Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
J Reprod Infant Psychol. 2021 Jul;39(3):225-235. doi: 10.1080/02646838.2019.1673891. Epub 2019 Oct 10.
: The present study aimed to determine the effect of group counselling on Maternal-Fetal Attachment (MFA) in mothers with unwanted pregnancy.: This study was a randomised clinical trial. The participants were 80 mothers with unwanted pregnancy during 28-34 weeks of pregnancy who referred to health centres of Karaj to receive prenatal care in 2018. The women were randomly assigned into intervention ( = 40) and control groups ( = 40). The intervention group received four weekly group counselling sessions to promote MFA and the control group received routine care. Cranley's Maternal-Fetal Attachment Scale was used to assess the attachment of mother to fetus at baseline and two weeks after counselling. An ANCOVA test was performed to evaluate the effect of intervention and the number of parity.: There was no significant difference between the two groups in terms of general health scores and attachment of mother to fetus at baseline, but after the intervention, the mean scores of MFA in the intervention group had a significant difference with the control group ( < 0.001); the ANCOVA test indicated that attachment scores were significant in terms of intervention and pregnancy group and attachment scores indicated further increase in the primipara group compared to the multipara group ( = 0.041).: Considering the effectiveness of group counselling in improving MFA in unplanned pregnancy, it can be used in prenatal care.
: 本研究旨在探讨团体咨询对意外怀孕母亲胎儿依附（MFA）的影响。: 这是一项随机临床试验。研究对象为 2018 年在卡拉季健康中心接受产前检查的 80 名 28-34 周妊娠意外怀孕的母亲。将这些妇女随机分为干预组（n=40）和对照组（n=40）。干预组接受每周 4 次团体咨询，以促进胎儿依附，对照组接受常规护理。在基线和咨询后两周使用 Cranley 的母亲-胎儿依附量表评估母亲对胎儿的依附。采用协方差分析（ANCOVA）检验评估干预效果和产次的影响。: 两组在一般健康评分和基线时母亲对胎儿的依附方面无显著差异，但干预后，干预组的 MFA 平均得分与对照组有显著差异（<0.001）；ANCOVA 检验表明，干预和妊娠组的依附评分有显著差异，与多胎组相比，初产妇组的依附评分进一步增加（=0.041）。: 考虑到团体咨询在改善意外怀孕中胎儿依附的有效性，可以将其用于产前护理。
