分娩恐惧与孕妇对胎儿依恋中的凝聚感之间的关系。
Relationship between fear of childbirth and the sense of cohesion with the attachment of pregnant mothers to the fetus.
作者信息
Golmakani Nahid, Gholami Mahboobeh, Shaghaghi Fatemeh, Safinejad Hadise, Kamali Zahra, Mohebbi-Dehnavi Zahra
机构信息
Academic Degree, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran.
出版信息
J Educ Health Promot. 2020 Oct 30;9:261. doi: 10.4103/jehp.jehp_46_20. eCollection 2020.
INTRODUCTION
Maternal-fetal attachment is a term used to describe the emotional relationship that a pregnant woman has with her developing fetus. Mental care for pregnant women (fear of childbirth and a sense of cohesion of pregnant women) is one of the most important aspects of prenatal care that affects the mother's attachment to the fetus. If fear and anxiety are relieved, psychological and physical relaxation will be replaced. Therefore, the present study was conducted with the aim of determining the relationship between fear of childbirth and the sense of cohesion with the attachment of pregnant mothers to the fetus.
METHODS
The present study is a descriptive study that was performed by multi-stage sampling method on 500 pregnant mothers who referred to health centers in Isfahan in 2017. The study participants completed the following questionnaires: fear of childbirth, sense of cohesion, and mother's attachment to the fetus. The data were analyzed by descriptive and analytical statistical methods (Pearson correlation) using SPSS software version 22.
RESULTS
The results showed that there was a significant negative relationship between the overall score of maternal attachment to the fetus and fear of childbirth ( = -0.153, = 0.001). However, there is a significant positive relationship between the overall score of maternal attachment to the fetus and the sense of cohesion ( = 0.112, = 0.01). The results also showed a significant negative relationship between the fear of childbirth and the dimensions of maternal attachment to the fetus, including interaction with the fetus ( = 0.04), self-sacrifice ( = 0.04), and attributing characteristics to the fetus ( = 0.05). There was a positive and significant relationship between the sense of coherence and the subsequent acceptance of the maternal role of maternal attachment to the fetus ( = 0.004).
CONCLUSION
More attention of prenatal care provider to the psychological issues of the pregnant mother and their fears and worries can lead to appropriate interventions in this field, and as a result, mothers' attachment to their fetus has increased so that they can take proper care during and after pregnancy.
引言
母婴依恋是一个用于描述孕妇与其发育中的胎儿之间情感关系的术语。对孕妇的心理护理（对分娩的恐惧和孕妇的凝聚力）是产前护理中影响母亲与胎儿依恋关系的最重要方面之一。如果恐惧和焦虑得到缓解，将会取而代之的是心理和身体的放松。因此，本研究旨在确定分娩恐惧与凝聚力与孕妇母亲对胎儿的依恋之间的关系。
方法
本研究是一项描述性研究，采用多阶段抽样方法对2017年转诊至伊斯法罕健康中心的500名孕妇母亲进行。研究参与者完成了以下问卷：分娩恐惧、凝聚力以及母亲对胎儿的依恋。使用SPSS 22版软件通过描述性和分析性统计方法（皮尔逊相关性）对数据进行分析。
结果
结果表明，母亲对胎儿依恋的总体得分与分娩恐惧之间存在显著的负相关（=-0.153，=0.001）。然而，母亲对胎儿依恋的总体得分与凝聚力之间存在显著的正相关（=0.112，=0.01）。结果还表明，分娩恐惧与母亲对胎儿依恋的维度之间存在显著的负相关关系，包括与胎儿的互动（=0.04）、自我牺牲（=0.04）以及将特征归因于胎儿（=0.05）。凝聚力与随后对母亲对胎儿依恋的母亲角色的接受之间存在正相关且显著的关系（=0.004）。
结论
产前护理提供者更多地关注孕妇母亲的心理问题及其恐惧和担忧，可导致在该领域进行适当干预，结果是母亲对胎儿的依恋增加，以便她们在孕期及产后能够给予适当护理。
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