Department of Midwifery, School of Nursing and Midwifery, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Natl Med Assoc. 2017;109(3):164-171. doi: 10.1016/j.jnma.2017.03.002. Epub 2017 Apr 10.
Infertility is one of the main stressful events of life and a crisis affecting various dimensions of infertile couples' lives. Relaxation, as a strategy, can be effective in the individuals' resistance to stress and anxiety. Therefore, the present study aimed to assess the effect of relaxation on mother's anxiety and maternal-fetal attachment in primiparous women who used In Vitro Fertilization (IVF) to get pregnant.
In this clinical trial, 80 primiparous women who had used IVF to get pregnant were randomly divided into a control and an intervention group. The intervention group took part in four 90-min relaxation classes in addition to receiving the routine pregnancy care. Anxiety and maternal-fetal attachment were evaluated before and one month after the intervention. Also, maternal-infantile attachment score was computed after delivery. The statistical analyses were performed using the SPSS statistical software. Chi-square and independent t-test was used to analyze the data.
The results revealed no significant difference between the two groups regarding the mean scores of anxiety and attachment before the intervention. However, a significant difference was observed in this regard after the intervention (41.4 ± 4.1 vs. 51.0 ± 10.4, P < 0.01).
The study results showed that relaxation training was effective in reduction of anxiety and increase of maternal-fetal attachment in the women who had used IVF to get pregnant. Although there are other methods for reducing anxiety, relaxing can be used for IVF women due to its ease of use and its wide acceptance.
不孕是生活中的主要应激事件之一，是影响不孕夫妇生活各个方面的危机。放松作为一种应对策略，可以有效地增强个体对压力和焦虑的抵抗力。因此，本研究旨在评估放松对接受体外受精（IVF）受孕的初产妇焦虑和母婴依恋的影响。
在这项临床试验中，80 名接受 IVF 受孕的初产妇被随机分为对照组和干预组。干预组除了接受常规的妊娠护理外，还参加了 4 次 90 分钟的放松课程。在干预前后评估焦虑和母婴依恋情况，并在分娩后计算母婴依恋评分。采用 SPSS 统计软件进行统计分析。采用卡方检验和独立 t 检验进行数据分析。
干预前，两组焦虑和依恋的平均得分无显著差异。然而，干预后存在显著差异（41.4±4.1 与 51.0±10.4，P<0.01）。
研究结果表明，放松训练可有效降低接受 IVF 受孕的妇女的焦虑程度，增加母婴依恋。虽然有其他方法可以减轻焦虑，但由于放松易于使用且广泛接受，因此可以用于 IVF 女性。
