Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.
Psychiatr Danub. 2020 Nov;32(Suppl 4):568-575.
Although pregnancy is a physiological process, there are various changes which need to be adapted to. Adaptation and prenatal attachment are important for both the mother's and baby's health. These situations are more crucial for women with high-risk pregnancy. The study aimed to determine the relationship between adaptation to pregnancy and prenatal attachment among women with high-risk pregnancy, as well as socio-demographic and obstetric parameters which affected this adaptation.
This descriptive and analytic study's data were collected from high-risk pregnant women (n=479) who were receiving treatment at two public hospitals in Turkey using Prenatal Self-Evaluation Form (PSEQ) and Prenatal Attachment Inventory (PAI). Descriptive statistics, correlation and comparative analyses were used in data analyses.
It was determined that adaptation to pregnancy was medium and prenatal attachment was high in high-risk pregnant (PSEQ mean score:159.43±27.05; PAI mean score: 63.79±10.75). There was a significant negative relationship between the scales (r=-0.556, p<0.01). This relationship showed that as adaptation to pregnancy increased, prenatal attachment also increased. There was significant difference in the PSEQ by age, educational status, employment status, marital status, year of marriage, spouse's educational and employment status, having health insurance, family type, income status, spouse's attitudes towards pregnancy, number of pregnancies, number of births, having living children, whether the pregnancy was planned, pregnancy week and prenatal attachment.
According to results, there is relationship between adaptation to pregnancy and prenatal attachment in high-risk pregnancies and some sociodemographic and obstetric factors affects adaptation to pregnancy. Determining these factors can serve as a guide for preventing and reducing additional problems that may be encountered in pregnancy and postpartum period in high-risk pregnant women.
尽管怀孕是一个生理过程，但仍有各种变化需要适应。适应和产前依恋对母婴健康都很重要。这些情况对于高危孕妇来说更为关键。本研究旨在确定高危孕妇的妊娠适应与产前依恋之间的关系，以及影响这种适应的社会人口学和产科参数。
本描述性和分析性研究的数据来自土耳其两家公立医院的高危孕妇（n=479），使用产前自我评估表（PSEQ）和产前依恋量表（PAI）进行收集。数据分析采用描述性统计、相关性和比较分析。
高危孕妇的妊娠适应处于中等水平，产前依恋处于高水平（PSEQ 平均得分：159.43±27.05；PAI 平均得分：63.79±10.75）。这两个量表之间存在显著的负相关关系（r=-0.556，p<0.01）。这表明，随着妊娠适应的增加，产前依恋也随之增加。PSEQ 在年龄、教育程度、就业状况、婚姻状况、结婚年限、配偶的教育和就业状况、是否有健康保险、家庭类型、收入状况、配偶对怀孕的态度、怀孕次数、分娩次数、是否有活产子女、怀孕是否计划、怀孕周数和产前依恋方面存在显著差异。
根据研究结果，高危妊娠中存在妊娠适应与产前依恋之间的关系，一些社会人口学和产科因素会影响妊娠适应。确定这些因素可以为高危孕妇在妊娠和产后期间预防和减少可能遇到的额外问题提供指导。
