Comparative Effect of Attachment and Relaxation Training on Perception of Fetal Movement and Mother's Anxiety in Primiparous Women: A Randomized Controlled Study

Akbarzadeh, Marzieh; Rafiee, Bahare; Asadi, Nasrin; Zare, Najaf

doi:10.3923/tmr.2016.62.68

Cited by 18 publications

(28 citation statements)

References 19 publications

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“…Acceptance of paternal identity occurs long before the infant's birth through a husband's attachment behavior. Behaviors based on paternal-fetal attachment are rooted in a deep sense of love toward the unborn child, which is the foundation of paternal identity [23] and plays an important role in the growth and development of knowledge, attitudes and behavior in the child [24,25]. Parent-fetal attachment behaviors have a direct relationship with the favorable outcomes of pregnancy and health promotion in both mothers and the child.…”

Section: Resultsmentioning

confidence: 99%

A study of the efficacy of fathers’ attachment training on paternal-fetal attachment and parental anxiety

Setodeh¹,

Pourahmad²,

Akbarzadeh³

2017

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Background. Attachment behaviors play an important role in accepting the identity of the fathers, the pleasant outcome of pregnancy and the child's growth and development in the future. Objectives. This study aimed to investigate the effect of father's attachment training (awaiting a child) on paternal-fetal attachment and parental anxiety. Material and methods. This clinical trial was conducted on 150 spouses of eligible pregnant women. In the intervention group, four 90-minute training sessions were designed on maternal-fetal attachment, while the control group received routine prenatal care. The questionnaire of paternal-fetal attachment was completed both before and after intervention in both cases and control groups. Data analysis was done in SPSS software using a paired t-test and independent t-test (the significant level was 0.05). Results. The mean score of attachment was reported as 56.61 ± 6.05 and 64.53 ± 6.94 both before and after intervention, respectively. according to the paired t-test, there was a significant difference in the attachment score after intervention (p < 0.001). According to the independent t-test applied a month after intervention, the comparison of fathers' anxiety scores before and after intervention showed a significant difference between the control and intervention groups (p < 0.001). Conclusions. Training fathers about attachment skills leads to increased paternal-fetal attachment and a lower anxiety score. Therefore, it seems necessary to include education of fathers in prenatal care.

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Section: Resultsmentioning

confidence: 99%

A study of the efficacy of fathers’ attachment training on paternal-fetal attachment and parental anxiety

Setodeh¹,

Pourahmad²,

Akbarzadeh³

2017

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“…Considering all these results globally, we can hypothesize that maternal emotional characteristics have a fundamental influence over all other variables. This is because maternal prenatal anxiety symptoms are related to difficulties in establishing a mother-infant bond (Akbarzadeh, Rafiee, Asadi, & Zare, 2016) and to a higher incidence of difficult deliveries (Hernández-Martínez et al, 2011) in addition to being a risk factor for postnatal depression (Cirik et al, 2016). At the same time, mothers with subclinical levels of depression have less confidence in their maternal role (Lovejoy, Graczyk, O'Hare, & Neuman, 2000;Weinberg et al, 2001), leading to less effective bonding with their infant (Rubertsson, Pallant, Sydsjö, Haines, & Hildingsson, 2015).…”

Section: Discussionmentioning

confidence: 99%

The role of maternal emotional states during pregnancy and early infancy on infant cortisol levels: A prospective study

Hernández‐Martínez

Voltas

Arija

et al. 2019

Infant and Child Development

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Cortisol plays an important role in human body functioning, stress response, and reactivity, and altered cortisol levels have been related to psychopathology throughout life. This study investigates several types of clinical and psychosocial prenatal, perinatal, and postnatal factors related to morning cortisol levels in 71 12‐month‐old infants. Several sociodemographic, obstetrical, environmental, and psychological predictors were taken into account. Regression models show that prenatal anxiety, type of birth, depressive symptoms at 6 months, and the mothers' feelings about the relationship with their child explain 32.9% of the variance in morning cortisol levels in 12‐month old infants. When sociodemographic, obstetrical, environmental, and psychological variables are taken into account, maternal emotional status and feelings about the mother–infant bonding are the most important factors that explain infant cortisol levels, which suggests that they should be included in obstetric and paediatric care routines to improve infant health. Highlights Cortisol has an important effect on human homeostasis, growth, neurodevelopment, stress response and reactivity; however, altered cortisol levels have been related to psychopathology throughout life. This study aims to investigate, prospectively from pregnancy, several types of clinical and psychosocial prenatal, perinatal and postnatal factors related to infant morning cortisol levels at 12 months. When several kind of factors are taken into account (prenatal life events, prenatal and postnatal nicotine exposure, gender, gestational age at birth, infant birth weight, parity, socioeconomic status, maternal psychopathology, breastfeeding status and anthropometry), prenatal anxiety, type of birth, postnatal depression and mothers' feelings about the relationship with their infant are the are the variables that better predict infant morning cortisol levels. Maternal emotional characteristics are the central axis for influencing the development of HPA axis. Healthcare professionals may pay more attention to the mother feelings and emotions along prenatal and postnatal infant development to promote infant mental health.

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“…researchers are emphasize on understanding nature and the necessity of security relationship between parents and children. other research in recent years has emphasized the importance of teaching parental affiliation and its impact on maternal-fetal attachment [35], reducing the mother's anxiety and increasing maternal-neonatal attachment [36,37] infant mental health [38], and development of the baby [39].…”

Section: Discussionmentioning

confidence: 99%

The impact of paternal attachment training skills on the extent of maternal neonatal attachment in primiparous women: a clinical trial

Setodeh¹,

Sharif²,

Akbarzadeh³

2018

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Background. Women in some social groups of the population may be less supported by their partners and may be more reliant on their employees. Objectives. This study was designed to investigate the impact of paternal-attachment training skills on the extent of maternal neonatal attachment in primiparous women referred to the hospitals affiliated with the Shiraz University of Medical Sciences. Material and methods. A randomized controlled trial was done in hospitals affiliated with the Shiraz University of Medical Sciences from October 2012 to September 2013. The present clinical trial was conducted on 150 husbands of qualified pregnant women. The intervention group took part in 90-minute sessions of maternal-fetal attachment training held once a week. On the other hand, the control group received routine pregnancy care. Both groups filled out Avant's checklist after the intervention to determine maternal-neonatal attachment. The data was then analyzed in SPSS using the independent t-test, chi-square test and Fisher's exact test. A rating of p < 0.05 was considered as statistically significant. Results. The median score in the total maternal-neonatal attachment group was [84; IQR,70-103], and in the control group it was [66; IQR, 49-86; p < 0.001]. The Mann-Whitney U test showed a significant difference between the median of the groups. In the five aspects of the checklist, Avant included dimensions such as mothers' emotional behavior, maternal-infant proximity behavior, maternal-infant caring behavior and maternal-infant attention. The relationship between the attachment and control groups was significant (p < 0.001). Conclusions. Paternal attachment behavior training skills increased the score of maternal-neonatal attachment. Thus, there is a need to educate fathers on prenatal care.

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Comparative Effect of Attachment and Relaxation Training on Perception of Fetal Movement and Mother's Anxiety in Primiparous Women: A Randomized Controlled Study

Cited by 18 publications

References 19 publications

A study of the efficacy of fathers’ attachment training on paternal-fetal attachment and parental anxiety

A study of the efficacy of fathers’ attachment training on paternal-fetal attachment and parental anxiety

The role of maternal emotional states during pregnancy and early infancy on infant cortisol levels: A prospective study

The impact of paternal attachment training skills on the extent of maternal neonatal attachment in primiparous women: a clinical trial

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