E-ISSN: 2619-9467

Contents    Cover    Publication Date: 15 Mar 2023
Year 2023 - Volume 33 - Issue 1

Open Access

Peer Reviewed

ORIGINAL RESEARCH
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Pregnancy-Related Anxiety and Prenatal Attachment in Pregnant Women with Preeclampsia and/or Gestational Diabetes Mellitus: A Cross-Sectional Study

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JCOG. 2023;33(1):27-35
DOI: 10.5336/jcog.2022-93264
Article Language: EN
Copyright Ⓒ 2024 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: Health problems experienced during pregnancy may increase anxiety level during pregnancy and affect motherbaby attachment. The present study aimed to compare pregnancy-related anxiety and prenatal attachment levels between low-risk pregnant women and pregnant women with preeclampsia and/or gestational diabetes mellitus (GDM). Material and Methods: One hundred fifty women were recruited in this cross-sectional descriptive study (55 preeclampsia and/or GDM, 95 low-risk) pregnant women. Data were collected using descriptive data form, Pregnancy-Related Anxiety Questionnaire-Revised-2 (PRAQ-R2), and Prenatal Attachment Scale (PAS). Results: Prenatal attachment scores of the working pregnant women in the low-risk group were higher than those in the non-working pregnant women (p0.05). Conclusion: In line with the study results, it was found that low-risk and working pregnant women had higher prenatal attachment levels. Levels of prenatal attachment were higher in primiparous pregnant women in the high-risk group. As pregnancyrelated anxiety levels of high-risk and healthy pregnant women increased, concern about one's own appearance scores increased. Therefore, reducing anxiety levels of pregnant women during pregnancy may be an effective intervention in reducing concerns about their appearance.
REFERENCES:
  1. Göbel A, Stuhrmann LY, Harder S, Schulte-Markwort M, Mudra S. The association between maternal-fetal bonding and prenatal anxiety: An explanatory analysis and systematic review. J Affect Disord. 2018;239:313-27. [Crossref]  [PubMed] 
  2. Glover V, Capron L. Prenatal parenting. Curr Opin Psychol. 2017;15:66-70. [Crossref]  [PubMed] 
  3. Kim P, Mayes L, Feldman R, Leckman JF, Swain JE. Early postpartum parental preoccupation and positive parenting thoughts: relationship with parent-infant interaction. Infant Ment Health J. 2013;34(2):104-16. [Crossref]  [PubMed]  [PMC] 
  4. Ossa X, Bustos L, Fernandez L. Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery. 2012;28(5):e689-96. [Crossref]  [PubMed] 
  5. Hopkins J, Miller JL, Butler K, Gibson L, Hedrick L, Boyle DA. The relation between social support, anxiety and distress symptoms and maternal fetal attachment. J Reprod Infant Psychol. 2018;36(4):381-92. [Crossref]  [PubMed] 
  6. Yesilcinar I, Yavan T, Karasahin KE, Yenen MC. The identification of the relationship between the perceived social support, fatigue levels and maternal attachment during the postpartum period. J Matern Fetal Neonatal Med. 2017;30(10):1213-20. [Crossref]  [PubMed] 
  7. Cranley MS. Roots of attachment: the relationship of parents with their unborn. Birth Defects Orig Artic Ser. 1981;17(6):59-83. [PubMed] 
  8. Brandon AR, Pitts S, Denton WH, Stringer CA, Evans HM. A history of the theory of prenatal attachment. J Prenat Perinat Psychol Health. 2009;23(4):201-22. [PubMed]  [PMC] 
  9. Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Complexity of parental prenatal attachment during pregnancy at risk for preterm delivery. J Matern Fetal Neonatal Med. 2016;29(5):771-6. [Crossref]  [PubMed] 
  10. Doan H, Zimerman A. Conceptualizing prenatal attachment toward a multidimensional view. J Prenat &Perinatal Psychol Heal. 2003;18(2):109-29. [Link] 
  11. Palma E, Armijo I, Cifuentes J, Ambiado S, Rochet P, Díaz B, et al. Hospitalisation in high-risk pregnancy patients: is prenatal attachment affected? J Reprod Infant Psychol. 2021;39(1):30-42. [Crossref]  [PubMed] 
  12. Salehi K, Kohan S. Maternal-fetal attachment: what we know and what we need to know. Int J Pregnancy Child Birth. 2017;2(5):146-8. [Crossref] 
  13. Bülbül M, Dilbaz B, Boybay Koyuncu S, Yağmur Y. Is increased stress affecting prenatal attachment in high risk pregnancies? J Med Pract Rev. 2018;2:217-23. [Link] 
  14. Erkal Aksoy Y, Dereli Yılmaz S, Aslantekin F. Prenatal attachment and social support in risk pregnancies. Turkiye Klin J Heal Sci. 2016;1(3):163-9. [Crossref] 
  15. Ozcan H, Ustundag MF, Yilmaz M, Aydinoglu U, Ersoy AO, Eyi EGY. The relationships between prenatal attachment, basic personality traits, styles of coping with stress, depression, and anxiety, and marital adjustment among women in the third trimester of pregnancy. Eurasian J Med. 2019;51(3):232-6. [Crossref]  [PubMed]  [PMC] 
  16. Van den Bergh B. The influence of maternal emotions during pregnancy on fetal and neonatal behavior. J Prenat Perinat Psychol Heal. 1990;5(2):119-30. [Link] 
  17. Huizink AC, Delforterie MJ, Scheinin NM, Tolvanen M, Karlsson L, Karlsson H. Adaption of pregnancy anxiety questionnaire-revised for all pregnant women regardless of parity: PRAQ-R2. Arch Womens Ment Health. 2016;19(1):125-32. [Crossref]  [PubMed]  [PMC] 
  18. Aksoy Derya Y, Timur Taşhan S, Duman M, Durgun Ozan Y. Turkish adaptation of the pregnancy-related anxiety questionnaire-revised 2: Validity and reliability study in multiparous and primiparous pregnancy. Midwifery. 2018;62:61-8. [Crossref]  [PubMed] 
  19. Muller ME. Development of the Prenatal Attachment Inventory. West J Nurs Res. 1993;15(2):199-211; discussion 211-5. [Crossref]  [PubMed] 
  20. Yılmaz S, Beji N. Prenatal Bağlanma Envanteri'nin Türkçeye uyarlanması: güvenilirlik ve geçerlilik çalışması [Turkish Version of Prenatal Attachment Inventory: a study of reliability and validity]. Anadolu Hemşirelik ve Sağlık Bilim Derg. 2013;16(2):103-9. [Link] 
  21. Yeşilçınar İ, Şahin E, Özçam N. Ülkemizin Güneydoğusunda yaşayan gebelerde prenatal bağlanma ve algılanan sosyal desteğin değerlendirilmesi: kesitsel çalışma [Assessment of prenatal attachment and perceived social support among pregnant women living in South-East of Turkey: cross-sectional study]. Turkiye Klin J Nurs Sci. 2021;13(3):516-25. [Crossref] 
  22. Arguz Cildir D, Ozbek A, Topuzoglu A, Orcin E, Janbakhishov CE. Association of prenatal attachment and early childhood emotional, behavioral, and developmental characteristics: A longitudinal study. Infant Ment Health J. 2020;41(4):517-29. [Crossref]  [PubMed] 
  23. Duman M, Doğan Yüksekol Ö, Durgun Ozan Y. Preeklampsili gebelerde gebelikle ilişkili anksiyetenin prenatal bağlanmaya etkisi [The effect of pregnancy-related anxiety on prenatal attachment in pregnant women with preeclampsia]. The Journal of Turkish Gynecology-Bstetrics and Neonatalogy. 2021;18(3):907-15. [Crossref] 
  24. Sheen K, Slade P. Examining the content and moderators of women's fears for giving birth: A meta-synthesis. J Clin Nurs. 2018;27(13-14):2523-35. [Crossref]  [PubMed] 
  25. Çıtak Bilgin N, Coşkun H, Coşkuner Potur D, İbar Aydın E, Uca E. Psychosocial predictors of the fear of childbirth in Turkish pregnant women. J Psychosom Obstet Gynaecol. 2021;42(2):123-31. [Crossref]  [PubMed] 
  26. Watson B, Fuller-Tyszkiewicz M, Broadbent J, Skouteris H. The meaning of body image experiences during the perinatal period: A systematic review of the qualitative literature. Body Image. 2015;14:102-13. [Crossref]  [PubMed] 
  27. Smorti M, Ginobbi F, Simoncini T, Pancetti F, Carducci A, Mauri G, et al. Anxiety and depression in women hospitalized due to high-risk pregnancy: An integrative quantitative and qualitative study. Curr Psychol. 2021;1-10. [Crossref]