Third Trimester ◽  
Application Form ◽  
Maternal Fetal Attachment ◽  
The Family ◽  
Excellent Internal Consistency ◽  
Fetal Attachment ◽  
Family Centered ◽  
Hungarian Version

Introduction: Research measuring the effectiveness of communication during ultrasound examinations draw attention to its use in strengthening the bond between mother and fetus. Aim: Hungarian adaptation of the Maternal–Fetal Attachment Scale, which is the most commonly used tool for measuring intrauterine attachment. Method: 114 pregnant women in the second or third trimester filled out the Hungarian version of the Maternal–Fetal Attachment Scale and an application form. Results: The questionnaire showed excellent internal consistency, with a Cronbach’s alpha of 0.87 for the total score. Married women scored significantly higher and scores increased as pregnancy progressed. Uncertainty surrounding the fetus’s gender influenced attachment in the negative direction. There was no significant relationship between attachment total scores and a number of psycho-social factors. Conclusions: In the family-centered prenatal care the Maternal–Fetal Attachment Scale is a suitable tool to analyze ultrasound screening situations that strengthen the bond between mother and fetus. Orv. Hetil., 2016, 157(20), 789–795.

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