Atabakhsh Tahmineh, Salehi Kobra, Mohammadi Fatemeh
Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2024 Aug 29;13:301. doi: 10.4103/jehp.jehp_8_24. eCollection 2024.
Mothers who experience unplanned pregnancies tend to show less maternal attachment to the fetus, which can lead to diminished self-care during pregnancy, and affect well-being of the fetus. Consequently, unintended pregnancies are associated with heightened maternal and fetal consequences due to mothers' negligence. Hippotherapy intervention has emerged as a viable approach to enhance maternal-fetal communication. The ultimate goal of this study was to broaden our current understanding of haptotherapy's impact on maternal-fetal attachment in unplanned pregnancies.
This field trial research was conducted at comprehensive health centers in Isfahan using convenient sampling method. The study consisted of two groups of mothers, each consisting of 33 individuals with unplanned pregnancies between 20 to 24 weeks. The experimental group received haptotherapy intervention for 10 weeks, while the control group received standard pregnancy care. For data collection the participants were given demographic and fertility questionnaire prior to the study, and Cranley's maternal-fetal attachment questionnaire both before and after the study. Moreover, T-test, Mann-Whitney U test, and Chi-square test were used for data analysis.
Prior to the intervention, there was no significant difference in the average maternal-fetal attachment scores between the experimental and control groups ( = 0.56). However, a significant increase became apparent after the intervention. The experimental group exhibited a significant improvement in the mean attachment scores compared to their pre-intervention levels (t=-9.20, = 0<0.001). In contrast, the control group's score remained unchanged, with no significant difference observed (=1.69, = 0.1).
Haptotherapy has been found to enhance maternal-fetal attachment in mothers experiencing unplanned pregnancies. This valuable intervention is recommended as an innovative and secure approach in maternal health care services to help reduce the potential complications associated with such pregnancies.
经历意外怀孕的母亲往往对胎儿的母性依恋较少，这可能导致孕期自我护理减少，并影响胎儿的健康。因此，意外怀孕由于母亲的疏忽而与母婴不良后果增加有关。马术疗法干预已成为增强母婴沟通的一种可行方法。本研究的最终目标是拓宽我们目前对马术疗法对意外怀孕中母婴依恋影响的理解。
本现场试验研究在伊斯法罕的综合健康中心采用便利抽样法进行。该研究由两组母亲组成，每组33名怀孕20至24周的意外怀孕个体。实验组接受了10周的马术疗法干预，而对照组接受标准的孕期护理。为了收集数据，在研究前给参与者发放了人口统计学和生育问卷，并在研究前后发放了克兰利母婴依恋问卷。此外，使用t检验、曼-惠特尼U检验和卡方检验进行数据分析。
干预前，实验组和对照组的平均母婴依恋得分没有显著差异（=0.56）。然而，干预后有显著增加。与干预前水平相比，实验组的平均依恋得分有显著改善（t=-9.20，=0<0.001）。相比之下，对照组的得分保持不变，没有观察到显著差异（=1.69，=0.1）。
已发现马术疗法可增强意外怀孕母亲的母婴依恋。建议将这种有价值的干预作为孕产妇保健服务中的一种创新且安全的方法，以帮助减少与此类怀孕相关的潜在并发症。
