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Paper Information

Journal:   IRAN JOURNAL OF NURSING (IJN)   SPRING 2008 , Volume 21 , Number 53; Page(s) 53 To 61.
 
Paper: 

COMPARISON OF MATERNAL FETAL ATTACHMENT BETWEEN PRIMGRAVIDAS AND MULTIGRAVIDAS WOMEN WITH PAST HISTORY OF FETAL OR NEONATAL DEATH

 
 
Author(s):  TAAVONI S.*, AHADI M., GANJI T., HOSSEINI FATEMEH
 
* SCHOOL OF NURSING AND MIDWIFERY, IRAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES TEHRAN, IRAN
 
Abstract: 
Background & Aim: Although pregnancy is one of the loveliest events in the developmental processes of a woman's life, history of previous fetal or neonatal death may have a negative effect on the adaptation of woman for her new pregnancy. It can also have a major influence on development of emotional distress in the attachment between mother and her fetus. This study has been done to assess and compare maternal fetal attachment of primgravidas and multigravidas women with past history of fetal or neonatal death which hasn’t had living child.
Material and Methods: One hundred and twenty literate Iranian pregnant volunteer women with the ages of 20-40yearswereselectedby non-randomized sampling method (sequential) during their 3rd trimester of planned current pregnancy. Forty samples didn't have living child, had past history of fetal or neonatal death and 80 samples were primigravidas. The tools of this study that filled in by samples had two main parts of "personal demographics" and "maternal fetal attachment scale" (MFAS).
Results: A statistically significant difference was found in 5 subscales of the MFAS between the primigravidas and multigravidas women with past history of fetal or neonatal death. The average score of every subscales of maternal fetal attachment in primigravidas women was higher in comparison with multigravidas women. The independent t-test also showed a statistically significant difference between average of total score of maternal fetal attachment between two groups (P=0.000).
Conclusion: Due to lesser maternal fetal attachment in the multigravidas women with past history of fetal or neonatal death it is necessary to plan supportive, educational, and counseling program for this vulnerable group. The researchers suggest replicating the study during the first and second trimester of pregnancy and postpartum period of women with past history of fetal or neonatal death and also, in clients referred to the other clinics.
 
Keyword(s): PREGNANCY, NEONATAL DEATH, FETAL DEATH, MATERNAL FETAL ATTACHMENT
 
References: 
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