近期选择性或治疗性流产后未生育孕妇妊娠及产前依恋的核心地位
Centrality of Pregnancy and Prenatal Attachment in Pregnant Nulliparous After Recent Elective or Therapeutic Abortion.
作者信息
Smorti Martina, Ponti Lucia, Bonassi Lucia, Cattaneo Elena, Ionio Chiara
机构信息
Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Department of Education, Languages, Intercultures, Literatures and Psychology, University of Florence, Firenze, Italy.
出版信息
Front Psychol. 2020 Dec 3;11:607879. doi: 10.3389/fpsyg.2020.607879. eCollection 2020.
BACKGROUND
There are two types of voluntary interruption of pregnancy: elective and therapeutic abortion. These forms are different for many reasons, and it is reasonable to assume that they can have negative consequences that can last until a subsequent gestation. However, no study has analyzed the psychological experience of gestation after a previous abortion, distinguishing the two forms of voluntary interruption of pregnancy.
OBJECTIVE
This study aims to explore the level of prenatal attachment and centrality of pregnancy in nulliparous low-risk pregnant women with a recently (<3 years) previous elective or therapeutic abortion.
METHODS
A total of 34 nulliparous pregnant women with a history of abortion (23 elective and 11 therapeutic abortion), aged from 27 to 48 years (mean = 37.17), were recruited in the maternity ward of a public hospital of the metropolitan area of Tuscany and Lombardy (Italy) during the third trimester of gestation. The participants filled out a battery of questionnaires aimed at assessing prenatal attachment and centrality of pregnancy.
RESULTS
Analyses of variance showed that women with a history of elective abortion reported a higher centrality of pregnancy than women with a past therapeutic abortion. On the contrary, women with a past therapeutic abortion reported higher prenatal attachment.
CONCLUSION
Elective and therapeutic abortions are different experiences that impact the way women experience a subsequent pregnancy. Future research should further investigate the psychological experience of gestation after abortion.
背景
人工终止妊娠有两种类型：选择性流产和治疗性流产。由于多种原因，这两种形式有所不同，并且有理由认为它们可能会产生持续到后续妊娠的负面后果。然而，尚无研究分析过既往流产后妊娠的心理体验，区分这两种人工终止妊娠的形式。
目的
本研究旨在探讨近期（<3年）有过选择性或治疗性流产史的未生育低风险孕妇的产前依恋水平和妊娠核心度。
方法
在意大利托斯卡纳和伦巴第大区首府的一家公立医院产科病房，招募了34名有流产史的未生育孕妇（23例选择性流产和11例治疗性流产），年龄在27至48岁之间（平均=37.17岁），妊娠晚期。参与者填写了一系列旨在评估产前依恋和妊娠核心度的问卷。
结果
方差分析显示，有选择性流产史的女性报告的妊娠核心度高于有既往治疗性流产史的女性。相反，有既往治疗性流产史的女性报告的产前依恋程度更高。
结论
选择性流产和治疗性流产是不同的经历，会影响女性对后续妊娠的体验方式。未来的研究应进一步调查流产后妊娠的心理体验。
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