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探讨生育恐惧与孕期产前依恋的关系。

Investigation of the relationship between fear of birth and prenatal attachment in pregnancy.

机构信息

Eskisehir Osmangazi University, Faculty of Health Sciences, Department of Nursing - Eskisehir, Turkey.

Necmettin Erbakan University, Faculty of Nursing, Department of Obstetrics and Gynecology Nursing - Konya, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2023 Oct 9;69(11):e20230067. doi: 10.1590/1806-9282.20230067. eCollection 2023.

Abstract

OBJECTIVE

This study was conducted to examine the relationship between the fear of birth and level of prenatal attachment experienced by the pregnant women.

METHODS

In our descriptive and relationship-seeking study conducted between January and March 2020 in Konya, 485 pregnant women who met the inclusion criteria were included in the study. Inclusion criteria for the study were women who were pregnant at the age of 18 years and above, having Turkish literacy, had spontaneous conception were over the 28th gestational week, having a healthy fetus, and not having any existing health problems (based on self-report). The data were collected with an information form, "Prenatal Attachment Inventory" and "Wijma Birth Expectation/Experience (Version A) Scale."

RESULTS

The mean score of the pregnant women from the "Prenatal Attachment Inventory" was 62.44 (21-84), and the mean score of the "Wijma Birth Expectation/Experience Scale/Version A" was found to be 59.45 (0-165). It was concluded that 47.2% of the pregnant women had low, 38.7% had moderate, and 14.1% had high levels of fear of birth. It was determined that there was a negative and weakly significant relationship between "Prenatal Attachment Inventory" and "Wijma Birth Expectation/Experience Scale/Version A" scores of pregnant women (r=-0.11 and p=0.23).

CONCLUSION

In our study, it was determined that as the fear of birth increased, prenatal attachment levels decreased. Initiating and maintaining a healthy mother-infant bond is important for reducing fear of birth.

摘要

目的

本研究旨在探讨孕妇对分娩的恐惧与产前依恋程度之间的关系。

方法

本描述性和关系研究于 2020 年 1 月至 3 月在科尼亚进行,纳入了符合纳入标准的 485 名孕妇。研究的纳入标准为年龄在 18 岁及以上、土耳其语读写能力、自然受孕、妊娠 28 周以上、胎儿健康、无现有健康问题(基于自我报告)的孕妇。使用“产前依恋量表”和“Wijma 分娩期望/体验量表(A 版)”收集数据。

结果

孕妇“产前依恋量表”的平均得分为 62.44(21-84),“Wijma 分娩期望/体验量表(A 版)”的平均得分为 59.45(0-165)。研究结果表明,47.2%的孕妇存在低度分娩恐惧,38.7%的孕妇存在中度分娩恐惧,14.1%的孕妇存在高度分娩恐惧。孕妇“产前依恋量表”和“Wijma 分娩期望/体验量表(A 版)”得分之间存在负弱相关(r=-0.11,p=0.23)。

结论

在本研究中,我们发现随着对分娩的恐惧增加,产前依恋水平降低。建立和维持健康的母婴关系对于降低分娩恐惧非常重要。

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