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Archives of Women's Mental Health

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01.07.2023 | Original Article

Antenatal predictors of postnatal maternal attachment and competence after assisted conception—a prospective cohort study in South India

verfasst von: Vaishalee Saravanan, Geetha Desai, Veena A. Satyanarayana

Erschienen in: Archives of Women's Mental Health | Ausgabe 4/2023

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Abstract

The aim of this study is to examine the influence of antenatal factors such as anxiety, depression, perceived stress, marital satisfaction, maternal antenatal attachment, and social support on postnatal maternal attachment and competence in women who received assisted reproductive treatment. A prospective longitudinal cohort design was adopted with two groups—50 women who received assisted reproductive treatment and 50 women who had natural conception. Both the groups were assessed using self-report measures over three time points: T1, 7th month of pregnancy; T2, 2 weeks postpartum; and T3, 3 months postpartum. A final sample of 44 women who had assisted conception and 47 women who had natural conception completed assessments across all three time points. Descriptive, bivariate analyses, and stepwise multiple linear regression analyses were carried out. In the assisted conception group, maternal antenatal attachment, depression, and marital satisfaction significantly predicted postnatal maternal-infant attachment. Perceived social support, depression, and duration of marriage significantly predicted postnatal maternal competence. In the naturally conceived group, maternal antenatal attachment and social support significantly predicted postnatal maternal-infant attachment; perceived stress significantly predicted postnatal maternal competence. Antenatal depressive symptoms and relational factors significantly influenced postnatal maternal attachment and competence highlighting the need for screening and targeted psychological interventions during pregnancy.

Agostini F, Monti F, Fagandini P, Duncan De Pascalis LL, La Sala GB, Blickstein I (2009) Parental mental representations during late pregnancy and early parenthood following assisted reproductive technology. J Perinat Med 37(4):320–327. https://doi.org/10.1515/JPM.2009.062CrossRefPubMed

Agostini F, Andrei F, Neri E, Trombini E, Nuccini F, Villani MT, Aguzzoli L, Paterlini M (2020) Characteristics of early mother-infant and father-infant interactions: a comparison between assisted reproductive technology and spontaneous conceiving parents. Int J Environ Res Public Health 17(21):8215. https://doi.org/10.3390/ijerph17218215CrossRefPubMedPubMedCentral

Akkoca Y (2009) Factors affecting maternal-infant attachment after birth. Ankara: Gazi University Medical School, Turkey, pp 3–39

Bernstein J, Lewis J, Seibel M (1994) Effect of previous infertility on maternal-fetal attachment, coping styles and self-concept during pregnancy. J Womens Health 3(2):125–133. https://doi.org/10.1089/jwh.1994.3.125CrossRef

Bloomfield L, Kendall S (2012) Parenting self-efficacy, parenting stress and child behaviour before and after a parenting programme. Prim Health Care Res Dev 13(4):364–372. https://doi.org/10.1017/S1463423612000060CrossRefPubMed

Borneskog C, Lampic C, Sydsjö G, Bladh M, Svanberg AS (2014) Relationship satisfaction in lesbian and heterosexual couples before and after assisted reproduction: a longitudinal follow-up study. BMC Womens Health 14:154CrossRefPubMedPubMedCentral

Busby DM, Christensen C, Crane DR, Larson JH (1995) A revision of the dyadic adjustment scale for use with distressed and non-distressed couples: construct hierarchy and multidimensional scales. J Marital Fam Ther 21(3):289–308. https://psycnet.apa.org/https://doi.org/10.1111/j.1752-0606.1995.tb00163.x

Cairo S, Darwiche J, Tissot H, Favez N, Germond M, Guex P, de Roten Y, Frascarolo F, Despland J (2012) Family interactions in IVF families: change over the transition to parenthood. J Reprod Infant Psychol 30(1):5–20CrossRef

Choi H, Yamashita T, Wada Y, Narumoto J, Nanri H, Fujimori A, Yamamoto H, Nishizawa S, Masaki D, Fukui K (2010) Factors associated with postpartum depression and abusive behavior in mothers with infants. Psychiatry Clin Neurosci 64(2):120–127CrossRefPubMed

Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24(4):385–396CrossRefPubMed

Condon JT (1993) The assessment of antenatal emotional attachment: development of a questionnaire instrument. Br J Med Psychol 66:167–183. https://doi.org/10.1111/j.2044-8341.1993.tb01739.xCrossRefPubMed

Condon JT, Corkindale CJ (1998) The assessment of parent-to-infant attachment: development of a self-report questionnaire instrument. J Reprod Infant Psychol 16(1):57–76. https://doi.org/10.1080/02646839808404558CrossRef

Craig M, Howard L (2009) Postnatal depression. BMJ Clin Evid 2009:1407PubMedPubMedCentral

Darvishvand M, Rahebi SM, Khalesi BZ (2018) Factors related to maternal-infant attachment. Shiraz Med J 19(12):e80369

Darwiche J, Favez N, Simonelli A, Antonietti J, Frascarolo F (2015) Prenatal coparenting alliance and marital satisfaction when pregnancy occurs after assisted reproductive technologies or spontaneously. Fam Relat: Interdiscip J Applied Fam Stud 64(4):534–546. https://psycnet.apa.org/https://doi.org/10.1111/fare.12131

Davey HL, Tough SC, Adair CE, Benzies KM (2011) Risk factors for sub-clinical and major postpartum depression among a community cohort of Canadian women. Matern Child Health J 15(7):866–875CrossRefPubMed

Dayton CJ, Levendosky AA, Davidson WS, Bogat GA (2010) The child as held in the mind of the mother: the influence of prenatal maternal representations on parenting behaviors. Infant Ment Health J 31(2):220–241CrossRefPubMed

de Cock ES, Henrichs J, Vreeswijk CM, Maas AJ, Rijk CH, van Bakel HJ (2016) Continuous feelings of love? The parental bond from pregnancy to toddlerhood. J Fam Psychol 30(1):125–134. https://doi.org/10.1037/fam0000138CrossRefPubMed

Delavari M, Mohammad-Alizadeh-Charandabi S, Mirghafurvand M (2018) The relationship between maternal-fetal attachment and maternal self-efficacy in Iranian women: a prospective study. J Reprod Infant Psychol 36(3):302–311. https://doi.org/10.1080/02646838.2018.1436753CrossRefPubMed

Figueiredoa B, Fieldb T, Diegob M, Hernandez-Reif M, Deeds O, Ascencio A (2008) Partner relationships during the transition to parenthood. J Reprod Infant Psychol 26(2):99–107. https://doi.org/10.1080/02646830701873057CrossRef

Fisher JRW, Hammarberg K, Baker GHW (2008) Antenatal mood and fetal attachment after assisted conception. Fertil Steril 89(5):1103–1112CrossRefPubMed

Florsheim P, Sumida E, McCann C, Winstanley M, Fukui R, Seefeldt T, Moore D (2003) The transition to parenthood among young African American and Latino couples: relational predictors of risk for parental dysfunction. J Fam Psychol 17(1):65–79CrossRefPubMed

Gambadauro P, Iliadis S, Bränn E, Skalkidou A (2017) Conception by means of in vitro fertilization is not associated with maternal depressive symptoms during pregnancy or postpartum. Fertil Steril 108(2):325–332CrossRefPubMed

Gameiro S, Nazaré B, Fonseca A, Moura-Ramos M, Canavarro MC (2011) Changes in marital congruence and quality of life across the transition to parenthood in couples who conceived spontaneously or with assisted reproductive technologies. Fertil Steril 96(6):1457–1462. https://doi.org/10.1016/j.fertnstert.2011.09.003CrossRefPubMed

García-Blanco A, Diago V, Hervás D, Ghosn F, Vento M, Cháfer-Pericás C (2018) Anxiety and depressive symptoms, and stress biomarkers in pregnant women after in vitro fertilization: a prospective cohort study. Hum Reprod 33(7):1237–1246. https://doi.org/10.1093/humrep/dey109CrossRefPubMed

Gibaud-Wallston J, Wandersman LP (1978) Development and utility of the Parenting Sense of Competence Scale. Paper presented at the 86th Annual Convention of the American Psychological Association, Toronto

Gibson FL, Ungerer JA, McMahon CA, Leslie GI, Saunders DM (2000a) The mother-child relationship following in vitro fertilisation (IVF): infant attachment, responsivity, and maternal sensitivity. J Child Psychol Psychiatry 41(8):1015–1023CrossRefPubMed

Gibson FL, Ungerer JA, Tennant CC, Saunders DM (2000b) Parental adjustment and attitudes to parenting after in vitro fertilization. Fertil Steril 73(3):565–574. https://doi.org/10.1016/S0015-0282(99)00583-XCrossRefPubMed

Goecke TW, Voigt F, Faschingbauer F, Spangler G, Beckmann MW, Beetz A (2012) The association of prenatal attachment and perinatal factors with pre- and postpartum depression in first-time mothers. Arch Gynecol Obstet 286(2):309–316CrossRefPubMed

Gourounti K, Anagnostopoulos F, Lykeridou K (2013) Coping strategies as psychological risk factor for antenatal anxiety, worries, and depression among Greek women. Arch Womens Ment Health 16(5):353–361. https://doi.org/10.1007/s00737-013-0338-yCrossRefPubMed

Hammarberg K, Fisher JR, Rowe HJ (2008a) Women’s experiences of childbirth and post-natal healthcare after assisted conception. Hum Reprod 23(7):1567–1573CrossRefPubMed

Hammarberg K, Fisher JR, Wynter KH (2008b) Psychological and social aspects of pregnancy, childbirth and early parenting after assisted conception: a systematic review. Hum Reprod Update 14(5):395–414. https://doi.org/10.1093/humupd/dmn030CrossRefPubMed

Hashemieh C, NeisaniSamani L, Taghinejad H (2013) Assessment of anxiety in pregnancy following assisted reproductive technology (ART) and associated infertility factors in women commencing treatment. Iran Red Crescent Med J 15(12):47–52CrossRef

Haslam DM, Pakenham KI, Smith A (2006) Social support and postpartum depressive symptomatology: the mediating role of maternal self-efficacy. Infant Ment Health J 27(3):276–291CrossRefPubMed

Hetherington EL (2019) Social support in a pregnant and postnatal population. Doctoral Thesis, University of Calgary. http://hdl.handle.net/1880/110214

Hjelmstedt A, Widström AM, Wramsby H, Collins A (2004) Emotional adaptation following successful in vitro fertilization. Fertil Steril 81(5):1254–1264. https://doi.org/10.1016/j.fertnstert.2003.09.061CrossRefPubMed

Hjelmstedt A, Widström AM, Collins A (2006) Psychological correlates of prenatal attachment in women who conceived after in vitro fertilization and women who conceived naturally. Birth 33(4):303–310. https://doi.org/10.1111/j.1523-536X.2006.00123.xCrossRefPubMed

Huang MZ, Kao CH, Lin KC, Hwang JL, Puthussery S, Gau ML (2019) Psychological health of women who have conceived using assisted reproductive technology in Taiwan: findings from a longitudinal study. BMC Womens Health 19(1):97. https://doi.org/10.1186/s12905-019-0801-7CrossRefPubMedPubMedCentral

Huang HH, Lee TY, Lin XT (2022) Duan HY (2022) Maternal confidence and parenting stress of first-time mothers in Taiwan: The Impact of Sources and Types of Social Support. Healthcare (basel) 10(5):878. https://doi.org/10.3390/healthcare10050878CrossRefPubMed

Johnston C, Mash EJ (1989) A measure of parenting satisfaction and efficacy. J Clin Child Psychol 18(2):167–175. https://doi.org/10.1207/s15374424jccp18028CrossRef

Kelborea W, Yasinb H, Kolle D (2020) Maternal Role Competence and its Associated Factors among Mothers Who Attended Immunization Clinics at Public Health Facilities of Arba Minch Town, Southern Ethiopia: A Cross Sectional Study. Int J Sci Basic Appl Res 53(2):129–138. https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/11557

Khajehei M, Finch L (2016) The role of residential early parenting services in increasing parenting confidence in mothers with a history of infertility. Int J Fertil Steril 10(2):175–183PubMedPubMedCentral

Ladores S, Aroian K (2015) The early postpartum experience of previously infertile mothers. J Obstet Gynecol Neonatal Nurs 44(3):370–379. https://doi.org/10.1111/1552-6909.12576CrossRefPubMed

Lai YL, Hung CH, Stocker J, Chan TF, Liu Y (2015) Postpartum fatigue, baby-care activities, and maternal-infant attachment of vaginal and cesarean births following rooming-in. Appl Nurs Res 28(2):116–120CrossRefPubMed

Lingeswaran A, Bindu H (2012) Validation of Tamil version of Cranley’s 24-item maternal-fetal attachment scale in Indian pregnant women. J Obstet Gynaecol India 62(6):630–634. https://doi.org/10.1007/s13224-012-0175-3CrossRefPubMedPubMedCentral

McMahon CA, Boivin J, Gibson FL, Hammarberg K, Wynter K, Saunders D, Fisher J (2011) Age at first birth, mode of conception and psychological wellbeing in pregnancy: findings from the parental age and transition to parenthood Australia (PATPA) study. Hum Reprod 26(6):1389–1398CrossRefPubMed

McMahon CA, Boivin J, Gibson FL, Hammarberg K, Wynter K, Saunders D, Fisher J (2013) Pregnancy-specific anxiety, ART conception and infant temperament at 4 months post-partum. Hum Reprod 28(4):997–1005CrossRefPubMed

Modi D, Jindal M, Pednecar G (2019) Co-relation of IVF pregnancy to maternal health and pregnancy outcome at a tertiary health care center, Goa medical college. J Public Health Med 7(2):7–13

Monti F, Agostini F, Fagandini P, Paterlini M, La Sala GB, Blickstein I (2008) Anxiety symptoms during late pregnancy and early parenthood following assisted reproductive technology. J Perinat Med 36(5):425–432. https://doi.org/10.1515/JPM.2008.074CrossRefPubMed

Monti F, Agostini F, Fagandini P, La Sala GB, Blickstein I (2009) Depressive symptoms during late pregnancy and early parenthood following assisted reproductive technology. Fertil Steril 91(3):851–857CrossRefPubMed

Moore ER, Anderson GC, Bergman N, Dowswell T (2012) Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 5(5):CD003519. https://doi.org/10.1002/14651858CrossRefPubMed

Mutlu B, Erkut Z, Yıldırım Z, Gündoğdu N (2018) A review on the relationship between marital adjustment and maternal attachment. Rev Assoc Med Bras 64(3):243–252. https://doi.org/10.1590/1806-9282.64.03.243CrossRefPubMed

Ohoka H, Koide T, Goto S, Murase S, Kanai A, Masuda T, Aleksic B, Ishikawa N, Furumura K, Ozaki N (2014) Effects of maternal depressive symptomatology during pregnancy and the postpartum period on infant-mother attachment. Psychiatry Clin Neurosci 68(8):631–639CrossRefPubMed

Pasricha M, Kochhar S, Shah A, Bhatia A (2021) Sense of coherence, social support, maternal-fetal attachment, and antenatal mental health: a survey of expecting mothers in urban India. Front Glob Womens Health 2:714182. https://doi.org/10.3389/fgwh.2021.714182CrossRefPubMedPubMedCentral

Patil P, Karthik G (2018) Comparison of maternal and neonatal outcome of IVF/ICSI conceived pregnancies with spontaneous conceived pregnancies. Int j reprod contracept obstet gynecol 7(11):4715–4720. https://doi.org/10.18203/2320-1770.ijrcog20184536CrossRef

Perry DF, Ettinger AK, Mendelson T, Le HN (2011) Prenatal depression predicts postpartum maternal attachment in low-income Latina mothers with infants. Infant Behav Dev 34(2):339–350. https://doi.org/10.1016/j.infbeh.2011.02.005CrossRefPubMed

Rabiepoor S, Abedi M (2020) Perceived stress and prenatal distress during pregnancy and its related factors. J Res Dev Nurs Midw 17(1):67–80. https://doi.org/10.29252/jgbfnm.17.1.67CrossRef

Ranjbar F, Warmelink JC, Gharacheh M (2020) Prenatal attachment in pregnancy following assisted reproductive technology: a literature review. J Reprod Infant Psychol 38(1):86–108. https://doi.org/10.1080/02646838.2019.1705261CrossRefPubMed

Repokari L, Punamäki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J, Almqvist F, Tiitinen A, Tulppala M (2007) Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls. Hum Reprod 22(5):1481–1491CrossRefPubMed

Rini C, Schetter CD, Hobel CJ, Glynn LM, Sandman CA (2006) Effective social support: antecedents and consequences of partner support during pregnancy. Pers Relatsh 13:207–229. https://doi.org/10.1111/j.1475-6811.2006.00114.x

Rollè L, Giordano M, Santoniccolo F, Trombetta T (2020) Prenatal attachment and perinatal depression: a systematic review. Int J Environ Res Public Health 17(8):2644. https://doi.org/10.3390/ijerph17082644CrossRefPubMedPubMedCentral

Rossen L, Hutchinson D, Wilson J, Burns L, Olsson AC, Allsop S, Elliott JE, Jacobs S, Macdonald JA, Mattick RP (2016) Predictors of postnatal mother-infant bonding: the role of antenatal bonding, maternal substance use and mental health. Arch Womens Ment Health 19(4):609–622CrossRefPubMed

Sadeghi T, Mohammadi N, Mohammadpour A, Abbasi M (2019) Over-challenging mothers: motherhood after assisted reproductive technology. J midwifery reproductive health 7(3):1786–1796. https://doi.org/10.22038/jmrh.2019.25070.1273CrossRef

Shishehgar S, Dolatian M, Majd HA, Teimouri Z, Alavi ST, Halvaei P (2016) Social support and maternal stress during pregnancy: a PATH model. Int J Healthc 2(1):44–50. https://doi.org/10.5430/ijh.v2n1p44CrossRef

Shorey S, Chan SW, Chong YS (2015) Predictors of maternal parental self-efficacy among primiparas in the early postnatal period. West J Nurs Res 37(12):1604–1622. https://doi.org/10.1177/0193945914537724CrossRefPubMed

Sivaram SV, Thippeswamy H, Philip M, Desai G, Chandra PS (2018) Is maternal fetal attachment affected in women with severe mental illness? J Prenat Perinat Psychol Health 32:306–318

Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282(18):1737–1744PubMed

Spitzer RL, Kroenke K, Williams JB, Löwe B (2006) A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 166(10):1092–1097CrossRefPubMed

Stevenson EL, Trotter KJ, Bergh C, Sloane R (2016) Pregnancy-related anxiety in women who conceive via in vitro fertilization: a mixed methods approach. J Perinat Educ 25(3):193–200CrossRefPubMedPubMedCentral

Stevenson EL, Cebert M, Silva S (2019) Stress and anxiety in couples who conceive via in vitro fertilization compared with those who conceive spontaneously. J Obstet Gynecol Neonatal Nurs 48(6):635–644. https://doi.org/10.1016/j.jogn.2019.09.001CrossRefPubMed

Sydsjö G, Svanberg AS, Lampic C, Jablonowska B (2011) Relationships in IVF couples 20 years after treatment. Hum Reprod 26(7):1836–1842. https://doi.org/10.1093/humrep/der131CrossRefPubMed

Szegda K, Bertone-Johnson ER, Pekow P, Powers S, Markenson G, Dole N, Chasan-Taber L (2018) Prenatal perceived stress and adverse birth outcomes among Puerto Rican women. J Womens Health 27(5):699–708CrossRef

Tanpradit K, Kaewkiattikun K (2020) The effect of perceived stress during pregnancy on preterm birth. Int J Womens Health 12:287–293CrossRefPubMedPubMedCentral

Trombetta T, Giordano M, Santoniccolo F, Vismara L, Della Vedova AM, Rollè L (2021) Pre-natal attachment and parent-to-infant attachment: a systematic review. Front Psychol 12:620942. https://doi.org/10.3389/fpsyg.2021.620942CrossRefPubMedPubMedCentral

Valvi D, Swaminathan G (2019) Maternal and perinatal outcome following assisted reproductive technology in a tertiary care center: a retrospective study. Int j reprod contracept obstet gynecol 8(5):1745–1750. https://doi.org/10.18203/2320-1770.ijrcog20191529CrossRef

van Bussel JC, Spitz B, Demyttenaere K (2010) Three self-report questionnaires of the early mother-to-infant bond: reliability and validity of the Dutch version of the MPAS, PBQ and MIBS. Arch Womens Ment Health 13(5):373–384CrossRefPubMed

Wang K, Li J, Zhang JX, Zhang L, Yu J, Jiang P (2007) Psychological characteristics and marital quality of infertile women registered for in vitro fertilization-intracytoplasmic sperm injection in China. Fertil Steril 87(4):792–798. https://doi.org/10.1016/j.fertnstert.2006.07.1534CrossRefPubMed

World Health Organization (2018) International Classification of Diseases, 11th Revision (ICD-11). Geneva

Yang X, Li Y, Li C, Zhang W (2014) Current overview of pregnancy complications and live-birth outcome of assisted reproductive technology in mainland China. Fertil Steril 101(2):385–391. https://doi.org/10.1016/j.fertnstert.2013.10.017CrossRefPubMed

Yoshimasu K, Miyauchi N, Sato A, Yaegashi N, Nakai K, Hattori H, Arima T (2020) Japan Environment and Children’s Study Group Assisted reproductive technologies are slightly associated with maternal lack of affection toward the newborn: The Japan Environment and Children’s Study. J Obstet Gynaecol Res 46(3):434–444. https://doi.org/10.1111/jog.14189CrossRefPubMed

Zheng X, Morrell J, Watts K (2018) A quantitative longitudinal study to explore factors which influence maternal self-efficacy among Chinese primiparous women during the initial postpartum period. Midwifery 59:39–46. https://doi.org/10.1016/j.midw.2017.12.022CrossRefPubMed

Zhu L, Zhang Y, Liu Y, Zhang R, Wu Y, Huang Y, Liu F, Li M, Sun S, Xing L, Zhu Y, Chen Y, Xu L, Zhou L, Huang H, Zhang D (2016) Maternal and live-birth outcomes of pregnancies following assisted reproductive technology: a retrospective cohort study. Sci Rep 6:35141. https://doi.org/10.1038/srep35141CrossRefPubMedPubMedCentral

Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The multidimensional scale of perceived social support. J Pers Assess 52(1):30–41. https://doi.org/10.1207/s15327752jpa5CrossRef

Titel: Antenatal predictors of postnatal maternal attachment and competence after assisted conception—a prospective cohort study in South India
verfasst von: Vaishalee Saravanan
Geetha Desai
Veena A. Satyanarayana
Publikationsdatum: 01.07.2023
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 4/2023
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-023-01340-1

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Antenatal predictors of postnatal maternal attachment and competence after assisted conception—a prospective cohort study in South India

Abstract

Neu in den Fachgebieten Neurologie und Psychiatrie

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

„Restriktion auf vier Wochen Therapie bei Schlaflosigkeit ist absurd!“

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

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