Fatemeh Ekrami1, Sakineh Mohammad-Alizadeh Charandabi2, Jalil Babapour Kheiroddin3, Mojgan Mirghafourvand4. 1. Students' Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran. 2. Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. 3. Department of Psychology, faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz, Iran. 4. Social Determinants of Health Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
Introduction: Since the maternal-fetal attachment level in unplanned pregnancies is weaker than their planned counterparts, this study aimed to determine the effect of counselling on maternal-fetal attachment in women with unplanned pregnancy. Methods: This was a randomised controlled clinical trial on pregnant women with unplanned pregnancy and weak-average maternal-fetal attachment scores. Participants were assigned to a control (n = 40) and an intervention (n = 40) group through randomised blocking. The intervention group attended 1-3 individual and 6 group counselling sessions and the control group received routine care. The participants completed the Maternal-Fetal Attachment Scale before and four weeks after the intervention. Results: The mean (standard deviation) maternal-fetal attachment score of the intervention group was increased from 73.6 (8.9) before the intervention to 96.6 (9.3) after the intervention. However, the mean (standard deviation) maternal-fetal attachment scores of the control group were 76.0 (9.4) and 76.5 (6.4) before and after the intervention, respectively. The mean maternal-fetal attachment score of the counselling group was significantly higher than that of the control group (adjusted mean difference: 21.7; 95% confidence interval: 18.6 to 24.9; P < 0.001). Conclusion: Counseling has a positive contribution to improving maternal-fetal attachment in women with unplanned pregnancies.
RCT Entities:
Introduction: Since the maternal-fetal attachment level in unplanned pregnancies is weaker than their planned counterparts, this study aimed to determine the effect of counselling on maternal-fetal attachment in women with unplanned pregnancy. Methods: This was a randomised controlled clinical trial on pregnant women with unplanned pregnancy and weak-average maternal-fetal attachment scores. Participants were assigned to a control (n = 40) and an intervention (n = 40) group through randomised blocking. The intervention group attended 1-3 individual and 6 group counselling sessions and the control group received routine care. The participants completed the Maternal-Fetal Attachment Scale before and four weeks after the intervention. Results: The mean (standard deviation) maternal-fetal attachment score of the intervention group was increased from 73.6 (8.9) before the intervention to 96.6 (9.3) after the intervention. However, the mean (standard deviation) maternal-fetal attachment scores of the control group were 76.0 (9.4) and 76.5 (6.4) before and after the intervention, respectively. The mean maternal-fetal attachment score of the counselling group was significantly higher than that of the control group (adjusted mean difference: 21.7; 95% confidence interval: 18.6 to 24.9; P < 0.001). Conclusion: Counseling has a positive contribution to improving maternal-fetal attachment in women with unplanned pregnancies.
Authors: Tommaso Trombetta; Maura Giordano; Fabrizio Santoniccolo; Laura Vismara; Anna Maria Della Vedova; Luca Rollè Journal: Front Psychol Date: 2021-03-17
Authors: Luca Rollè; Maura Giordano; Fabrizio Santoniccolo; Tommaso Trombetta Journal: Int J Environ Res Public Health Date: 2020-04-12 Impact factor: 3.390
Authors: Anna Zdolska-Wawrzkiewicz; Mariola Bidzan; Magdalena Chrzan-Dętkoś; Daria Pizuńska Journal: Int J Environ Res Public Health Date: 2019-12-19 Impact factor: 3.390