OBJECTIVE: To examine and describe the influence of maternal depressive symptoms on maternal-fetal attachment (MFA) in predominantly low-income women. DESIGN: Mixed method. SETTING: Three urban obstetric/gynecologic (OB/GYN) clinics serving predominantly low-income women. PARTICIPANTS: A convenience sample of 166 women participated in the quantitative component and a purposeful subsample of 12 women participated in the qualitative component; all women were between 24 and 28 weeks gestation at the time of data collection. METHODS: Linear regression models were used to examine the influence of depressive symptoms and social support on MFA. Individual in-depth interviews were conducted among a subsample of women to explore the influence of maternal depressive symptoms on MFA. RESULTS: Fifty-nine percent (n = 98) of participants had scores that were clinically significant for depressive symptoms. In the final model of social support and depressive symptoms regressed on MFA, social support (b = .23, 95% CI [0.09, .37], p = .002) and depressive symptoms (b = -1.02, 95% CI [-1.32, -.73], p < 0.001) were significant predictors. This multivariate linear regression model with two variables accounted for 65.2% of the total variance in overall MFA. Qualitative participants discussed the importance of social support in contributing to their mood state and MFA. CONCLUSIONS: Findings from this study highlight the importance of assessing for depressive symptoms during pregnancy given its influence on MFA. By understanding how important it was for these women to have a supportive person to experience their pregnancies with, nurses can improve the pregnancy experience for vulnerable populations.
OBJECTIVE: To examine and describe the influence of maternal depressive symptoms on maternal-fetal attachment (MFA) in predominantly low-income women. DESIGN: Mixed method. SETTING: Three urban obstetric/gynecologic (OB/GYN) clinics serving predominantly low-income women. PARTICIPANTS: A convenience sample of 166 women participated in the quantitative component and a purposeful subsample of 12 women participated in the qualitative component; all women were between 24 and 28 weeks gestation at the time of data collection. METHODS: Linear regression models were used to examine the influence of depressive symptoms and social support on MFA. Individual in-depth interviews were conducted among a subsample of women to explore the influence of maternal depressive symptoms on MFA. RESULTS: Fifty-nine percent (n = 98) of participants had scores that were clinically significant for depressive symptoms. In the final model of social support and depressive symptoms regressed on MFA, social support (b = .23, 95% CI [0.09, .37], p = .002) and depressive symptoms (b = -1.02, 95% CI [-1.32, -.73], p < 0.001) were significant predictors. This multivariate linear regression model with two variables accounted for 65.2% of the total variance in overall MFA. Qualitative participants discussed the importance of social support in contributing to their mood state and MFA. CONCLUSIONS: Findings from this study highlight the importance of assessing for depressive symptoms during pregnancy given its influence on MFA. By understanding how important it was for these women to have a supportive person to experience their pregnancies with, nurses can improve the pregnancy experience for vulnerable populations.
Authors: D Elizabeth Jesse; Jacqueline Walcott-McQuigg; Anne Mariella; Melvin S Swanson Journal: J Midwifery Womens Health Date: 2005 Sep-Oct Impact factor: 2.388
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Authors: Luca Rollè; Maura Giordano; Fabrizio Santoniccolo; Tommaso Trombetta Journal: Int J Environ Res Public Health Date: 2020-04-12 Impact factor: 3.390