Factors Predicting Maternal-Fetal Attachment in Pregnant Adolescents

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พรทิพย์ ชอบตรง


Factors Predicting Maternal-Fetal Attachment in Pregnant Adolescents

Porntip Chobtrong*, Siriwan Sangin** and Wannee Deoisres***


Purpose: The study aimed to study maternal-fetal attachment and to examine factors predicting maternal-fetal attachment in pregnant adolescents.

Design: Predictive correlational research.

Methods: Samples were 170 pregnant adolescents attending antenatal clinics at Chonburi hospital and Banglamung hospital. Research instruments consisted of demographic questionnaire, the prenatal attachment scale for Thai pregnant adolescents, marital relationship questionnaire, the experience of intimate partner violence questionnaire and social support questionnaire. Data were analyzed by descriptive statistics and enter multiple regression analysis.

Results: Results showed that the mean score of maternal-fetal attachment in pregnant adolescents were at a good level. Factors that could predict maternal-fetal attachment in pregnant adolescents with statistical significance, namely the marital relationship (β = .163), planning of pregnancy (β = .191), experience of intimate partner violence (β = .310), gestational age (β = .204) and social support (β = .321). All factors could explain 37.9% of the variance of maternal-fetal attachment in pregnant adolescents. (F(5, 164) = 20.046, p < .001)

Conclusion: Nurses should be used as a guideline to develop nursing model. To promoting the maternal-fetal attachment in pregnant adolescents for better.

Keywords: Maternal-fetal attachment/ pregnant adolescents/ predicting factors

* Student in Master of Nursing Science Program in Midwifery, Faculty of Nursing, Burapha University.

** Corresponding author, Associate Professor, Faculty of Nursing, Burapha University. Research Advisor. E-mail: siriwan_y2001@yahoo.com

*** Associate Professor, Faculty of Nursing, Burapha University.





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Research articles


1. World Health Organization. World health statistics 2018: Adolescent pregnancy. Geneva: WHO; 2018.
2. Department of Health, Ministry of Public Health. Pregnancy in adolescents and youth [Internet]. 2018. [cited 2019 Jan 28]. Available from: http://rh.anamai.moph.go.th/ download/all_file/index/situationRH_2561_Website.pdf (In Thai)
3. Panyayong B. A guide to counseling for unwanted pregnancy problems. Nonthaburi: Mental Health, Ministry of Public Health; 2011. (In Thai)
4. Rattananukoon N. Maternal and Infant Nursing Planning. Bangkok: Zengate learning; 2012. (In Thai)
5. Sanmongkol S. Health perception, Social support and Self-care behaviors among adolescent pregnant in Phuket Province. Reg 11 Med J 2016;30:105-14. (In Thai)
6. Browne K, Whitfield K, Jackson V, Anaut M, Daniunaite I, Herczog M. Child Abandonment and its prevention in Europe [Internet]. 2012. [cited 2019 Mar 15]. Available from: http://www.crin.org/en/ docs/MANUAL%20OF%20GOOD% 20PRACTICE.pdf
7. Maryam SM, Mahrokh D, Monirsadat K, Atefeh T. Correlation of maternal-fetal attachment and health practices during pregnancy with neonatal outcomes. Electronic Physician 2016;8:2639-44.
8. Mahin T, Maryam MA, Seyed AA, Mohamad TS. The relationship between maternal-fetal attachment and mother-infant attachment behaviors in primiparous women referring to Mashhad health care centers. Journal Midwifery Reproductive Health 2015;3:318-27.
9. Klaus MH, Kennell JH. Parent infant bonding. St. Louis: The C.V. Mosby; 1982.
10. Elieh A, Homaira T, Mandana Z, Gholamreza N. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Science Journal 2012;9:68-75.
11. Lavinia B, Francesca L, Antonio D. Maternal-fetal attachment and its correlates in a sample of Italian women: A study using the prenatal attachment inventory. Journal of Reproductive and Infant Psychology 2014;32:230-39.
12. Noha MM, Fawzia MAE. Predictors of maternal fetal attachment among pregnant women. Journal of Nursing and Health Science 2017;6:95-106.
13. Ghodrati F, Setodeh S, Akbarzadeh M. A study of the effect of domestic violence on maternal-neonatal attachment in prim gravida women referred to hospitals affiliated to Shiraz university of medical sciences. Biomedical Research (India) 2017;28:3794-7.
14. Felix Teixeira MI, Martins Marcos RF, Quintas Antunes MC. Relation between maternal-fetal attachment and gestational age and parental memories. Revista de Enfermagem Referencia Journal of Nursing 2016;4:85-92.
15. Astaraki L, Jamshidimanesh M, Beboodi Moghadam Z, Haghani H. Relationship between maternal fetal attachment and perceived social support. Iranian Journal of Reproductive Medicine 2014;12:123-4.
16. Concetta P, Giovanna P, Vincenzo D, Antonio C, Mariangela, M., Valentina F. A study on maternal-fetal attachment in pregnant women undergoing fetal echocardiography. Journal of Pediatric and Neonatal Individualized Medicine 2017;6.
17. Diniz E, Volling BL, Koller SH. Social support moderates association between depression and maternal–fetal attachment among pregnant Brazilian adolescents. Journal of Reproductive & Infant Psychology 2014;32:400-11.
18. Pattanasombatsuk M. Development and Psychometric Evaluation of the Prenatal Attachment Scale for Thai Pregnant Adolescents (PAS-Thai) [dissertation]. Songkla: Prince of Songkla University; 2017.
19. Chiang Mai S. Relationship between life events, marital relationship, nursing support and perception of childbirth experience of postpartum women [Thesis]. Bangkok: Chulalongkorn University; 1990.
20. Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Family Medicine 1998;30:508-12.
21. Prabdin J. Fear of childbirth and factors related to the fear of childbirth of pregnant teenagers in the third trimester [Thesis]. Songkla: Prince of Songkla University; 2016.
22. Chaipornpattana S. The Development of a Health Care Model for Pregnant Women in Phichit Province. Wachirawet Sarn 2010;54:79-87.
23. Krua-chottikul S. Quality of pregnant adolescent with Unwanted Pregnancy: Midwifery Nursing Role. Journal of Compassion 2014;2:18-27.
24. Pires de Almeida C, Sa E, Cunha F, Pires EP. Violence during pregnancy and its effects on mother–baby relationship during pregnancy. Journal of Reproductive and Infant Psychology 2013;31:370-80.