Objective: This study was aimed to evaluate the affecting factors and relationship of maternal fetal attachment (MFA) and paternal fetal attachment (PFA) in the couples during the prenatal period. Material and Methods: The study was designed as a cross-sectional study. The sample of the study consisted of 227 couples (totally 454 participants) who applied to the obstetrics outpatient clinic. The data were collected using the structured data collection form prepared by the researcher, the Maternal and Paternal Fetal Attachment Scale. Results: The MFA and PFA scores of the pregnant women and their partners were 4.11±0.416 and 3.82±0.523, respectively. The association of MFA was found to be statistically significant with educational status, parity, having amniocentesis (p<0.05) whereas PFA was found to be statistically significantly associated with number of children, relationship with partner, treatment for infertility, planning of pregnancy (p<0.05). There was a statistically positive relationship between MFA and PFA scores (r=0.586, p<0.001). Conclusion: It was determined that there was an essential relationship between MFA and PFA. Healthy prenatal period and healthy family structure can be provided by positive MFA and PFA attitudes. Health care proffesionals should have essential roles to increase awaressness of MFA and PFAs for couples during pregnancy and to support developing attachment behaviours in prenatal period.
Keywords: Maternal attachment; paternal attachment; pregnancy; fetus
Amaç: Bu çalışmanın amacı, prenatal dönemde çiftlerde maternal fetal bağlanma (MFB) ve paternal fetal bağlanma (PFB) arasındaki ilişkinin ve etkileyen faktörlerin değerlendirilmesidir. Gereç ve Yöntemler: Kesitsel bir çalışma olarak tasarlanmıştır. Araştırmanın örneklemini kadın hastalıkları polikliniğine başvuran 227 çift (toplam 454 katılımcı) oluşturmuştur. Veriler, araştırmacı tarafından hazırlanan yapılandırılmış veri toplama formu, Maternal ve Paternal Fetal Bağlanma Ölçeği (MFB ve PFB) kullanılarak toplanmıştır. Bulgular: Gebelerin ve eşlerinin MFB ve PFB puanları sırasıyla 4,11±0,416 ve 3,82±0,523 idi. MFB'nin eğitim durumu, parite, amniyosentez yaptırma ile ilişkisi istatistiksel olarak anlamlı bulunurken (p<0,05), PFB çocuk sayısı, partner ile ilişki, infertilite tedavisi, gebelik planlaması ile istatistiksel olarak anlamlı bulunmuştur (p<0,05). MFB ve PFB puanları arasında istatistiksel olarak pozitif bir ilişki vardı (r=0,586, p<0,001). Sonuç: MFB ve PFB arasında önemli bir ilişki olduğu belirlenmiştir. Sağlıklı doğum öncesi dönem ve sağlıklı aile yapısı, olumlu MFB ve PFB tutumları ile sağlanabilir. Sağlık profesyonelleri, gebelik sırasında anne ve babanın fetal bağlanma farkındalığını artırmak ve doğum öncesi dönemde bağlanma davranışlarının gelişimini desteklemek için önemli roller üstlenmelidir.
Anahtar Kelimeler: Maternal bağlanma; paternal bağlanma; gebelik; fetüs
- Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Complexity of parental prenatal attachment during pregnancy at risk for preterm delivery. J Matern Fetal Neonatal Med. 2016;29(5):771-6. [Crossref] [PubMed]
- Elkin N. Gebelerin prenatal bağlanma düzeyleri ve bunları etkileyen faktörler [Levels of prenatal attachment in pregnant women and factors affecting it]. J Continuing Medical Educ. 2015;24(6):230-6. [Link]
- Teixeira M, Raimundo F, Antunes M. Relation between maternal-fetal attachment and gestational age and parental memories. Rev Enferm Ref. 2016;4(8):85-92. [Link]
- Bilgin Z, Ecevit Alpar Ş. Kadınların maternal bağlanma algısı ve anneliğe ilişkin görüşleri [The relationship between maternal attachment perception of women's maternal role]. Journal of Health Sciences of Professions. 2018;5(1):6-15. [Crossref]
- Tuncel NT, Kahyaoglu Sut H. Gebelikte yaşanan anksiyete, depresyon ve prenatal distres düzeyinin doğum öncesi bebeğe bağlanmaya etkisi [The effect of anxiety, depression and prenatal distress levels in pregnancy on prenatal attachment]. Tıp Derg J Gynecol Neonatol. 2019;16(1):9-17. [Link]
- Celik M, Ergin A. The effect on pregnant women's prenatal attachment of a nursing practice using the first and second Leopold's maneuvers. Jpn J Nurs Sci. 2020;17(2):e12297. [Crossref] [PubMed]
- Karakaş NM, Dağlı FŞ. The importance of attachment in infant and influencing factors. Turk Pediatri Ars. 2019;54(2):76-81. [PubMed] [PMC]
- Salehi K, Kohan S, Taleghani F. Factors and interventions associated with parental attachment during pregnancy in İran: A systematic review. Int J Pediatr. 2018;6(1):6823-42. [Link]
- Setodeh S, Pourahmad S, Akbarzadeh M. A study of the efficacy of fathers' attachment training on paternal-fetal attachment and parental anxiety. Fam Med Prim Care Rev. 2017;19(4):393-8. [Crossref]
- Yuan L, Gu Z, Peng H, Zhao L. A paternal-fetal attachment pilot intervention on mental health for pregnant mothers. NeuroQuantology. 2018;16(1):71-6. [Crossref]
- Akarsu RH, Tuncay B, Alsaç SY. Anne-bebek bağlanmasında kanıta dayalı uygulamalar [Evidence-based applications in mother-infant attachment]. Gümüşhane Univ J Heal Sci. 2017;6(4):275-9. [Link]
- Mutlu C, Yorbik O, Tanju İA, Celikel F, Sezer RG. Doğum öncesi, doğum sırası ve doğum sonrası etkenlerin annenin bağlanması ile ilişkisi [Association of prenatal, natal, and postnatal factors with maternal attachment]. Anatol J Psychiatry. 2015;16(6):442-50. [Crossref]
- Jang SH, Kim IJ, Lee SH. Social support and maternal-fetal attachment in unmarried pregnant women in Korea: does self-esteem play a mediating role? Int J Bio-Science Bio-Technology. 2015;7(6):131-40. [Crossref]
- Paulson JF, Bazemore SD. Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA. 2010;303(19):1961-9. [Crossref] [PubMed]
- Ustunsoz A, Guvenc G, Akyuz A, Oflaz F. Comparison of maternal-and paternal-fetal attachment in Turkish couples. Midwifery. 2010;26(2):e1-9. [Crossref] [PubMed]
- Cinar N, Caka SY, Topal S, Yuvaci HU, Erkorkmaz U. The relation of health-related practices of pregnant women, fatigue and prenatal attachment. J Coll Physicians Surg Pak. 2017;27(11):693-8. [PubMed]
- Petri E, Palagini L, Bacci O, Borri C, Teristi V, Corezzi C, et al. Maternal-foetal attachment independently predicts the quality of maternal-infant bonding and post-partum psychopathology. J Matern Fetal Neonatal Med. 2018;31(23):3153-9. [Crossref] [PubMed]
- Ozcan H, Arar İ, Cakır A. Babalar ve gebelik süreci [Process of the father and pregnancy]. Med Bull Zeynep Kamil. 2018;49(1):72-6. [Link]
- Ulu PG, Bayraktar S. Investigation of variables related to prenatal bonding levels in pregnant women. Yeni Symp. 2018;56(2):2-8. [Crossref]
- Yarcheski A, Mahon NE, Yarcheski TJ, Hanks MM, Cannella BL. A meta-analytic study of predictors of maternal-fetal attachment. Int J Nurs Stud. 2009;46(5):708-15. [Crossref] [PubMed]
- Delavari M, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S. The relationship of maternal-fetal attachment and depression with social support in pregnant women referring to health centers of Tabriz-Iran, 2016. J Matern Fetal Neonatal Med. 2018;31(18):2450-6. [Crossref] [PubMed]
- Kaur S, Mamta, Sagar N. Comparative study to assess the maternal and paternal fetal attachment among the expectant mothers and fathers. Int J Reprod Contraception, Obstet Gynecol. 2017;6(7):3134-70. [Link]
- Dai R, Yu Y, Xi Q, Hu X, Zhu H, Liu R, et al. Prenatal diagnosis of 4953 pregnant women with indications for genetic amniocentesis in Northeast China. Mol Cytogenet. 2019;12:45. [Crossref] [PubMed] [PMC]
- Hjelmstedt A, Widström AM, Collins A. Psychological correlates of prenatal attachment in women who conceived after in vitro fertilization and women who conceived naturally. Birth. 2006;33(4):303-10. [Crossref] [PubMed]
- Seimyr L, Sjögren B, Welles-Nyström B, Nissen E. Antenatal maternal depressive mood and parental-fetal attachment at the end of pregnancy. Arch Womens Ment Health. 2009;12(5):269-79. [Crossref] [PubMed]
.: Process List