Maddahi Maryam Sadat, Dolatian Mahrokh, Khoramabadi Monirsadat, Talebi Atefeh
M.Sc. of Midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ph.D. of Social Determinants of Health, Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Electron Physician. 2016 Jul 25;8(7):2639-44. doi: 10.19082/2639. eCollection 2016 Jul.
Low birth weight due to preterm delivery or intrauterine growth restriction (IUGR) is the strongest factor contributing to prenatal, neonatal, and postnatal mortality. Maternal-fetal attachment plays a significant role in maternal and fetal health. Health practices performed by the mother during pregnancy constitute one of the factors that may affect neonatal outcomes. The present study was conducted to identify the relationship between maternal-fetal attachment and health practices during pregnancy with neonatal outcomes.
This cross-sectional study was conducted on 315 pregnant women with a gestational age of 33-41 weeks who presented to hospitals in Sirjan (Iran) between December 2014 and February 2015. The data collection tools used included the Health Practices in Pregnancy Questionnaire and the Maternal Fetal Attachment Scale. Data were analyzed using IBM-SPSS version 20, focusing on the Pearson product-moment correlation and the logistic regression model. Statistical significance was set to p<0.05.
The mean score of maternal-fetal attachment was 60.34, and the mean score of health practices was 123.57. The mean birth weight of the neonates was 3052.38 g. Health practices (p<0.05, r=0.11) and maternal-fetal attachment (p<0.01, r=0.23) were positively and significantly correlated with neonatal outcomes. A significant positive relationship was also observed between maternal-fetal attachment and neonatal outcomes. No significant relationships were observed between health practices during pregnancy and neonatal outcomes.
Maternal-fetal attachment and health practices during pregnancy are positively and significantly correlated with neonatal outcomes.
早产或宫内生长受限（IUGR）导致的低出生体重是产前、新生儿期及产后死亡率的最强影响因素。母婴依恋对母婴健康起着重要作用。母亲在孕期的健康行为是可能影响新生儿结局的因素之一。本研究旨在确定孕期母婴依恋及健康行为与新生儿结局之间的关系。
本横断面研究对2014年12月至2015年2月期间在伊朗锡尔詹的医院就诊的315名孕周为33 - 41周的孕妇进行。所使用的数据收集工具包括《孕期健康行为问卷》和《母婴依恋量表》。使用IBM-SPSS 20版软件进行数据分析，重点关注皮尔逊积差相关和逻辑回归模型。设定统计学显著性为p<0.05。
母婴依恋的平均得分为60.34，健康行为的平均得分为123.57。新生儿的平均出生体重为3052.38克。健康行为（p<0.05，r = 0.11）和母婴依恋（p<0.01，r = 0.23）与新生儿结局呈显著正相关。母婴依恋与新生儿结局之间也观察到显著的正相关关系。孕期健康行为与新生儿结局之间未观察到显著关系。
孕期母婴依恋及健康行为与新生儿结局呈显著正相关。
