The Effect of Maternal-Foetal Attachment-Based Training Programme on Maternal Mental Health Following an Unintended Pregnancy

• Published in: Journal of reproductive and infant psychology 2023-01, Vol.41 (1), p.26-42
• Main Authors: Mahmoudi, Parastou, Elyasi, Forouzan, Nadi, Aliasghar, Ahmad Shirvani, Marjan
• Format: Article
• Language: English
• Subjects: Analysis of covariance; Anxiety; Attachment; Chi-square test; Clinical research; Clinical trials; Control groups; depression; Depression, Postpartum - psychology; Female; Fetus; Health status; Humans; Maternal characteristics; Maternal depression; maternal-fetal attachment; Mental depression; Mental Health; Mothers; Multivariate analysis; Postpartum depression; Postpartum period; Pregnancy; Pregnancy, Unplanned; Prenatal Care; Psychological distress; Psychological well being; Questionnaires; training; unintended pregnancy; Unplanned pregnancy; Unwanted pregnancy; Well being; Worry
• ISSN: 0264-6838; 1469-672X
• DOI: 10.1080/02646838.2021.1959538

Unintended pregnancy is a risk factor for less maternal-fetal attachment (MFA) and low levels of psychological well-being. This study was conducted to determine the effect of an MFA-based training programme on maternal anxiety, depression and worries following an unintended pregnancy. This randomised clinical trial was conducted on 68 women with an unintended pregnancy in north of  Iran during 2018-2019. Participants were allocated to the trained and control groups through simple randomisation. The trained group received the MFA-based training for three 90-min sessions. Demographic questionnaire, London measure of unplanned pregnancy, Cranley's MFA scale, Edinburgh postnatal depression, Spielberger anxiety and prenatal distress questionnaires were used. Data were analysed by descriptive statistics, chi square, Fisher's exact test, independent and paired-samples t-tests, Mann-Whitney U, analysis of covariance, and multivariate analysis of variance. After the intervention, the mean MFA, anxiety and depression scores were not significantly different between the trained and control groups Worry was significantly decreased in the trained group (p = 0.001) and increased in the control group (p = 0.03). Although the MFA-based training could not significantly improve MFA, maternal anxiety and depression, it has been effective on worry in women with the unintended pregnancies.