Influencing factors on attachment among Taiwanese IVF women in their early pregnancy
Date Issued
2008
Date
2008
Author(s)
Kuo, Pi-Chao
Abstract
Maternal-fetal attachment is a term used to describe behaviors that represent an affiliation and interaction between mother and their unborn child. The core concept of attachment theory is a lasting and positive bond between baby and caregiver. The quality of the reciprocal relationship affects the emotional, cognitive and physical aspects of children''s development and wellbeing. Previous researches demonstrate that the development of this relationship has a correlation between prenatal and postnatal attachment. The women treated by in vitro fertilization/Embryo transfer (IVF/ET) would face higher incidence of high-risk pregnancy and more difficult transition time during their early pregnancy. It is important to determine factors which would influence the maternal fetal attachment among Taiwanese IVF/ET women in their early pregnancy in order to provide better prenatal care for them.he aims of this study were to compare the social support, pregnancy psychosomatic symptoms, pregnancy anxiety, pregnancy stress, fetus cognition, Chinese childbearing attitude and maternal fetal attachment for IVF/ET women within 9th, 12th and 20th of their pregnancy, and to identify the factors that influenced the maternal fetal attachment.his study was a longitudinal design. Data were collected from 160 IVF women gestation at 9th week, 12th week and 20th week at an Infertility Care Center by using convenience sampling. The self-report questionnaire included demographic data, The Symptoms Checklist, The Pregnancy Stress Rating Scale, The Pregnancy-related Anxiety Scale, The Cognition of Fetus Status Scale, The Modified Maternal-Fetal Attachment Scale, The Social Support Apgar and Chinese Childbearing Attitude Questionnaire. The data were coded and analyzed with SPSS/PC(+) for Windows v. 14.0.Frequency, Percentage, Mean, Standard Deviation, Pearson Correlation, One-way Repeated Measures ANOVA, One Sample t Test and Multiple Regression were used in this study. esults of this study present the level of fetus cognition, pregnancy stress and maternal fetal attachment were increased following by the gestation stages. There were significantly decreased in pregnancy psychosomatic symptoms from 12th week of gestation to 20th week of gestation. The level of pregnancy anxiety at 9th of gestation was significantly higher than the level of pregnancy anxiety at 20th of gestation. In addition, there was a positive relationship between maternal fetal attachment, Chinese childbearing attitude and social support at 9th week of gestation. There was a positive relationship between maternal fetal attachment, social support and fetus cognition at 12th week of gestation. There was a positive relationship between maternal fetal attachment, social support and pregnancy stress at 20th week of gestation. The maternal fetal attachment at 20th week of gestation had positive relationship with social support, Chinese childbearing attitude and maternal fetal attachment at 9th week of gestation and social support, fetus cognition and maternal fetal attachment at 12th week of gestation. he results present that the main factors which influenced the 9th week of maternal fetal attachment were the level of social support, Chinese childbearing attitude and pregnancy anxiety (R2=17.5 %). The main factor which influenced the 12th week of maternal fetal attachment was the level of fetus cognition at 12th week of gestation and the level of maternal fetal attachment at 9th week of gestation (R2=46 %). The level of 20th week of maternal fetal attachment (model I) was influenced by the level of 9th week of maternal fetal attachment, level of 20th week of social support and level of 20th week of pregnancy stress (R2=40.7 %). The level of 20th week of maternal fetal attachment (model II) was influenced by the level of 12th week of maternal fetal attachment, level of 20th week of social support and level of 20th week of pregnancy stress (R2=51.4 %). In addition, The main factor which influenced the changes in maternal fetal attachment from 9th to 20th week of gestation was the level of the 9th week of maternal fetal attachment and social support and numbers of fetus (R2=45.8 %).he findings from this study provide evidence based knowledge in order to understand the trends and factors in maternal fetal attachment for women treated by IVF/ET during their early pregnancy. This study could be used in developing and understanding the maternal fetal attachment theory between IVF/ET mother and their baby. This study could provide better nursing care and improve the quality of prenatal care service for IVF/ET women in Taiwan.
Subjects
maternal fetal attachment
in vitro fertilization/embryo transfer (IVF/ET)
pregnant women
social support
Chinese childbearing attitude
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