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What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice
BACKGROUND: Development of the maternal antenatal attachment (MAA) constitutes an important aspect of the transition into motherhood. Early identification of women at risk of developing a poor MAA provides possibilities for preventive interventions targeting maternal mental health and the emerging m...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7784374/ https://www.ncbi.nlm.nih.gov/pubmed/33397501 http://dx.doi.org/10.1186/s40359-020-00499-x |
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author | Ertmann, Ruth K. Bang, Christine W. Kriegbaum, Margit Væver, Mette S. Kragstrup, Jakob Siersma, Volkert Wilson, Philip Lutterodt, Melissa C. Smith-Nielsen, Johanne |
author_facet | Ertmann, Ruth K. Bang, Christine W. Kriegbaum, Margit Væver, Mette S. Kragstrup, Jakob Siersma, Volkert Wilson, Philip Lutterodt, Melissa C. Smith-Nielsen, Johanne |
author_sort | Ertmann, Ruth K. |
collection | PubMed |
description | BACKGROUND: Development of the maternal antenatal attachment (MAA) constitutes an important aspect of the transition into motherhood. Early identification of women at risk of developing a poor MAA provides possibilities for preventive interventions targeting maternal mental health and the emerging mother-infant relationship. In this study, we investigate the relative importance of an extensive set of psychosocial, pregnancy-related, and physiological factors measured in the first trimester of pregnancy for MAA measured in third trimester. METHODS: A prospective study was conducted among pregnant women in Danish general practice (GP). Data were obtained in the first and the third trimester from pregnancy health records and electronic questionnaires associated with routine GP antenatal care visits. The Maternal Antenatal Attachment Scale (MAAS) was used to assess maternal antenatal attachment. The relative importance of potential determinants of maternal antenatal attachment was assessed by the relative contribution of each factor to the fit (R(2)) calculated from multivariable regression models. RESULTS: The sample consisted of 1328 women. Low antenatal attachment (Total MAAS ≤ 75) was observed for 513 (38.6%) women. Perceived social support (having someone to talk to and having access to practical help when needed) emerged as the most important determinant. Furthermore, scores on the MAAS decreased with worse self-rated health, poor physical fitness, depression, increasing age, having given birth previously, and higher education. CONCLUSION: Pregnant women reporting lack of social support and general low physical and mental well-being early in pregnancy may be at risk for developing a poor MAA. An approach targeting both psychosocial and physiological well-being may positively influence expectant mothers’ successful adaptation to motherhood. |
format | Online Article Text |
id | pubmed-7784374 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77843742021-01-14 What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice Ertmann, Ruth K. Bang, Christine W. Kriegbaum, Margit Væver, Mette S. Kragstrup, Jakob Siersma, Volkert Wilson, Philip Lutterodt, Melissa C. Smith-Nielsen, Johanne BMC Psychol Research Article BACKGROUND: Development of the maternal antenatal attachment (MAA) constitutes an important aspect of the transition into motherhood. Early identification of women at risk of developing a poor MAA provides possibilities for preventive interventions targeting maternal mental health and the emerging mother-infant relationship. In this study, we investigate the relative importance of an extensive set of psychosocial, pregnancy-related, and physiological factors measured in the first trimester of pregnancy for MAA measured in third trimester. METHODS: A prospective study was conducted among pregnant women in Danish general practice (GP). Data were obtained in the first and the third trimester from pregnancy health records and electronic questionnaires associated with routine GP antenatal care visits. The Maternal Antenatal Attachment Scale (MAAS) was used to assess maternal antenatal attachment. The relative importance of potential determinants of maternal antenatal attachment was assessed by the relative contribution of each factor to the fit (R(2)) calculated from multivariable regression models. RESULTS: The sample consisted of 1328 women. Low antenatal attachment (Total MAAS ≤ 75) was observed for 513 (38.6%) women. Perceived social support (having someone to talk to and having access to practical help when needed) emerged as the most important determinant. Furthermore, scores on the MAAS decreased with worse self-rated health, poor physical fitness, depression, increasing age, having given birth previously, and higher education. CONCLUSION: Pregnant women reporting lack of social support and general low physical and mental well-being early in pregnancy may be at risk for developing a poor MAA. An approach targeting both psychosocial and physiological well-being may positively influence expectant mothers’ successful adaptation to motherhood. BioMed Central 2021-01-04 /pmc/articles/PMC7784374/ /pubmed/33397501 http://dx.doi.org/10.1186/s40359-020-00499-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Ertmann, Ruth K. Bang, Christine W. Kriegbaum, Margit Væver, Mette S. Kragstrup, Jakob Siersma, Volkert Wilson, Philip Lutterodt, Melissa C. Smith-Nielsen, Johanne What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice |
title | What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice |
title_full | What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice |
title_fullStr | What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice |
title_full_unstemmed | What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice |
title_short | What factors are most important for the development of the maternal–fetal relationship? A prospective study among pregnant women in Danish general practice |
title_sort | what factors are most important for the development of the maternal–fetal relationship? a prospective study among pregnant women in danish general practice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7784374/ https://www.ncbi.nlm.nih.gov/pubmed/33397501 http://dx.doi.org/10.1186/s40359-020-00499-x |
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