Bhandari Shalini, Kumari Manjini Jayaram, Vahitha S, Sujithradevi R
Department of Obstetrics and Gynaecology Nursing, College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Department of Medical Surgical Nursing, College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
J Educ Health Promot. 2025 Jul 31;14:295. doi: 10.4103/jehp.jehp_1063_24. eCollection 2025.
Maternal-fetal attachment is the bond that grows over time during the pregnancy via several antenatal practices for a healthy fetus. One such practice is daily fetal movement count which may play a vital part in promoting maternal fetal attachment. This study aims to determine the effect of daily fetal movement count on maternal-fetal attachment levels among low-risk primigravida women and find the association between obstetrical variables and post-maternal antenatal attachment scores.
A randomization trial was conducted among low-risk primigravids (40 in experimental and 40 in control groups) in the antenatal outpatient department. The low-risk primigravids who were in 28-32 weeks of gestation were asked to count and mark the number of fetal movements perceived by them in a daily fetal movement count chart for consecutive two weeks in the intervention group whereas only routine antenatal care was been provided to the control group.
The study findings show that in intervention group primigravids, about 20 (50%) had very positive feelings about the baby inside them, 30 (75%) consider their developing baby as a little person with special characteristics, 24 (60%) the baby is dependent on them for their well-being, 16 (40%) of the primigravids in the intervention group after performing daily fetal movement count scored high during post assessment revealing that they have a very clear picture of their baby. The differences in pre-assessment and post-assessment scores were found highly statistically significant (P=<0.001).
The study concluded that primigravida who were performing fetal movement count had increased maternal-antenatal attachment levels than primigravida who did not perform fetal movement count.
母婴依恋是孕期通过多种产前措施随着时间推移而形成的一种纽带，旨在孕育健康胎儿。每日胎动计数就是其中一种措施，它可能在促进母婴依恋方面发挥重要作用。本研究旨在确定每日胎动计数对低风险初产妇母婴依恋水平的影响，并找出产科变量与产后母婴产前依恋评分之间的关联。
在产前门诊对低风险初产妇进行了一项随机试验（实验组40例，对照组40例）。干预组中妊娠28 - 32周的低风险初产妇被要求在每日胎动计数图表上记录并标记连续两周内她们感知到的胎动次数，而对照组仅接受常规产前护理。
研究结果显示，在干预组初产妇中，约20名（50%）对腹中胎儿有非常积极的感受，30名（75%）认为她们发育中的胎儿是具有特殊特征的小人儿，24名（60%）认为胎儿的幸福依赖于她们，干预组中16名（40%）初产妇在进行每日胎动计数后，产后评估得分较高，表明她们对自己的宝宝有非常清晰的认知。评估前和评估后的得分差异具有高度统计学意义（P =<0.001）。
研究得出结论，进行胎动计数的初产妇比未进行胎动计数的初产妇母婴产前依恋水平更高。
