Maternal-Neonatal Attachment in Intended and Unintended Pregnancies during the First 24 Hours after Childbirth.

Journal of Caring Sciences Pub Date : 2022-04-08 eCollection Date: 2022-05-01 DOI:10.34172/jcs.2022.13
Tahere Eslaminia, Maasumeh Kaviani, Marzieh Akbarzadeh
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Abstract

Introduction: Women's physical and mental health and their mortality at reproductive age depend on fertility behaviors, delivery, and its complications. Unintended pregnancy is a risk to the life of women at reproductive age. The present study aimed to compare maternal and neonatal attachment in intended and unintended pregnancies after the mother and baby skin-to-skin contact immediately after delivery (first hour) and 24 hours after that. Methods: This analytical case-control study was performed on 140 women who gave birth in the hospitals affiliated to Shiraz University of Medical Sciences, Iran. The subjects were categorized into groups of intended and unintended pregnancy. Skin-to-skin contact of the mother and baby was done for 15 minutes in the recovery room at the first hour and 24 hours after birth. Then, the Avant's questionnaire of mother-infant attachment behaviors was completed. Data were analyzed using SPSS ver.13. Results: The mean (SD) attachment score in the first hours in intended pregnancy was 84.22 (12.59), which was higher than that in unintended pregnancy 74.28 (15.81), indicating a significant difference. However, after 24 hours of delivery, there was no significant difference between the two groups. During the first hours after delivery, there was a significant difference in the total score of the emotional behaviors and care between the two groups. Conclusion: Maternal and infant skin contact during lactation increased attachment after 24 hours in unintended pregnancy, while in the first hours after delivery, attachment decreased in these pregnancies.

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分娩后24小时内预期妊娠和意外妊娠的母婴依恋。
育龄妇女的身心健康及其死亡率取决于生育行为、分娩及其并发症。意外怀孕对育龄妇女的生命构成威胁。本研究旨在比较母亲和婴儿在分娩后(第一个小时)和分娩后24小时皮肤接触后,有意怀孕和意外怀孕的母亲和新生儿的依恋。方法:对在伊朗设拉子医科大学附属医院分娩的140名妇女进行分析性病例对照研究。研究对象被分为有意怀孕组和意外怀孕组。出生后1小时和24小时在恢复室进行母婴皮肤接触15分钟。然后,完成Avant母子依恋行为问卷。数据采用SPSS ver.13进行分析。结果:妊娠初期SD平均评分为84.22分(12.59分),高于意外妊娠74.28分(15.81分),差异有统计学意义。然而,在分娩24小时后,两组之间没有显著差异。产后1小时内,两组产妇的情绪行为和护理总分均有显著差异。结论:哺乳期母婴皮肤接触增加了意外妊娠24小时后的附着,而在分娩后的最初几个小时内,这些妊娠的附着减少。
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