Maternal foetal attachment and perceived stress during pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20193810Keywords:
Garbhsanskar, Maternal foetal attachment, Maternal stress, PregnancyAbstract
Background: In recent years, the construct of maternal foetal attachment (MFA) has gained a lot of attention. The significance of the bond between the mother and her child she is carrying has led researchers to study how the expecting woman’s feelings towards the unborn child, have long lasting effects on the child. Although several psychological factors, such as maternal anxiety, attitude towards the baby and access to foetal imaging procedures, have been established to significantly influence a mother’s attachment to her foetus, there seems to be a paucity of empirical work on the relationship between maternal stress during pregnancy and maternal foetal attachment. The present research is a step in this direction and purports to explore this relationship.
Methods: The study explored the relationship between MFA and stress using the maternal foetal attachment scale by Cranley and the stress scale of the ADSS by Bhatnagar et al. The sample consisted of 53 pregnant women with a mean age of 26.4.
Results: The results suggest a significant negative relationship between stress and MFA, r=-0.55 (p<0.01). Stress also showed a negative correlation with the subscales of MFAS, with highly stressed women reporting lower levels of self-giving behavior, fewer thoughts of role taking and lesser interactive behavior with the foetus.
Conclusions: High stress during pregnancy could impede the formation of a strong bond between the expecting woman and her foetus. Thus the best practices during pregnancy should aim to reduce stress and encourage maternal foetal interaction.
References
Bowlby J. Attachment and loss: attachment. attachment and loss. New York: Basic Books; 1969:1.
Bowlby J. Attachment, communication, and the therapeutic process. A secure base: Parent-child attachment and healthy human development. 1988:137-157.
Stainton MC. Parent’s Awareness of Their Unborn Infant in the Third Trimester. Birth. 1990;17:92-6.
Kennell JH, Slyter H, Klaus MH. The mourning response of parents to the death of a newborn infant. NEJM. 1970;283(7):344-9.
Klaus NH, Jerauld R, Kreger NC, McAlpine W, Steffa M, Kennell JH. Maternal attachment - importance of the first post-partum days. NEJM. 1972;286:460-3.
Rubin R. Attainment of the maternal role. Nurs Res. 1967;16:129-37.
Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res. 1981;30:281-4.
Condon JT, Corkindale C. The correlates of antenatal attachment in pregnant women. Br J Med Psychol. 1997;70:359-72.
Muller ME. The development and testing of the muller prenatal attachment inventory (Doctoral dissertation, University of California, San Francisco, 1989). Dissertation Abstracts Int. 1990:11.
Winnicott D. Collected Papers: Through Pediatrics to Psychoanalysis. New York: Basic Books. Primary maternal preoccupation;1956:301-302.
Leckman JF, Feldman R, Swain JE, Eicher V, Thompson N, Mayes LC. Primary parental preoccupation: circuits, genes, and the crucial role of the environment. J Neural Trans. 2004;111(7):753-71.
Leckman JF, Mayes LC, Feldman R, Evans DW, King RA, Cohen DJ. Early parental preoccupations and behaviors and their possible relationship to the symptoms of obsessive-compulsive disorder. Acta Psychiatrica Scandinavica Supplementum. 1999;396(100):1-26.
Siddiqui A, Hägglöf B. Does maternal prenatal attachment predict postnatal mother-infant interaction. Early Human Develop. 2000;59(1):13-25.
Eswi A, Khalil A. Prenatal attachment and fetal health locus of control among low risk and high risk pregnant women. World Applied Sci. 2012;18(4):462-71.
Lindgren K. Relationships among maternal-fetal attachment, prenatal depression and health practices in pregnancy. Res Nurs Health. 2001;24:203-17.
Alhusen JL, Gross D, Hayat MJ, Woods AB, Sharps PW. The influence of maternal-fetal attachment and health practices on neonatal outcomes in low-income, urban women. Res Nurs Health. 2012;35:112-20.
Hart R, McMahon CA. Mood state and psychological adjustment to pregnancy. Arch Women’s Mental Health. 2006;9:329-37.
Zachariah R. Attachment, social support, life stress, and psychological well-being in pregnant low-income women: a pilot study. Clin Excellence Nurse Practit. 2004;8(2):60-7.
Nagandla K, Nalliah S, Yin L, Majeed Z, Ismail M, Zubaidah S, et al. Prevalence and associated risk factors of depression, anxiety and stress in pregnancy. Int J Repro Contracept Obstet Gynecol. 2017;5(7):2380-8.
Nayak V, Ramaiah R, Praneetha. Pregnancy outcome in working women with work place stress. Int J Repro Contracept Obstet Gynecol. 2017;6(7):2891-6.
Vijayaselvi R, Beck MM, Abraham A, Kurian S, Regi A, Rebekah G. Risk factors for stress during antenatal period among pregnant women in tertiary care hospital of Southern India. J Clin Diagno Res. 2015;9(10):QC01-QC5.
Humenick SS, Howell OS. Perinatal experiences: the association of stress, childbearing, breastfeeding, and early mothering. J Perinat Educ. 2003;12(3):16-41.
Lobel M, Dunkel-Schetter C, Scrimshaw SC. Prenatal maternal stress and prematurity: a prospective study of socioeconomically disadvantaged women. Health Psychol. 1992;11(1):32-40.
Mazzeschi C, Pazzagli C, Radi G, Raspa V, Buratta L. Antecedents of maternal parenting stress: the role of attachment style, prenatal attachment, and dyadic adjustment in first-time mothers. Frontiers In Psychol. 2015.
Deater-Deckard K, Dodge KA, Bates JE, Pettit GS. Multiple risk factors in the development of externalizing behavior problems: group and individual differences. Dev. Psychopathol. 1998;10:469-93.
Bhatnagar P, Singh M, Pandey M, Sandhya, Amitabh. Manual for anxiety, depression and stress scale; Agra: National Psychological Corporation. 2011.
Karakoç H, Ozkanb H. The Relationship with prenatal attachment of psychosocial health status of pregnant women. Int J Health Sci. 2017;5(10).
Kwon MK, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth]. J Korean Acad Nurs. 2011;2:276-83.
Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. Am J Obstet Gynecol. 2010;202(1):61.
Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychol. 2008;27(5):604-15.
Wadhwa PD, Sandman CA, Porto M, Dunkel-Schetter C, Garite TJ. The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol. 1993;169(4):858-65.
Bondas T, Eriksson K. Women’s lived experiences of pregnancy: a tapestry of joy and suffering. Qual Health Res. 2001;11(6):824-40.
Greer J, Lazenbatt A, Dunne L. ‘Fear of childbirth’ and ways of coping for pregnant women and their partners during the birthing process: a salutogenic analysis. Evidence Based Midwifery. 2014;12(3):95-100.
Nelson J, O’Brien M. Does an unplanned pregnancy have long term implications for mother-child relationships? J Family Issues. 2012;33(4):506-26.
Hung CH, Lin CJ, Stocker J, Yu CY. Predictors of postpartum stress. J Clin Nurs. 2011;20:666-74.
Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36:226-32.
Armstrong T, Pooley JA. Being pregnant: a qualitative study of women's lived experience. J Prenatal Perinatal Psychol Health. 2004;20(1):4-24.
Jarvis PA, Creasey GL. Parental stress, coping, and attachment in families with an 18-month-old infant. Infant Behavior Develop. 1991;14(4):383-95.
Kaur S, Mamta, Sagar N. Comparative study to assess the maternal and paternal fetal attachment among the expectant mothers and fathers. Int J Repro Contracept Obstet Gynaecol. 2017;6(7):3134-7.
Saleem S, Qureshi N, Mahmood Z. Attachment, perceived social support and mental health problems in women with primary infertility. Int J Repro Contracept Obstet Gynaecol. 2019;8(6):2533-40.
Nygren M, Carstensen J, Ludvigsson J, Sepa A. Adult attachment and parenting stress among parents of toddlers. J Repro Infant Psychol. 2012;30(3):289-302.
DunkelSchetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141-8.
Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review. Women and Birth. 2015.
Ahmed AE, Albalawi AN, Alshehri AA, AlBlaihed RM, Alsalamah MA. Stress and its predictors in pregnant women: a study in Saudi Arabia. Psychol Res Behav Manag. 2017;10:97-102.
Goyal N, Singh S, Mathur A, Gupta N, Makkar D, Aggarwal V. Perceived stress among gravid and its effect on their oral health in Sri Ganganagar, Rajasthan, India. Int J Reprod Contra Obstet Gynecol. 2017;6(4):1381-7.
Kumar J, Samelson R. Oral health care during pregnancy and early childhood: practice guidelines. New York, NY: New York State Department of Health. 2006.
Laine MA. Effect of pregnancy on periodontal and dental health. Acta Odontol Scand. 2002;60(5):257-64.
Kim EJ, Dimsdale JE. The effect of psychosocial stress on sleep: a review of polysomnographic evidence. Behav Sleep Med. 2007;5:256-78.
DiPietro JA. Psychological and psychophysiological considerations regarding the maternal-fetal relationship. Infant Child Dev. 2010;19(1):27-38.
El-Sayed H, El-Sayed M, Hassan SI, Hakeem SA, Aboud H, Ibrahim A. Effect of women self monitoring of fetal kicks on enhancing their general health status. Am J Nurs Res. 2018;6(3):117-24.
Deshpande J. The effect of selected aspect of garbhasanskar on stress, coping strategies and wellbeing of antenatal mothers. Int J Sci Res. 2016;5(3).
Tagi P. The science behind garbhsanskar. Discover India Sanskrit our culture our way of life. 2014.
Beddoe A, Paul Y. The effects of mindfulness-based yoga during pregnancy on maternal psychological and physical distress. 2009.
Hsing-Chi C, Chen-Hsiang Y, Shu-Yueh C, Chung-Hey C. The effects of music listening on psychosocial stress and maternal-fetal attachment during pregnancy. Complement Ther Med. 2015;23:509-15.
Foley S, Hughes C. Great expectations? Do mothers’ and fathers’ prenatal thoughts and feelings about the infant predict parent-infant interaction quality? A meta-analytic review. Develop Review. 2018;48:10.
