Perinatal attachment in naturally pregnant and infertility-treated pregnant women in Taiwan

J Adv Nurs. 2011 Oct;67(10):2200-8. doi: 10.1111/j.1365-2648.2011.05665.x. Epub 2011 May 6.

Abstract

Aim: This article is a report of a study of the differences in maternal-foetal attachment and maternal-infant attachment among naturally pregnant and infertility-treated pregnant women in Taiwan.

Background: Studies have shown that infertility treatment is likely to make up an increasing proportion in the coming years. As these experiences are unique, the attachment relationship may be affected.

Method: The research data were collected from two obstetrics clinics which were located in central Taiwan. In 2008, all participants (n = 125) were asked to fill out the prenatal questionnaires at the beginning of the study and were followed up with postnatal questionnaires that were mailed to them 1-2 months after labour (n = 110). We used chi-square tests for categorical and t- tests for continuous variables. Multivariate analysis of variances was then performed, and changes in the maternal-foetal attachment and maternal-infant attachment Scales were assessed.

Findings: Women who became pregnant after fertility treatment had higher maternal-foetus and maternal-infant attachment scores, and this result was statistically significant; pregnancy mode and level of education are the main factors that have a significant effect on maternal-foetus attachment; and pregnancy mode and participation in prenatal education have a main effect on maternal-infant attachment.

Conclusion: Development of a specific support group for mothers, such as a group for prenatal education, and providing useful resources for pregnant women with a lower level of education are involved in the future research studies for therapeutic intervention.

MeSH terms

  • Adult
  • Demography
  • Female
  • Humans
  • Infant
  • Infertility / psychology*
  • Infertility / therapy
  • Maternal-Fetal Relations / psychology*
  • Models, Psychological
  • Mother-Child Relations*
  • Mothers / psychology
  • Multivariate Analysis
  • Nursing Research
  • Peripartum Period / psychology
  • Pregnancy
  • Pregnant Women / psychology*
  • Prenatal Care / methods
  • Surveys and Questionnaires
  • Taiwan