Fetal Movement Counting-Effects on Maternal-Fetal Attachment: A Multicenter Randomized Controlled Trial

Saastad, Eli; Israel, Pravin; Ahlborg, Tone; Gunnes, Nina; Frøen, J. Frederik

doi:10.1111/j.1523-536x.2011.00489.x

Cited by 43 publications

(48 citation statements)

References 45 publications

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“…Earlier studies have suggested that maternal-fetal attachment develops especially after quickening of the fetus [22], and that a mother’s sensitive perception of fetal movements contributes to enhancing attachment to the fetus [15-18], though a recent study did not show the effectiveness of fetal movement counting on attachment [29]. It can be easier to sense fetal movement through the abdominal wall than with the central nervous system [30,31].…”

Section: Discussionmentioning

confidence: 99%

Effect of nursing intervention program using abdominal palpation of Leopold’s maneuvers on maternal-fetal attachment

Nishikawa

Sakakibara

2013

Reprod Health

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BackgroundThe aim of this study was to investigate whether a nursing intervention program using abdominal palpation would improve maternal-fetal relationships of pregnant women.MethodsThe subjects were Japanese women aged less than 40 years with singleton pregnancies. A nursing intervention involving abdominal palpations of Leopold’s Maneuvers was performed for the intervention group (n = 35) in the 30th, 32nd, and 34th weeks’ gestation, while ordinary health-related advice was provided to the control group (n = 73) in the corresponding period.ResultsAt the 30th (baseline) week, no intergroup differences were observed. However, the intervention group showed higher Prenatal Attachment Inventory (PAI) scores in the 34th (P < 0.01) and 36th weeks (P < 0.05) as well as a higher frequency of talking to the fetus in the 32nd (P < 0.01), 34th (P < 0.01), and 36th weeks (P < 0.05). Furthermore, Fetal position awareness score in the 32nd, the 34th, and the 36th weeks were higher in the intervention group than in the control group (P < 0.001).ConclusionsThe present findings have suggested that nursing interventions involving abdominal palpations can develop the maternal–fetal relationship. Further random controlled trials are warranted to ascertain this observation.

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Section: Discussionmentioning

confidence: 99%

Effect of nursing intervention program using abdominal palpation of Leopold’s maneuvers on maternal-fetal attachment

Nishikawa

Sakakibara

2013

Reprod Health

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“…A study reported that the women who counted the fetal movements in the third trimester reported to have fewer concerns than the control group (Saastad, Winje, Israel, & Froen, 2012). Another study reported that the fetal movement counting does not affect on maternal fetal attachment (Saastad, Israel, Ahlborg, Gunnes, & Froen, 2011). However, contradictory findings have been reported about the impact of fetal movement counting on maternal fetal attachment, but so far the impact of fetal movement counting on general health of mother has not been studied.…”

Section: Theoretical Framework and Literaturementioning

confidence: 92%

The Effects of Fetal Movement Counting on Mental Health of Mother in Third Trimester—A Randomized Controlled Trial

Delaram¹,

Jafarzadeh²,

Shams³

et al. 2016

CBR

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Anxiety is one of the psychological problems in pregnant women that sometimes takes the form of pathological and affects the mental health of mother. The aim of this study was to determine the effects of fetal movement counting on mental health of mother. In a randomized-controlled trial, 208 nulliparous women were randomly divided into two groups. At 28th weeks, both groups completed the GHQ-28. Then the intervention group started to count fetal movements from 28th to 37th weeks of gestation and the control group received routine prenatal care. Again, both groups completed the questionnaire at 37 weeks' gestation and the results were compared. Analysis was performed by SPSS and a P value < 0.05 was considered significant. The mean scores of mental health of mothers in 28th and 37th of pregnancy was respectively 23.52 ± 10.23 and 21.09 ± 10.12 in the intervention group and the difference was significant (P = 0.025). The mean in the control group was 23.69 ± 9.43 and 23.88 ± 8.60 respectively, and the difference was not significant (P = 0.52). In comparing the mean scores between the two groups, it was found that the difference was not significant at 28th weeks of gestation (P = 0.37), but it was significant in 37th week (P = 0.002) and the counting of fetal movements could improve the mental health of mothers compared to control group.The women who had fetal movements counting at weeks 28 to 37 of gestation reported better mental health than the control group. The mother reported concerns about decreased fetal movement was similar in the two groups.

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“…Two studies on fetal movement counts and maternalfetal attachment showed opposite results. The first study showed that women who counted fetal movements at the late gestational stage did not have enhanced levels of maternal-fetal attachment, comparedwithwomen who received standard prenatal care [41]. By contrast, the second study found that 1month of fetal movement counting increasedthe level of maternal-fetal attachment [42].…”

Section: Related Intervention Studies On Maternal-fetal Attachmentmentioning

confidence: 99%

Medical Technology and Related Interventions on Maternal-Fetal Attachment: A Literature Review

Lee¹

2015

Int J Nurs Clin Pract

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Importance: In this review of recent research on the effects of interventions on maternal-fetal attachment. There are limited data from several countries to demonstrate the impact of medical technology and intervention programs on maternal-fetal attachment. Objective: To examine studies on the effects of using medical technology and applying related interventions on maternal-fetal attachment, to identify gaps in this research, and to suggest future areas of research in this field. Methods: The PubMed, Medline, and Cumulative Index to Nursing and Allied Health Literature electronic databases were searched using the following keywords: maternal-fetal attachment, prenatal, paternal, yoga, mindfulness, medical technology, and intervention. Because of the limited number of studies, the publication year and type of study was not restricted. Results: Ten studies were selected for review. Ten studies that met the inclusion criteria were identified and used for further examination. The studies were conducted in the United States, Japan, Taiwan, Norway, the Netherlands, Sweden, Iran, and South Korea. Conclusion: Despite preliminary studies indicating that medical technology and related interventions enhance the level of maternal-fetal attachment, the small sample sizes and nonrandomized controlled research designs limit the generalizability of the results. Future research is recommended to measure the correlation between prenatal and postnatal attachment in participants who receive abnormal fetus or unexpected gender results in ultrasound screening and reproductive technology. Additionally, future studies should focus on the benefits of postnatal attachment in trained fathers by using a longitudinal research design.

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Fetal Movement Counting-Effects on Maternal-Fetal Attachment: A Multicenter Randomized Controlled Trial

Cited by 43 publications

References 45 publications

Effect of nursing intervention program using abdominal palpation of Leopold’s maneuvers on maternal-fetal attachment

Effect of nursing intervention program using abdominal palpation of Leopold’s maneuvers on maternal-fetal attachment

The Effects of Fetal Movement Counting on Mental Health of Mother in Third Trimester—A Randomized Controlled Trial

Medical Technology and Related Interventions on Maternal-Fetal Attachment: A Literature Review

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