Student in Midwifery Counseling, Student Research Committee, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
J Reprod Infant Psychol. 2023 Feb;41(1):26-42. doi: 10.1080/02646838.2021.1959538. Epub 2021 Aug 17.
Unintended pregnancy is a risk factor for less maternal-fetal attachment (MFA) and low levels of psychological well-being. This study was conducted to determine the effect of an MFA-based training programme on maternal anxiety, depression and worries following an unintended pregnancy.
This randomised clinical trial was conducted on 68 women with an unintended pregnancy in north of Iran during 2018-2019. Participants were allocated to the trained and control groups through simple randomisation. The trained group received the MFA-based training for three 90-min sessions. Demographic questionnaire, London measure of unplanned pregnancy, Cranley's MFA scale, Edinburgh postnatal depression, Spielberger anxiety and prenatal distress questionnaires were used. Data were analysed by descriptive statistics, chi square, Fisher's exact test, independent and paired-samples -tests, Mann-Whitney U, analysis of covariance, and multivariate analysis of variance.
After the intervention, the mean MFA, anxiety and depression scores were not significantly different between the trained and control groups Worry was significantly decreased in the trained group ( = 0.001) and increased in the control group ( = 0.03).
Although the MFA-based training could not significantly improve MFA, maternal anxiety and depression, it has been effective on worry in women with the unintended pregnancies.
意外怀孕是母婴依恋（MFA）程度较低和心理健康水平较低的一个风险因素。本研究旨在确定基于母婴依恋的培训计划对意外怀孕后产妇焦虑、抑郁和担忧的影响。
本随机临床试验于 2018 年至 2019 年在伊朗北部对 68 名意外怀孕的妇女进行。通过简单随机化将参与者分配到训练组和对照组。训练组接受了三次 90 分钟的基于母婴依恋的培训。使用人口统计学问卷、伦敦意外怀孕量表、Cranley 的母婴依恋量表、爱丁堡产后抑郁量表、Spielberger 焦虑量表和产前焦虑量表。采用描述性统计、卡方检验、Fisher 确切检验、独立样本和配对样本 t 检验、Mann-Whitney U 检验、协方差分析和多变量方差分析进行数据分析。
干预后，训练组和对照组的母婴依恋、焦虑和抑郁评分均无显著差异，但训练组的担忧显著下降（P=0.001），对照组的担忧显著增加（P=0.03）。
尽管基于母婴依恋的培训不能显著改善母婴依恋、产妇焦虑和抑郁，但它对意外怀孕妇女的担忧有一定效果。
