Complexity of parental prenatal attachment during pregnancy at risk for preterm delivery

Pisoni, Camilla; Garofoli, Francesca; Tzialla, Chryssoula; Orcesi, Simona; Spinillo, Arsenio; Politi, Pierluigi; Balottin, Umberto; Tinelli, Carmine; Stronati, Mauro

doi:10.3109/14767058.2015.1017813

Cited by 43 publications

(71 citation statements)

References 27 publications

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“…In 1987, Kemp and Page compared MFA in normal and high-risk pregnancies and found no significant differences between the groups (21). On the other hand, Pisoni et al found that maternal antenatal attachment is significantly lower in a high-risk pregnancy than in a physiologic pregnancy (22). We found that parity, planned pregnancy, and previous spontaneous abortions did not affect maternal-foetal attachment, p > 0.05.…”

Section: Discussionmentioning

confidence: 55%

Factors affecting the maternal-foetal relationship

Čėsnaitė

Domža

Ramašauskaitė

et al. 2019

AML

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Background. Mother’s attachment to her unborn child has a strong impact on a pregnant woman’s attitude towards her health, postnatal attachment, and the child’s physical and emotional growth. The purpose of our study was to identify the factors that impact the maternal-foetal relationship. Materials and methods. The study was conducted at the Centre of Obstetrics and Gynaecology of the tertiary-level Vilnius University Hospital Santaros Klinikos in Vilnius, Lithuania. An original questionnaire of nine parts was developed that the questionnaire included information on demographical data, gynaecological and obstetrical history, a relationship assessment scale, the index of happiness, an antenatal depression risk questionnaire, and the Maternal-Antenatal Attachment Scale. Results. The study included 388 pregnant women. It was found that the level of education, obstetrical issues during pregnancy, and the risk of postnatal depression negatively impacted the maternal-foetal relationship (p < 0.05). Mothers who were elder in family birth order, also those whose pregnancy was of a longer duration, who had a better-quality romantic relationship with partner, and whose socioeconomic fulfilment was higher were all found to have a better quality of maternal-foetal bonding (p < 0.05). Conclusions. The early recognition of low attachment and right application of various means of psychologic intervention might improve the quality of pregnancy, maternity, and childhood.

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Section: Discussionmentioning

confidence: 55%

Factors affecting the maternal-foetal relationship

Čėsnaitė

Domža

Ramašauskaitė

et al. 2019

AML

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“…The included studies were mainly conducted in the US (10 papers) [80,[84][85][86][87][88][89][90][91][92] and in Europe (nine papers in Italy [93][94][95][96][97][98][99][100][101], four in Sweden [76,[102][103][104], two in Germany [105,106], one in the Netherlands [22], one in France [107], one in England [79], one in Belgium [108], and one in Portugal [75]). Four studies were carried out in Japan [81,[109][110][111], two in Australia [112,113], two in Iran [74,114], two in Turkey [78,115], one in India [116], one in Israel [117], one in Chile [118], one in Brazil [119], and one in Korea [120] (Figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…Considering the 45 studies included in the current review, 31 found a negative association between prenatal attachment and perinatal depression [22,74,75,81,84,86,[89][90][91][92]95,[97][98][99]101,102,[104][105][106][107][108][110][111][112][114][115][116][117][118][119][120], while a positive relation between perinatal depression and some dimensions of antenatal attachment was identified in three studies [94,102,106]. Thirteen studies did not highlight significant associations between these variables [76,[78][79][80]85,87,88,93,96,100,103,109,113].…”

Section: Main Findingsmentioning

confidence: 99%

“…Thirteen studies did not highlight significant associations between these variables [76,[78][79][80]85,87,88,93,96,100,103,109,113]. Specifically, the majority of the articles (28) observed a negative association between prenatal depressive symptoms and prenatal attachment [22,75,81,84,86,[89][90][91][92]94,97,98,102,[104][105][106][107][108][110][111][112][114][115][116][117][118][119][120]. In contrast, a positive association between prenatal depression and some dimensions of prenatal attachment (i.e., the "physical contact with the fetus and sensitivity to the fetal movement" subscale of the MFAS [102], the "empathy" subscale of the German version of the MFAS [106], and the "fantasy" and the "maternal sensitivity to the fetus" factors of the PAI [94]) was found in three studies…”

Section: Main Findingsmentioning

confidence: 99%

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Prenatal Attachment and Perinatal Depression: A Systematic Review

Rollé

Giordano

Santoniccolo

et al. 2020

IJERPH

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Pregnancy is a period of complex bio-psychological changes, during which the development of an attachment bond to the fetus takes on a central role. Depressive symptoms are common during this period. Both symptoms of depression and low levels of prenatal attachment are related to negative outcomes in caregivers and infants. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, this systematic review analyzes and systematizes 41 studies concerning the association between prenatal attachment and perinatal depression. The majority of the studies reported a significant association between the two. Specifically, prenatal depressive symptoms were found to be negatively associated with prenatal attachment. Furthermore, lower levels of prenatal attachment were related to higher postnatal depressive symptoms, although fewer studies assessed this association. While these results were found across different populations, conflicting findings emerged, suggesting they should be interpreted with caution, particularly in male samples and in non-normative pregnancies (e.g., high-risk pregnancies, medically assisted pregnancies, and pregnancies with previous perinatal losses). These results are clinically important for the perinatal screening process and for implementing preventive and treatment programs. However, future studies are needed to further confirm and generalize these results.

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“…Так, исследование итальянских коллег [6], посвя-щенное сравнительной оценке качества антенаталь-ной привязанности (attachment) при физиологиче-ски и патологически протекающей беременности, доказало вполне очевидный факт: высокому риску невынашивания сопутствует состояние депрессии и ситуативной тревоги, причем последняя не зависит от прогноза прерывания беременности и сама по себе снижает формирование привязанности. Тревожно-депрессивный фон при беременности высокого рис-ка существенно тормозит развитие привязанности к малышу у обоих родителей и имеет свои законо-мерности: привязанность у отца напрямую зависит от материнской и очень подвержена негативному влиянию материнской депрессии.…”

Section: стресс рождения недоношенного ребенка и его последствияunclassified