Hospitalisation in high-risk pregnancy patients: is prenatal attachment affected?

J Reprod Infant Psychol. 2021 Feb;39(1):30-42. doi: 10.1080/02646838.2020.1740661. Epub 2020 Mar 29.

Abstract

Objective: To compare prenatal attachment in women hospitalised due to high-risk pregnancy with prenatal attachment in non-hospitalised patients. To describe the impact of social support, socio-demographic factors and the nature of the pregnancy on prenatal attachment, anxiety and depression. Study Design: An exploratory, cross-sectional and descriptive study utilising the Maternal Antenatal Attachment Scale, the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory. The sample comprised 80 hospitalised and 88 non-hospitalised patients. Result: No difference in prenatal attachment was found between the two groups. The hospitalised group presented higher levels of depressive symptomatology and anxiety. Social support had a significant effect on the hospitalised group, improving attachment quality. Conclusion: Incorporation of members of the patient's support network may help to improve quality of prenatal attachment during hospitalisation. Detection and treatment of anxiety and/or depression in hospitalised patients is recommended given their impact on the mental health of mother and baby.

Keywords: Prenatal attachment; high-risk pregnancy; perinatal mental health.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / diagnosis
  • Anxiety / psychology
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / diagnosis
  • Depression, Postpartum / complications
  • Depression, Postpartum / diagnosis*
  • Female
  • Hospitalization*
  • Humans
  • Infant
  • Infant, Newborn
  • Mother-Child Relations / psychology*
  • Object Attachment*
  • Pregnancy
  • Pregnancy, High-Risk / psychology*
  • Psychiatric Status Rating Scales
  • Social Support
  • Young Adult