Delavari Mina, Mirghafourvand Mojgan, Mohammad-Alizadeh-Charandabi Sakineh
a Department of Midwifery, Faculty of Nursing and Midwifery , Students Research Committee, Tabriz University of Medical Sciences , Tabriz , Iran.
b Midwifery Department , Social Determinants of Health Research Center, Tabriz University of Medical Sciences , Tabriz , Iran.
J Matern Fetal Neonatal Med. 2018 Sep;31(18):2450-2456. doi: 10.1080/14767058.2017.1344961. Epub 2017 Jul 6.
The objective of this study was to determine the relationship of maternal-fetal attachment and depression during pregnancy with social support.
This cross-sectional study was done on 287 primipara women. The data collection tools used included a demographic characteristics questionnaire, Maternal-Fetal Attachment Scale, the Edinburgh Postnatal Depression Scale and the Social Support Scale. Pearson's correlation test and general linear model were used for data analysis.
The mean maternal-fetal attachment score was 90.0 (SD: 10.3). The highest score was obtained in the "role taking" domain and the lowest in the "interaction with the fetus" domain. The mean depression score was 8.5 (SD: 4.0). The score of perceived social support was 135.5 (SD: 15.6). Pearson's correlation test showed a significant positive correlation between social support and maternal-fetal attachment (r = 0.36, p < .001) and a significant negative correlation between social support and depression (r= -0.14, p = .018).
The present study found a significant relationship between maternal-fetal attachment, depression and social support. It is recommended to devise plans for increasing the support given to women and to improve the society's and families' awareness about these issues in the attempt to have healthy mothers and thereby healthy families and communities.
本研究的目的是确定孕期母婴依恋及抑郁与社会支持之间的关系。
本横断面研究对287名初产妇进行。使用的数据收集工具包括人口统计学特征问卷、母婴依恋量表、爱丁堡产后抑郁量表和社会支持量表。数据分析采用Pearson相关检验和一般线性模型。
母婴依恋平均得分90.0（标准差：10.3）。在“角色承担”领域得分最高，在“与胎儿互动”领域得分最低。抑郁平均得分8.5（标准差：4.0）。感知社会支持得分135.5（标准差：15.6）。Pearson相关检验显示社会支持与母婴依恋之间存在显著正相关（r = 0.36，p <.001），社会支持与抑郁之间存在显著负相关（r = -0.14，p =.018）。
本研究发现母婴依恋、抑郁与社会支持之间存在显著关系。建议制定计划增加对女性的支持，并提高社会和家庭对这些问题的认识，以实现母亲健康，进而实现家庭和社区健康。
