The association of maternal-fetal attachment with smoking and smoking cessation during pregnancy in The FinnBrain Birth Cohort Study

Smoking in pregnancy constitutes a preventable risk factor for fetal/child development and maternal-fetal attachment (MFA) seems to contain a momentum that can break the chain of adverse outcomes by promoting maternal prenatal health practices. This study aimed to explore the association of MFA with...

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Bibliographic Details
Published in:BMC pregnancy and childbirth 2020-11, Vol.20 (1), p.741-741, Article 741
Main Authors: Jussila, Heidi, Pelto, Juho, Korja, Riikka, Ekholm, Eeva, Pajulo, Marjukka, Karlsson, Linnea, Karlsson, Hasse
Format: Article
Language:English
Subjects:
Attachment
Childrens health
Cohort analysis
Education
Educational attainment
Fetuses
Health behavior
Maternal & child health
Maternal-fetal attachment
Pregnancy
Prenatal
Questionnaires
Smoking
Smoking cessation
Smoking in pregnancy
Tobacco
Ultrasonic imaging
Variables
Womens health
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Summary:Smoking in pregnancy constitutes a preventable risk factor for fetal/child development and maternal-fetal attachment (MFA) seems to contain a momentum that can break the chain of adverse outcomes by promoting maternal prenatal health practices. This study aimed to explore the association of MFA with smoking at any time during pregnancy and smoking cessation in early pregnancy, and the modifying role of MFA on the expected effects of education and prenatal psychological distress (PPD) on prenatal smoking behavior. The pregnant women (n = 3766) participated in the The FinnBrain Birth Cohort Study in Finland between December 2011 and April 2015. The binary outcomes, smoking at any time during pregnancy and smoking cessation in early pregnancy, were obtained from self-reports at gestational weeks (gwks) 14 and 34 and The Finnish Medical Birth Register. MFA was assessed with the Maternal-Fetal Attachment Scale (MFAS) at gwks 24 and 34. Logistic regression analyses were used to determine the association between MFA and maternal prenatal smoking behavior. The prevalence of smoking was 16.5%, and 58.1% of the smokers quit smoking during pregnancy. The independent associations of total MFA scores with prenatal smoking behavior were not established (aOR = 1.00-1.02, multiplicity adjusted p > 0.05). A higher score in the altruistic subscale of MFA, Giving of self, associated with a higher probability of smoking cessation (24 gwks: aOR = 1.13, 95% CI [1.04, 1.24], p = 0.007, multiplicity adjusted p = 0.062; 34 gwks: aOR = 1.17, 95% CI [1.07, 1.29], p 
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-020-03393-x