Centre for Human Reproduction, University College Dublin (UCD) , Dublin, Ireland.
Department of Obstetrics and Gynaecology, Coombe Women and Infants University Hospital , Dublin, Ireland.
J Reprod Infant Psychol. 2020 Jul;38(3):271-280. doi: 10.1080/02646838.2019.1637516. Epub 2019 Jul 4.
Maternal-fetal attachment (MFA) psychologically is well described. Suboptimal attachment may have negative consequences particularly if it is associated with unhealthy maternal behaviour that may potentially increase the risk of adverse pregnancy outcomes. The perception of stress or anxiety is also associated with potential adverse outcomes including preterm birth.
This cross-sectional study examined MFA and perceived stress at the time of the first ultrasound examination in early pregnancy.
Convenience sampling was used to recruit women after they presented to the Ultrasound Department for a routine dating ultrasound at their first antenatal visit. Informed consent was obtained and clinical and sociodemographic details were recorded. Women were invited to complete validated Cranley MFA and Perceived Stress Scale (PSS) questionnaires.
Of the 90 women recruited, 80 completed the questionnaires successfully. No association was found between the MFA score and maternal age, parity, education, marital status, previous pregnancy loss or smoking behaviour. An unplanned pregnancy was associated with a lower mean MFA score (p < 0.01) and a higher mean PSS score (p < 0.005). These relationships persisted in a multiple regression analysis controlling for maternal age and parity.
In early pregnancy, an unplanned pregnancy is associated with a lower MFA and higher PSS score. Additional research is required to assess if this persists as pregnancy advances.
Maternal-Fetal Attachment (MFA), Maternal-Fetal Attachment Scale (MFAS), Perceived stress scale (PSS), Maternal Antenatal Attachment Scale (MAAS), Standard Deviation (SD), Central Statistics Office (CSO), Body Mass Index (BMI), Relative Risk (RR).
母婴依恋（MFA）在心理上描述得很好。如果母婴依恋不理想，可能会产生负面影响，尤其是如果它与不健康的母亲行为有关，这可能会增加不良妊娠结局的风险。压力或焦虑的感知也与潜在的不良结局有关，包括早产。
这项横断面研究在孕早期首次超声检查时检查了母婴依恋和感知压力。
便利抽样法招募了在第一次产前检查时到超声科进行常规约会超声检查的女性。获得知情同意并记录临床和社会人口统计学细节。邀请女性填写经验证的 Cranley MFA 和感知压力量表（PSS）问卷。
在招募的 90 名女性中，有 80 名成功完成了问卷。母婴依恋评分与母亲年龄、产次、教育程度、婚姻状况、既往妊娠丢失或吸烟行为之间无关联。意外怀孕与较低的平均 MFA 评分（p<0.01）和较高的平均 PSS 评分（p<0.005）相关。在控制母亲年龄和产次的多元回归分析中，这些关系仍然存在。
在孕早期，意外怀孕与较低的 MFA 和较高的 PSS 评分相关。需要进一步研究以评估这种情况是否会随着妊娠的进展而持续存在。
母婴依恋（MFA）、母婴依恋量表（MFAS）、感知压力量表（PSS）、母体产前依恋量表（MAAS）、标准差（SD）、中央统计局（CSO）、体重指数（BMI）、相对风险（RR）。
