Maternal Fetal Attachment In The High Risk Pregnancy

Author : Anissa Ben Amor
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Download or read book ANXIETY AND DEPRESSION IN AT RISK PREGNANCIES: IMPACT ON PRENATAL ATTACHMENT written by Anissa Ben Amor and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Anxiety and depression in at risk pregnancies: impact on prenatal attachmentF. Testouri1, M. Hamza2, A. Ben Amor3, M. Barhoumi1, R. Fakhfekh1, A. Triki 3, A. Belhadj2. 1 University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia 2 Child and Adolescent Psychiatry Department, Mongi Slim Hospital ,Tunisia. 3 Gynecology-obstetrics Department, Mongi Slim Hospital, Tunisia Background and aims: High risk pregnancies can be associated with increased levels of depression and anxiety. Researches indicate that maternal prenatal emotional well-being influences the maternal-fetal attachment (MFA) which has important implication in postnatal bonding. The aim of this study was to examine the influence of maternal prenatal anxiety and depression on MFA in high risk pregnancies. Methods: A cross-sectional study was conducted between October 2017 and July 2018 on 95 high-risk women in their third trimester of pregnancy, hospitalized in a gynecology-obstetrics service in a public hospital in Tunis. The Hospital Anxiety and Depression Scale (HADS) was used to assess states of depression and anxiety. The Prenatal Attachment Inventory (PAI) was used for evaluation of MFA. Results: The recruited women were aged between 18 and 45 years old and the majority had a secondary level of education and 58% had previous children. Mean score on PAI was 57,21 (SD=9,04). The mean scores on the HADS was 17,4 with an average of 9,44 on the anxiety subscale and 7,96 on the depression subscale. According to the HADS scores, the sample was divided into 4 groups: definite cases of anxiety and depression (14,7%), anxiety without depression (24,2%), depression without anxiety (5,3%) and a group without anxiety nor depression (55,8%). PAI scores distribution was significantly different between these groups (p=0,049). Moreover, the PAI scores correlated negatively and significantly with the HADS total score (p=0,034) but when examining subscale scores, this correlation was found to be attributed to the depression dimension (p=0,046) and not to the anxiety one (p=0,061).Conclusion: This study highlights the importance of assessing for emotional wellbeing in at risk pregnancies especially depressive and anxiety symptoms given their influence on prenatal attachment.