The Relationship between Pregnancy-related Anxiety and Maternal-fetal Attachment among Primigravida

Authors

  • Anjarwati Anjarwati Midwifery Department, Universitas ‘Aisyiyah, Yogyakarta, Indonesia
  • Endang Koni Suryaningsih Midwifery Department, Universitas ‘Aisyiyah, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6586

Keywords:

Pregnancy-related anxiety, Maternal-fetal attachment, Mothers, Indonesian

Abstract

BACKGROUND: Many studies support the hypothesis that pregnancy-related anxiety (PRA) is strongly linked to postpartum depression, preterm births, low birth weight, fetal growth restriction, pregnancy complications, and negative infant outcomes. PRA has also been associated with mother-fetal bond during pregnancy that a special relationship between the mother and infant and growth beyond before the infant is born. Although extensive studies on PRA and maternal-fetal attachment (MFA) have been carried out, little attention on these issues is done in the Indonesian context.

AIM: To fill such a gap, the present study aimed to investigate the relationship between maternal PRA and MFA.

METHODS: Expectant mothers who visit their antenatal care in the primary health community services at Yogyakarta participated in this study. They were recruited using a purposive sampling technique based on the criteria: (a) The 1st time pregnancy, (b) in the late stage of pregnancy, (c) have no complication, (d) mother at any age range, and (e) mother at any education level. G-power 3.1.9.2 with effect size 0.15 has used to determine the number of samples, 84 people. Statistical analysis Pearson correlation has been applied and calculates the t relationship between two variables. General linier model analysis conducted the contribution of demographic variables to PRA and MFA.

RESULTS: There is a significant relationship between maternal anxiety during pregnancy and MFA (p < 0.001) and a significant correlation between PRA and maternal age. However, there were no correlation between MFA and demographic variables.

IMPLICATION FOR PRACTICE: Findings study provides the crucial information as the new approach to enhance the quality of care of mother’s and infant’s health during pregnancy as well as to promote maternal mental health.

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References

Andersson I, Nilsson S, Candidate RN. How women who have experienced one or more miscarriages manage their feelings and emotions when they become pregnant again-a qualitative interview study. Scand J Caring Sci. 2012;26(2):262-70. https://doi.org/10.1111/j.1471-6712.2011.00927.x PMid:21967678 DOI: https://doi.org/10.1111/j.1471-6712.2011.00927.x

Chaudron LH, Nirodi N. The obsessive-compulsive spectrum in the perinatal period: A prospective pilot study. Arch Womens Ment Health. 2010;13(5):403-10. https://doi.org/10.1007/s00737-010-0154-6 PMid:20221779 DOI: https://doi.org/10.1007/s00737-010-0154-6

Bayrampour H, Ali E, Mcneil DA, Benzies K, Macqueen G, Tough S. Pregnancy-related anxiety: A concept analysis. Int J Nurs Stud. 2016;55:115-30. https://doi.org/10.1016/j.ijnurstu.2015.10.023 PMid:26626973 DOI: https://doi.org/10.1016/j.ijnurstu.2015.10.023

Furber CM, Garrod D, Maloney E, Lovell K, Mcgowan L. A qualitative study of mild to moderate psychological distress during pregnancy. Int J Nurs Stud. 2009;46(5):669-77. https://doi.org/10.1016/j.ijnurstu.2008.12.003 PMid:19150062 DOI: https://doi.org/10.1016/j.ijnurstu.2008.12.003

Gourounti K, Kouklaki E, Lykeridou K, Dean D. Childbirth efficacy: Validating the childbirth self-efficacy inventory in a Greek sample of pregnant women. Midwifery. 2015;31(7):742-9. https://doi.org/10.1016/j.midw.2015.03.013 PMid:25896370 DOI: https://doi.org/10.1016/j.midw.2015.03.013

O’Donnell KJ, Bugge A, Freeman L, Khalife N, Connor TG, Glover V. Maternal prenatal anxiety and downregulation of placental 11β- HSD2. Psychoneuroendocrinology. 2012;37(6):818-26. https://doi.org/10.1016/j.psyneuen.2011.09.014 PMid:22001010 DOI: https://doi.org/10.1016/j.psyneuen.2011.09.014

Skouteris H, Wertheim EH, Rallis S, Milgrom J, Paxton SJ. Depression and anxiety through pregnancy and the early postpartum: An examination of prospective relationships. J Affect Disord. 2009;113(3):303-8. https://doi.org/10.1016/j.jad.2008.06.002 PMid:18614240 DOI: https://doi.org/10.1016/j.jad.2008.06.002

Abasi E, Tahmasebi H, Zafari M, Gholamreza, Takami N. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Sci J. 2012;9(1):68-75.

Yuksel F, Akin S, Durna Z. Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. J Clin Nurs. 2013;23(1-2):54-64. https://doi.org/10.1111/j.1365-2702.2012.04283.x PMid:23305376 DOI: https://doi.org/10.1111/j.1365-2702.2012.04283.x

Abazari F, Pouraboli B, Tavakoli P, Aflatoonian M, Kohan M. Anxiety and its relationship with maternal-fetal attachment in pregnant women in Southeast of Iran. I-Manag J Nurs. 2019;7:16-27.

Horgas AL, Yoon SL, Nichols AL, Marsiske M. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008;31(4):341-54. PMid:18231972

Siddiqui A, Hagglof B. Does maternal prenatal attachment predict postnatal mother-infant interaction? Early Hum Dev. 2000;59(1):13-25. https://doi.org/10.1016/s0378-3782(00)00076-1 PMid:10962164 DOI: https://doi.org/10.1016/S0378-3782(00)00076-1

Condon JT, Corkindale C. The correlates of antenatal attachment in pregnant women. Br J Med Psychol. 1997;70(4):359-72. https://doi.org/10.1111/j.2044-8341.1997.tb01912.x PMid:9429755 DOI: https://doi.org/10.1111/j.2044-8341.1997.tb01912.x

Maas AJ, Vreeswijk CM. Determinants of maternal fetal attachment in women from a community-based sample. J Reprod Infant Psychol. 2014;32(1):37-41. DOI: https://doi.org/10.1080/02646838.2013.853170

Muller ME, Mercer RT. Development of the prenatal attachment inventory. West J Nurs Res. 1993;15(2):199-211; discussion 211-5. PMid:8470375 DOI: https://doi.org/10.1177/019394599301500205

Suryaningsih E, Gau M, Wantonoro W. Concept analysis of maternal-fetal attachment. Belitung Nurs J. 2020;6(5):157-64. https://doi.org/10.33546/bnj.1194 DOI: https://doi.org/10.33546/bnj.1194

Edhborg M, Hogg B, Kabir ZN. Impact of postnatal maternal depressive symptoms and infant’s sex on mother-infant interaction among Bangladeshi women. Health. 2013;5(2):237-44. https://doi.org/10.4236/health.2013.52032 DOI: https://doi.org/10.4236/health.2013.52032

Deklava L, Lubina K, Circenis K, Sudraba V, Millere I. Causes of anxiety during pregnancy. Soc Behav Sci. 2015;205:623-6. Available from: http://www.linkinghub.elsevier.com/retrieve/pii/s1877042815051150. https://doi.org/10.1016/j.sbspro.2015.09.097. [Last accessed on 2021 May 16]. DOI: https://doi.org/10.1016/j.sbspro.2015.09.097

Akbarzadeh M, Toosi M, Zare N, Sharif F. Effect of learning attachment behaviors on anxiety and maternal fetal attachment in first pregnant women. Evid Based Care. 2011;1(1):21-34. Available from: http://www.ebcj.mums.ac.ir/article_3762.html. [Last accessed on 2021 Mar 05].

Göbel A, Stuhrmann LY, Harder S, Schulte-Markwort M, Mudra S. The association between maternal-fetal bonding and prenatal anxiety: An explanatory analysis and systematic review. J Affect Disord. 2018;239:313-27. https://doi.org/10.1016/j.jad.2018.07.024 PMid:30031251 DOI: https://doi.org/10.1016/j.jad.2018.07.024

Rahman A, Surkan PJ, Cayetano CE, Rwagatare P, Dickson KE. Grand challenges: Integrating maternal mental health into maternal and child health programmes. PLoS Med. 2013;10(5):e1001442. https://doi.org/10.1371/journal.pmed.1001442 PMid:23667345 DOI: https://doi.org/10.1371/journal.pmed.1001442

Roomruangwong C, Epperson CN. Perinatal depression in Asian women: Prevalence, associated factors, and cultural aspects. Asian Biomed. 2011;5:179-93. https://doi.org/10.5372/1905-7415.0502.024 DOI: https://doi.org/10.5372/1905-7415.0502.024

Setyaningsih MM, Setyowati S, Kuntarti K. Decrease maternal high risk-related anxiety to face up labor process using “harmonic” package. J Keperawatan Indones. 2013;16(3):176-82. https://doi.org/10.7454/jki.v16i3.328 DOI: https://doi.org/10.7454/jki.v16i3.328

Rofi’ah M. Menghadapi Persalinan Pada Ibu Hamil Primigravida Trisemester Ke-Iii di Rsnu Tuban. Indonesia: Universitas Islam Negeri Maulana Malik Ibrahim; 2015. Available from: https://www.core.ac.uk/reader/34003906. [Last accessed on 2021 Apr 10].

Alza N, Ismarwati I. Factors influence mother anxiety in the third trimester. Kebidanan Keperawatan. 2017;13(1):2. https://doi.org/10.31101/jkk.205 DOI: https://doi.org/10.31101/jkk.205

Mardhiyah U, Khaerani NM. Dzikir training for coping anxiety during pregnancy. J Psikol Integr. 2017;5(2):157-74. Available from: http://www.ejournal.uin-suka.ac.id/isoshum/pi/article/view/1413. [Last accessed on 2021 May 16]. https://doi.org/10.18860/psi.v0i1.1543 DOI: https://doi.org/10.18860/psi.v0i1.1543

Sukriani W, Suryaningsih EK. Factor contributed to the maternal-fetal attachment. J Kesehat. 2018;9:185-91. Available from: http://www.ejurnal.poltekkes-tjk.ac.id/index.php/jk%0afaktor. [Last accessed on 2021 May 16]. DOI: https://doi.org/10.26630/jk.v9i2.840

Suryaningsih EK, Gau ML, Chien HK, Lee T. Translation and validation of the Indonesia version of prenatal attachment inventory: A preliminary study. Int J Caring Sci. 2021;14(1):543-9.

van den Bergh BR. The influence of maternal emotions during pregnancy on fetal and neonatal behavior. J Prenat Perinat Psychol Health. 1990;5(2):119-30. Available from: https://www.pure.uvt.nl/ws/portalfiles/portal/1041624/influen2.pdf. [Last accessed on 2021 May 16].

Dubber S, Reck C, Müller M, Gawlik S. Postpartum bonding: The role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health. 2015;18(2):187-95. https://doi.org/10.1007/s00737-014-0445-4 PMid:25088531 DOI: https://doi.org/10.1007/s00737-014-0445-4

Gau M, Lee TY. Construct validity of the prenatal attachment inventory: A confirmatory factor analysis approach. J Nurs Res. 2003;11(3):177-87. https://doi.org/10.1097/01.jnr.0000347634.18218.2f PMid:14579195 DOI: https://doi.org/10.1097/01.JNR.0000347634.18218.2f

Wahyuntari E, Puspitasari I. Anxiety and maternal fetal attachment. Int J Health Sci Technol. 2020;2(2):64-70. DOI: https://doi.org/10.31101/ijhst.v2i2.1850

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Published

2021-08-31

How to Cite

1.
Anjarwati A, Koni Suryaningsih E. The Relationship between Pregnancy-related Anxiety and Maternal-fetal Attachment among Primigravida. Open Access Maced J Med Sci [Internet]. 2021 Aug. 31 [cited 2024 Nov. 12];9(G):47-51. Available from: https://oamjms.eu/index.php/mjms/article/view/6586

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Nursing in Gynecology and Obstetrics

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