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Paper Information

Journal:   INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)   SPRING 2009 , Volume 7 , Number SUPPL 2; Page(s) 0 To 0.
 
Paper: 

MATERNAL FETAL ATTACHMENT: A COMPARATIVE STUDY IN PREGNANT WOMEN WITH HISTORY OF FETAL OR NEONATAL DEATH AND PRIMIGRAVIDAS

 
 
Author(s):  TAAVONI S.*, AAHADI M., HOSSEINI F., GHANJEI T.
 
* IRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Introduction: Pregnancy is a happy happening for the most parents, but it can cause tension for some of them. This tension is more noticeable in women, who had problems, such as abortion, intra uterine fetal death or new born death in previous pregnancy. Psychological problems may continue up to the next pregnancy. The aim of study was to assess and comprise maternal fetal attachment (MFA) of pregnant women with history of previous fetal or neonatal death and primigravidas.
Materials and Methods: This is a comparative study. Sequential sampling method was used. We collected 120 Iranian healthy pregnant volunteer women during their third trimester from 10 health centers in Mashed (Year 2006-2007) (80 nuliparous and 40 with history of fetal or newborn death with no living child). All samples had knowledge of reading and writing. The tools of this study had two main parts: personal demographic and pregnancy information form, and maternal fetal attachment scale (MFAS: Cranley, 1981). Descriptive statistics, X2, Fisher exact, T Test were used by SPSS. All ethical points considered.
Results: The highest percentage of both age groups belonged to 20-24. For unity of the age and pregnancy of two groups per t test was used, and by X2, Fisher exact test, education level, living condition, finance, job unity of two groups was proved. A significant difference was found in the 5 subscales of the MFAS between the primigravidas and pregnant women with history of fetal or neonatal death (p
£0.001). The average of maternal fetal attachment in the primigravidas women was more than second group. The independent t-test also showed a significant difference between two groups (p=0.000).
Conclusion: Due to decrease of maternal fetal attachment in the pregnant women with history of previous fetal or neonatal death we advise that obstetrics, medical staffs and midwives offer various supportive, educational, guidance, and counseling program for the mentioned high risk group and their couples. We suggest continue the same research during the first and second trimester of pregnancy and postpartum period in the clients whom will be visited in the other clinics.

 
Keyword(s): PREGNANCY, NEONATAL DEATH, FETAL DEATH, MATERNAL FETAL ATTACHMENT
 
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