Volume 27, Issue 2 (Avicenna Journal of Clinical Medicine-Summer 2020)                   Avicenna J Clin Med 2020, 27(2): 85-93 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hoseini S, Motaghi Z, Nazari A M, Goli S. Evaluation of Effectiveness Midwifery Counseling with Cognitive-Behavioral Approach to Maternal-Fetal Attachment in Pregnant Women with Unwanted Pregnancy. Avicenna J Clin Med 2020; 27 (2) :85-93
URL: http://sjh.umsha.ac.ir/article-1-2047-en.html
1- , zhr.motaghi@yahoo.com
Abstract:   (3114 Views)
Background and Objective: Unwanted pregnancy reduces maternal role and decreases maternal-fetal attachment. Maternal -fetal attachment is the thoughts, feelings, and behaviors that pregnant women express about their fetuses. The aim of this study was to determine the effect of midwifery counseling with cognitive-behavioral approach on maternal-fetal attachment in women with unwanted pregnancy.
Materials and Methods: This randomizes clinical trial was performed on 96 pregnant women with unwanted pregnancy referred to health centers of Kazerun, Shiraz, Iran, in 2019. The experimental group received 4 training sessions based on the cognitive behavioral counseling during 4 weeks. The control group received only the routine care program. At baseline and immediately after the intervention, both groups completed the demographic and maternal-fetal attachment questionnaire. Data were analyzed using descriptive and inferential statistics (independent t-test and Chi-square test) using SPSS 21.
Results: The study showed no significant difference in total score of attachment (P=0.886) before intervention between the two groups; while after the intervention a significant difference was observed in the score of attachment (P=0.001) between the two groups; that is showed effectiveness of cognitive behavior therapy on promotes on maternal-fetal attachment
Conclusion: Considering the effect of cognitive-behavioral training in promoting of maternal- fetal attachment, it is recommended that this type of educational intervention be integrated into the women's care program with unwanted pregnancies.
Full-Text [PDF 1055 kb]   (1440 Downloads)    
Type of Study: Original | Subject: Obstetrics & Gynecology

References
1. Nourizadeh R, Mohammadi E, Simbar M. Women’s coping with an unplanned pregnancy. Payesh. 2015;14(1):73-84. [Persian]
2. Sayehmiri K, Ebtekar F, Zarei M, Gheshlagh RG. Prevalence of unwanted pregnancy among Iranian women: an updated meta-analysis. BMC Pregnancy Childbirth. 2019;19(1):491. PMID: 31829158 DOI: 10.1186/s12884-019-2640-9
3. Moeini M, Mokhtari N, Vafaei Z. Unwanted pregnancy after earthquake in bam city, Iran. Pharmacophore. 2018;9(2):80-4.
4. Akbarzadeh M, Yazdanpanahi Z, Zarshenas L, Sharif F. The women’s perceptions about unwanted pregnancy: a qualitative study in Iran. Global J Health Sci. 2016;8(5):189-96. PMID: 26652070 DOI: 10.5539/gjhs.v8n5p189
5. Omani-Samani R, Ranjbaran M, Mohammadi M, Esmailzadeh A, Sepidarkish M, Maroufizadeh S, et al. Impact of unintended pregnancy on maternal and neonatal outcomes. J Obstet Gynecol India. 2019;69(2):136-41. PMID: 30956467 DOI: 10.1007/s13224-018-1125-5
6. Mazza D, Bateson D, Frearson M, Goldstone P, Kovacs G, Baber R. Current barriers and potential strategies to increase the use of long‐acting reversible contraception (LARC) to reduce the rate of unintended pregnancies in Australia: an expert roundtable discussion. Aust NZ J Obstet Gynaecol. 2017;57(2):206-12. PMID: 28294293 DOI: 10.1111/ajo.12587
7. Schwarz EB, Smith R, Steinauer J, Reeves MF, Caughey AB. Measuring the effects of unintended pregnancy on women's quality of life. Contraception. 2008;78(3):204-10. PMID: 18692610 DOI: 10.1016/j.contraception.2008.04.120
8. Pakseresht S, Rasekh P, Leili EK. Physical health and maternal-fetal attachment among women: Planned versus unplanned pregnancy. Int J Womens Health Reprod Sci. 2018;6(3):335-41. DOI: 10.15296/ijwhr.2018.55
9. Ekrami F, Mohammad-Alizadeh Charandabi S, Babapour Kheiroddin J, Mirghafourvand M. Effect of counseling on maternal-fetal attachment in women with unplanned pregnancy: a randomized controlled trial. J Reprod Infant Psychol. 2020;38(2):151-65. PMID: 31274007 DOI: 10.1080/02646838.2019.1636943
10. Simbar M, Khajehpoor M, Jannesari SH, Alavi Majd H. Comparing the health status of women with wanted and unwanted pregnancy. J Gorgan Univ Med Sci. 2012;14(1):113-20. [Persian]
11. Jayaweera RT, Ngui FM, Hall KS, Gerdts C. Women’s experiences with unplanned pregnancy and abortion in Kenya: a qualitative study. PloS One. 2018;13(1):e0191412. PMID: 29370220 DOI: 10.1371/journal.pone.0191412
12. Kasmaei P, Atrkar Roshan Z. Study of prevalence and some correlative factors with unwanted pregnancies. J Guilan Univ Med Sci. 2004;12(48):61-6. [Persian]
13. Cheng D, Schwarz EB, Douglas E, Horon I. Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. Contraception. 2009;79(3):194-8. PMID: 19185672 DOI: 10.1016/j.contraception.2008.09.009
14. Bayrami R, Taghipour A, Ebrahimipour H. Experience of unplanned pregnancy in women attending to health centers of Mashhad, Iran: a phenomenological study. Iran J Obstet Gynecol Infertil. 2014;16(87):15-23. [Persian]
15. Jamshidimanesh M, Astaraki L, Moghadam ZB, Taghizadeh Z, Haghani H. Maternal-fetal attachment and its associated factors. Hayat. 2012;18(5):33-45. [Persian]
16. Abasi A, Tafazoli M, Esmaeili H. The effect of foetal movement counting on primipara maternal foetal attachment. J Mazandaran Univ Med Sci. 2010;20(77):53-60. [Persian]
17. Walsh J. Definitions matter: if maternal–fetal relationships are not attachment, what are they? Arch Womens Ment Health. 2010;13(5):449-51. PMID: 20217158 DOI: 10.1007/s00737-010-0152-8
18. Sadeghi Sahebzad E, Baghdari N, Kheirkhah M. The relationship between marital satisfaction and social support with maternal fetal attachment in pregnant women with a history of baby loss. Iran J Obstet Gynecol Infertil. 2014;17(106):16-22. [Persian]
19. Torshizi M. Different dimensions of maternal-fetal attachment behaviors and associated factors in pregnant women referred to health centers of Birjand, Iran, 2012. Iran J Obstet Gynecol Infertil. 2013;16(72):13-21. [Persian]
20. Hosseinian S, Yazdi SM, Alavinezhad S. The effectiveness of fetal attachment training program on maternal-fetal relationship and mental health of pregnant women. J Child Mental Health. 2016;2(4):75-87. [Persian]
21. Parsa P, Saiedzadeh N, Roshanaii G, Masoumi SZ. The effect of training on maternal-fetal attachment (MFA) in nulliparous women: a randomized clinical trial. Avicenna J Nurs Midwifery Care. 2016;24(1):24-30. DOI: 10.20286/nmj-24011
22. Delavari M, Mohammad-Alizadeh-Charandabi S, Mirghafurvand M. The relationship between maternal–fetal attachment and maternal self-efficacy in Iranian women: a prospective study. J Reprod Infant Psychol. 2018;36(3):302-11. PMID: 29558832 DOI: 10.1080/02646838.2018.1436753
23. Akbarzadeh M, Toosi M, Zare N, Sharif F. Effect of learning attachment behaviors on anxiety and maternal fetal attachment in first pregnant women. Evidence Based Care. 2011;1(1):21-34. [Persian]
24. Sajjadi AS, Zahrakar K, Mohsenzadeh F, Karamnia M, Shokoohi YM, Alavinezhad S. Efficacy of maternal fetal attachment techniques on enhancing mother's attachment to the fetus. Dev Psychol. 2016;12(47):281-8. [Persian]
25. Condon JT, Corkindale C. The correlates of antenatal attachment in pregnant women. Br J Med Psychol. 1997;70(4):359-72. PMID: 9429755 DOI: 10.1111/j.2044-8341.1997.tb01912.x
26. Mosaiebi E, Sepehrian Azar F. Meta-analysis of the effectiveness of psychological interventions and care practices on increasing mother-fetal and mother-infant attachment behavior. J Child Mental Health. 2018;4(4):104-16. [Persian]
27. Safaralinezhad A, Oveisi S, Jourabchi Z. Effect of cognitive-behavioral group therapy on gestational depression: a clinical trial. Iran J Obstet Gynecol Infertil. 2018;21(2):48-59. [Persian]
28. Vakilian K, Poorjandaghi M, Khorsandi M. Effectiveness of cognitive group counseling to self-esteem in nulliparous women. J Clin Nurs Midwifery. 2018;7(1):67-74. [Persian]
29. Khanzadeh A, Rostampour A, Nedaee N, Khosrojavid M. Effectiveness of cognitive-behavioral education on anxiety during pregnancy and delivery method in primiparous women. J Nur Educ. 2017;5(6):24-32.
30. Azogh M, Shakiba M, Navidian A. The effect of cognitive behavioral training on maternal-fetal attachment in subsequent pregnancy following stillbirth. Hayat. 2018;24(1):71-83. [Persian]
31. Ramezani S, Khosravi A, Motaghi Z, Hamidzadeh A, Mousavi SA. The effect of cognitive-behavioural and solution-focused counselling on prevention of postpartum depression in nulliparous pregnant women. J Reprod Infant Psychol. 2017;35(2):172-82. PMID: 29517361 DOI: 10.1080/02646838.2016.1266470
32. Leahy RL. Cognitive therapy techniques: a practitioner's guide. New York: Guilford; 2017.
33. Green SM, Haber E, Frey BN, McCabe RE. Cognitive-behavioral group treatment for perinatal anxiety: a pilot study. Arch Women Mental Health. 2015;18(4):631-8. PMID: 25652951 DOI: 10.1007/s00737-015-0498-z
34. Toosi M, Akbarzadeh M, Zare N, Sharif F. Effect of attachment training on anxiety and attachment behaviors of first-time mothers. Hayat. 2011;17(3):69-79. [Persian]
35. Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res. 1981;30(5):281-4. PMID: 6912989
36. Arasteh A, Kharaghani R, Zenoozian S, Moloodi R, Jafari E. Effectiveness of midwifery counseling on adaptation to pregnancy, maternal-fetal attachment, and quality of life in unplanned pregnant women: a randomized controlled trial. Int J Pediatr. 2020;8(6):11435-48. DOI: 10.22038/IJP.2019.44410.3678
37. Mojahed S, Dafei M, Dehghani A, Shayegh Z. Evaluation of the effect of midwifery counseling with cognitive-behavioral approach on maternal-fetal attachment in the pregnant women with abortion history. J Adv Pharmacy Educ Res. 2019;9(S2):119-25.
38. Güney E, Uçar T. Effect of the fetal movement count on maternal–fetal attachment. Japan J Nurs Sci. 2019;16(1):71-9. PMID: 29774647 DOI: 10.1111/jjns.12214
39. Rollè L, Giordano M, Santoniccolo F, Trombetta T. Prenatal attachment and perinatal depression: a systematic review. Int J Environ Res Public Health. 2020;17(8):2644. PMID: 32290590 DOI: 10.3390/ijerph17082644
40. McNamara J, Townsend ML, Herbert JS. A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PloS One.2019;14(7):e0220032. PMID: 31344070 DOI: 10.1371/journal.pone.0220032

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb