Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes
Keywords:
Maternal-fetal attachment, Health practices, Pregnancy, Neonatal outcomesAbstract
Introduction: Low birth weight due to preterm delivery or intrauterine growth restriction (IUGR) is the strongest factor contributing to prenatal, neonatal, and postnatal mortality. Maternal–fetal attachment plays a significant role in maternal and fetal health. Health practices performed by the mother during pregnancy constitute one of the factors that may affect neonatal outcomes. The present study was conducted to identify the relationship between maternal–fetal attachment and health practices during pregnancy with neonatal outcomes.
Methods: This cross-sectional study was conducted on 315 pregnant women with a gestational age of 33-41 weeks who presented to hospitals in Sirjan (Iran) between December 2014 and February 2015. The data collection tools used included the Health Practices in Pregnancy Questionnaire and the Maternal Fetal Attachment Scale. Data were analyzed using IBM-SPSS version 20, focusing on the Pearson product–moment correlation and the logistic regression model. Statistical significance was set to p<0.05.
Results: The mean score of maternal–fetal attachment was 60.34, and the mean score of health practices was 123.57. The mean birth weight of the neonates was 3052.38 g. Health practices (p<0.05, r=0.11) and maternal-fetal attachment (p<0.01, r=0.23) were positively and significantly correlated with neonatal outcomes. A significant positive relationship was also observed between maternal–fetal attachment and neonatal outcomes. No significant relationships were observed between health practices during pregnancy and neonatal outcomes.
Conclusion: Maternal-fetal attachment and health practices during pregnancy are positively and significantly correlated with neonatal outcomes.
References
Nobile CG, Raffaele G, Altomare C, Pavia M. Influence of maternal and social factors as predictors of low
birth weight in Italy. BMC public health. 2007; 7: 192. doi: 10.1186/1471-2458-7-192. PMID: 17683559,
PMCID: PMC1959188. 2) Siddalingappa H, Murthy MRN, Kulkarni P, N C A. Prevalence and factors influencing perinatal mortality
in rural Mysore, India. J Clin Diagn Res. 2013; 7(12): 2796-699. doi: 10.7860/JCDR/2013/6367.3761.
PMID: 24551640, PMCID: PMC3919272.
Alhusen JL, Gross D, Hayat MJ, Woods AB, Sharps PW. The influence of maternal–fetal attachment and
health practices on neonatal outcomes in low‐income, urban women. Res Nurs Health. 2012; 35(2): 112- 20. doi: 10.1002/nur.21464. PMID: 22262085, PMCID: PMC3313492.
Kliegman RM, Stanton B, Geme JS, Schor NF, Behrman RE. Nelson textbook of pediatrics, Twentieth
Edition. Elsevier Health Sciences. 2015.
Cortes Castell E, Rizo-Baeza MM, Aguilar Cordero MJ, Rizo-Baeza J, Gil Guillén V. Maternal age as risk
factor of prematurity in Spain; Mediterranean area. Nutr Hosp. 2013; 28(5): 1536-40. doi:
3305/nh.2013.28.5.6500. PMID: 24160212.
Solchany JE. Promoting maternal mental health during pregnancy: Theory, practice and intervention:
Nursing Child Assessment Satellite Training. 2001.
Lindgren K. Relationships among maternal–fetal attachment, prenatal depression, and health practices in
pregnancy. Res Nurs Health. 2001; 24(3): 203-17. doi: 10.1002/nur.1023. PMID: 11526619.
Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. A history of the theory of prenatal attachment.
J Prenat Perinat Psychol Health. 2009; 23(4): 201-22. PMID: 21533008, PMCID: PMC3083029.
Pillitteri A. Maternal & child health nursing: Care of the childbearing & childrearing family. Lippincott
Williams & Wilkins. 2010; 1778.
Alhusen JL. A literature update on maternal‐fetal attachment. J Obstet Gynecol Neonatal Nurs. 2008;
(3): 315-28. doi: 10.1111/j.1552-6909.2008.00241.x. PMID: 18507602, PMCID: PMC3027206.
McFarland J, Salisbury AL, Battle CL, Hawes K, Halloran K, Lester BM. Major depressive disorder during
pregnancy and emotional attachment to the fetus. Arch Womens Ment Health. 2011; 14(5): 425-34. doi:
1007/s00737.011.0237.z. PMID: 21938509, PMCID: PMC3248759.
Callister, Lynn Clark, Hayman, Laura L. Relationships among maternal-fetal attachment, prenatal
depression, and health practices in pregnancy. MCN, American Journal of Maternal Child Nursing. 2002;
(1): 59. doi: 10.1097/00005721-200201000-00020.
Taavoni S, Ahadi M, Ganji T, Hosseini F. Comparison of Maternal Fetal Attachment between
Primgravidas and Multigravidas Women with Past History of Fetal or Neonatal Death. Iran Journal of
Nursing. 2008; 21(53): 53-61.
Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nurs
Res. 1981; 30(5): 281-4. PMID: 6912989.
Shakespear K. Centering Pregnancy and traditional prenatal care: A comparison of health practices. All
Graduate Theses and Dissertations. 2008; 216.
Chanachote S. Spousal Support and Maternal-fetal Attachment in Pregnant Industrial Workers. Mahidol
University. 2007; 132.
Fogarasi-Grenczer A, Balázs P. The correlation between smoking, environmental tobacco smoke and
preterm birth. Orv Hetil. 2012; 153(18): 690-4. doi: 10.1556/OH.2012.29325. PMID: 22547463.
Neggers Y, Crowe K. Low birth weight outcomes: why better in Cuba than Alabama? J Am Board Fam
Med. 2013; 26(2): 187-95. doi: 10.3122/jabfm.2013.02.120227. PMID: 23471933.
Torres-Arreola LP, Constantino-Casas P, Flores-Hernández S, Villa-Barragán JP, Rendón-Macías E.
Socioeconomic factors and low birth weight in Mexico. BMC Public health. 2005; 5: 20. doi:
1186/1471-2458-5-20. PMID: 15745443, PMCID: PMC554974.
Lowdermilk DL, Perry SE, Cashion MC, Alden KR. Study Guide for Maternity and Women's Health Care.
Elsevier Health Sciences. 2015.
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