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BACKGROUND: Due to the importance of maternal fetal attachment (MFA) in women mental health improvement and considering the fathers' role in MFA promoting, this study conducted to investigate the effect of couple education on maternal fetal attachment. MATERIALS AND METHOD: This randomized controlled trial was conducted on 100 pregnant women and their husbands referred to six health centers in Sari from May to June 2021. The sampling method was stratified random sampling. Data collection tools included demographic information form and the Cranley MFA Scale with 24 questions. The intervention group took part in four session's weekly training about spouse support, attachment behaviors, and gender preference of parents, while the control group received only the routine antenatal care. Both groups completed Cranley's questionnaire before and 4 weeks after the intervention. Data were analyzed using Chi-square test, Fisher's exact test, paired and independent t-test by SPSS 21. RESULTS: MFA mean scores, pre-training and post-training in intervention group were 3.27 (0.54) and 3.75 (0.42), respectively; in the control group, were, 3.24 (0.49) and 3.21 (0.48). There was a significant difference between the two groups' MFA mean scores after intervention (P < 0.001). CONCLUSION: The findings of this study revealed that couple training regarding spouse support, attachment behaviors, and gender preference during pregnancy can promotes MFA even online training.
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BACKGROUND: Preconception reduces unplanned pregnancies and plays an important role in reducing maternal and infant mortality. Considering the importance of these care services, this study was conducted to determine the status of preconception care (PCC) model with Structural Equation Modeling (SEM). MATERIALS AND METHODS: This cross-sectional descriptive study was conducted on 394 pregnant women referring to Gorgan's health centers. Samples were selected by multi-stage stratified sampling method. The instrument used in this research was a researcher-made questionnaire by Bayrami. Data were analyzed using R software version 4.1.4. Structural equation modeling (SEM) with weighted least square mean and variance method was used to fit the conceptual model and the significance level of the tests was considered 0.05. RESULTS: The results showed that PCC model was deemed appropriate as optimum conditions indicators of goodness of fit; knowledge with a coefficient of 0.182 leads to self-efficacy (SE), and SE affects the accessibility of facilities with a coefficient of 0.465 and the expected outcome with a coefficient of 0.500. After facility structure with a coefficient of 0.500, SE construct with a coefficient of 0.215 had the most effect on performing PCC behavior. CONCLUSIONS: Facilities and SE as a key element of empowerment have an important role in promoting PCC. Identifying the factors associated with this care appears to help health policymakers to planning for these caregivers more precise and sensitive.
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Aim: This study aimed to evaluate the effect of prenatal interventions on maternal foetal attachment. Design: Systematic review and meta-analysis. Methods: In this study, a comprehensive review was performed to find articles published from January 2000 - December 2019 in the form of randomized and non-randomized clinical trials. To this end, online databases including PubMed, Scopus, Google Scholar, ScienceDirect, Proquest, Ovid, CINAHL and JAMA were searched. Duplicate articles were also excluded using Endnote X7 Reference. The results were then analysed via RevMan 5.3 software. Results: The results showed that foetal movement counting did not seem to be effective in increasing MFA by itself. But, this intervention alongside other attachment behaviours such as touching the belly and talking to foetus could enhance MFA. Therefore, the best interventions to improve MFA might be combined ones implemented in the form of counselling and training sessions.
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Pregnancy Complications , Pregnancy , Female , Humans , Non-Randomized Controlled Trials as Topic , Prenatal Care , Randomized Controlled Trials as TopicABSTRACT
INTRODUCTION: Considering that empowering expectant mothers is an important issue to maintain a healthy pregnancy, this study was conducted to evaluate the predictors of empowerment among Iranian pregnant women. METHODS: This cross sectional study was conducted in Golestan, North of Iran in 2015. A total number of 161 pregnant women were selected through random cluster sampling from urban health centers, using PASS software. The socio-political, educational, and mental-financial predictors of empowerment were measured using a self-structured questionnaire during pregnancy and was analyzed by a linear regression model using SPSS version 16. RESULTS: The findings of linear regression showed that educational dimension of empowerment had the highest coefficient in the regression model, on total empowerment (ßeta standardized coefficient [ß]=0.696 with DW=1.830 and means error=0). The total empowerment score of pregnant women was controlled by individual factors such as the age of marriage (ß-0.228), employment (ß-0.210), and educational factors such as participation in prenatal education classes (ß-0.246), and moral issues such as sense of spiritual support (ß-0.217). CONCLUSION: By recognizing and observing predictors of empowerment during pregnancy, health care providers can increase women's power over their pregnancy. Educational predictors of empowerment were the most important factors to empower women during pregnancy. The objective of childbirth education classes, therefore, should shift from simply giving information to women, towards giving them appropriate knowledge in order to provide them with empowerment during pregnancy.
