Browse > Article
http://dx.doi.org/10.4069/kjwhn.2014.20.2.163

Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments  

Kim, Miok (Department of Nursing, Namseoul University)
Publication Information
Women's Health Nursing / v.20, no.2, 2014 , pp. 163-172 More about this Journal
Abstract
Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.
Keywords
Pregnant women; Stress; Depression; Fetal relation;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Walker LO, Cooney AT, Riggs MW. Psychosocial and demographic factors related to health behaviors in the 1st trimester. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1999; 28(6):606-614.   DOI
2 Yarcheski A, Mahon NE, Yarcheski TJ, Hanks MM, Cannella BL. A meta-analytic study of predictors of maternal-fetal attachment. International Journal of Nursing Studies. 2009;46 (5):708-715.   DOI   ScienceOn
3 Hargreave M, Jensen A, Toender A, Andersen KK, Kjaer SK. Fertility treatment and childhood cancer risk: A systematic meta-analysis. Fertility & Sterility. 2013;100(1):150-161.   DOI
4 Ahn HL. An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas. Journal of Korean Academy of Nursing. 1985;15(1):5-16.
5 Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS and MMPI-D Scales. Korean Journal of Clinical Psychology. 1991;10(1):98-113.
6 Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nursing Research. 1981:30(5):281-284.
7 Oh J, Kim YA. A comparative study on acceptance and maintain behavior of pregnancy between natural pregnant and infertility treated women. Journal of the Korean Society of Maternal & Child Health. 2008;12(2):155-165.   DOI
8 Hjelmstedt A, Widstro?m A, Wramsby HM, Collins A. Patterns of emotional responses to pregnancy, experience of pregnancy and attitudes to parenthood among IVF couples: A longitudinal study. Journal of Psychosomatic Obstetrics & Gynaecology. 2003;24(3):153-162.   DOI
9 Wang YA, Macaldowie A, Hayward I, Chambers GM, Sullivan EA. Assisted reproductive technology in Australia and New Zealand 2009 [Internet]. Canberra: Australian Institute of Health and Welfare (AIHW); 2009. [cited 2013 May 13]. Available from: http://www.aihw.gov.au/publication-detail/?id=10737420465
10 McMahon CA, Tennant C, Ungerer J, Saunders D. 'Don't count your chickens': A comparative study of the experience of pregnancy after IVF conception. Journal of Reproductive and Infant Psychology. 1999;17(4):345-356.   DOI
11 Chang EY. Women's experiences of pregnancy after infertility [master's thesis]. Seoul: Ewha Womans University; 1998.
12 Bennett SM, Litz BT, Lee BS, Maguen S. The scope and impact of perinatal loss: Current status and future directions. Professional Psychology: Research and Practice. 2005;36(2):180-187.   DOI
13 Choi SK, Ahn SY, Shin JC, Jang DG. A clinical study of depressive symptoms during pregnancy. Korean Journal of Obstetrics and Gynecology. 2009;52(11):1102-1108.
14 Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M, et al. Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care. Psychosomatic Medicine. 2006;68(6):938-946.   DOI   ScienceOn
15 O'Keane V, Marsh MS. Depression during pregnancy. British Medical Journal. 2007;334(7601):1003-1005.   DOI   ScienceOn
16 Covington SN, Burns LH. Pregnancy after infertility. In: Burns LH, Covington SN, editors. Infertility counselling: A comprehensive handbook for clinicians. Pearl River, New York: The Parthenon Publishing Group; 1999. p. 425-447.
17 Kang CY, Youn JY. The pregnant woman-fetus interaction and attachment development. Journal of Child Studies. 2004; 10:131-147.
18 Kwon MK, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. Journal of Korean Academy of Nursing. 2011;41(2):276-283.   DOI
19 Hwang N. Factors related to the depression of infertile women. Health and Social Welfare Review. 2013;33(3):161-187.   DOI
20 Kim YJ, Jee BC, Suh CS, Kim SH. Effects of conversion of infertility treatment on semen quality. Korean Journal of Reproduction Medicine. 2007;34(3):159-166.
21 Harris DL, Daniluk JC. The experience of spontaneous pregnancy loss for infertile women who have conceived through assisted reproduction technology. Human Reproduction. 2010; 25(3):714-720.   DOI
22 Ulrich D, Gagel DE, Hemmerling A, Parstor VS, Kentenich H. Couples becoming parents: Something special after IVF? Journal of Psychosomatic Obstetrics & Gynaecology. 2004;25(2): 99-113.   DOI
23 Cho HJ, Kwon JH. A test of the attachment model of prepartum depression. Korean Journal of Clinical Psychology. 2002;21(4):727-744.
24 Pascoe JM, Kototailo PK, Broekhuizen FF. Correlates of multigravida women's binge drinking during pregnancy. A longitudinal study. Archives of Pediatric and Adolescent Medicine. 1995;149(12):1325-1329.   DOI
25 Cannella BL. Maternal-fetal attachment: An integrative review. Journal of Advanced Nursing. 2005;50(1):60-68.   DOI
26 Fisher JR, Hammarberg K, Baker GH. Antenatal mood and fetal attachment after assisted conception. Fertility and Sterility. 2008;89(5):1103-1112.   DOI
27 Bar-Hava I, Orvieto R, Ferber A, Ashkenazi J, Dicker D, Ben- Rafael Z. Standard in vitro fertilization or intracytoplasimic sperm injection in advanced female age-what may be expected? Gynecological Endocrinology. 1999;13(2):93-97.   DOI   ScienceOn
28 Davies MJ, Moore VM, Willson KJ, Van Essen P, Priest K, Scott H, et al. Reproductive technologies and the risk of birth defects. The New England Journal of Medicine. 2012;366(19): 1803-1813.   DOI
29 Schore AN. Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal. 2001;22(1-2):7-66.   DOI   ScienceOn
30 Latendresse G. The interaction between chronic stress and pregnancy: Preterm birth from a biobehavioral perspective. Journal of Midwifery & Women's Health. 2009;54(1):8-17.   DOI