مقایسه دلبستگی مادر به جنین و اضطراب بارداری در زنان رحم جایگزین و زنان با بارداری نرمال

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد روان‌شناسی بالینی، دانشکده علوم انسانی، دانشگاه علم و فرهنگ تهران، تهران، ایران.

2 استاد گروه روان‌شناسی بالینی، دانشکده علوم‌تربیتی و روان‌شناسی، دانشگاه شاهد تهران، ایران.

3 استادیار گروه روان‌شناسی و علوم تربیتی، دانشکده علوم انسانی، دانشگاه خاتم تهران، تهران، ‌ایران.

چکیده

مقدمه: در دنیای امروز، روش‌های متعددی برای درمان ناباروری در پزشکی وجود دارد، استفاده از رحم جایگزین یکی از روش‌های جدید می‌باشد. مطالعه حاضر با هدف بررسی مقایسه دلبستگی مادر به جنین و اضطراب در دوران بارداری زنان داوطلب رحم جایگزین با زنان با بارداری نرمال انجام شد.
روش‌کار: این مطالعه پس رویدادی در پاییز و زمستان سال 1394 بر روی 30 زن با بارداری رحم جایگزین در مراکز ناباروری شهر تهران انجام شد. گردآوری داده‌ها با استفاده از پرسشنامه فردی، پرسشنامه دلبستگی مادر به جنین کرانلی (MFAS) و پرسشنامه اضطراب، افسردگی و استرس DASS21 صورت گرفت. میزان دلبستگی مادر به جنین و اضطراب بر اساس پرسشنامه‌ها تعیین شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون آماری لوین و تی تست انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره رفتارهای دلبستگی مادر به جنین در زنان با بارداری رحم جایگزین 12/15±06/86 و در زنان با بارداری نرمال 52/8±93/95 بود (05/0≥p) میانگین اضطراب در زنان با بارداری رحم جایگزین 47/3±8/6 و در زنان با بارداری نرمال 31/4±6 بود که تفاوت از نظر آماری معنی‌دار بود (05/0<p).
نتیجه‌گیری: دلبستگی مادر به جنین در مادران رحم جایگزین کمتر از مادران نرمال است، اما سطح اضطراب در مادران رحم جایگزین بیشتر از مادران با بارداری نرمال نیست.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing of Maternal -Fetal Attachment and Pregnancy Anxiety in Surrogate Women and Normal Pregnancy

نویسندگان [English]

  • Fatemeh Ghelichi 1
  • Rasoul Roshan 2
  • Anahita Khodabakhshi Kolaee 3
1 M.Sc. of Clinical Psychology, Faculty of Humanities Sciences, University of Science and Culture, Tehran, Iran.
2 Professor, Department of Clinical Psychology, Faculty of Psychology and Education Sciences, Tehran Shahed University, Tehran, Iran.
3 Assistant Professor, Department of Psychology and Education Sciences, Faculty of Humanities Sciences, Tehran Khatam University, Tehran, Iran.
چکیده [English]

Introduction: Today, there are various methods of infertility treatment in medicine; one of the newest methods is surrogate uterine. This study was performed with aim to compare maternal-fetal attachment and pregnancy anxiety in surrogate women and normal pregnant women.
Methods: This Ex post facto study was performed on 30 women with gestational surrogate in infertility centers of Tehran in autumn and winter of 2015. Data was collected using demographic questionnaire, Cranley’s maternal- fetal attachment scale (MFAS) and depression, anxiety, stress scale (DASS21). The rate of maternal- fetal attachment and anxiety were determined by the questionnaires. Data was analyzed by SPSS software (version 21) and Leven’s test and independent t-test. P<0.05 was considered significant.
Results: The mean score of maternal-fetal attachment in women with surrogate uterine was 86.06± 15.12 and in normal pregnant women was 95.93±8.52 (P≤0.05). The mean of anxiety in surrogate women was 6.8±3.47 and in normal pregnant women was 6±4.31 that the difference was not significant (P>0.05).
Conclusion: Maternal-fetal attachment is less in mothers with surrogate uterine than normal pregnant mothers, but anxiety level in surrogate mothers isn’t higher than normal mothers.

کلیدواژه‌ها [English]

  • Anxiety
  • Maternal-fetal attachment
  • Surrogate uterine
  1. Tarshizi M.Sharif Zadeh GH. Maternal -fetal attachment and its related factors in pregnant women referred to health centers of Birjand, Iran, 2013. Iran J of Medical Science University of Birjand ,2013;20(3),279-287. (Persian).
  2. Sadeghi HR.Malek Ahmadi H. abdollahi A. Phenomenological Experiences of the Requesting Mother for Renting Wombs.J of Family Research, 10(40), 401-421[persion]
  3. Van den Akker OB. Surrogate motherhood: a critical perspective. Expert Rev Obstet Gynecol 2010; 5(1):5-7.
  4. Sadeghi MS, Mazaheri A. Attachment styles in mother with and or without abortion. J Reprod Infertil 2007; 8(1):60-9. (Persian).
  5. Abbasi E, Tahmasbi H, Hasani S, Nasiri TG. Comparison of maternal and paternal fetal attachment in couples referred to health care centers in Sari.J Family Health 2012; 1(2):13-8. (Persian).
  6. Sadeghi Sahebzad E, Baghdari N, Khairkhah M. The relationship between marital satisfaction and social support with maternal fetal attachment in pregnancy women with a history of baby loss. Iran J Obstet Gynecol Infertil 2014; 17(106):16-22. (Persian).
  7. Taavoni S, Ahadi M, Gangi T, Hosseini F. Comparison of maternal fetal attachment between primgravidas and multigravidas women with past history of fetal or neonatal death. Iran J Nurs 2008; 21(53):53-61. (Persian).
  8. Toosi M, Akbarzadeh M, Sharif F, Zareh N. The Effect of Training Attachment Behaviors on Maternal-Fetal Attachment in Primipara Mothers Visiting Selected Obstetric-Clinics of Shiraz -2010. Iran J Obstet Gynecol Infertil 2012; 15(5):15-23. (Persian).
  9.  Abasi E, Tahmasebi H, Zafari M, Takami GN. Assessment on effective factors of maternal-fetal attachment in pregnant women. Life Science J 2012; 9(1):68-75. (Persian).
  10. Taffazoli M. Montakhab Asadi M. Aminyazdi SA.Taghi Shakeri M. The Relationship between Maternal- Fetal Attachment and Mother –Infant Attachment Behaviors in Primiparous Women Referring to Mashhad Healty Care Centers.J of Midwifery Reproductive Health.2015 .3(20 318-327
  11. Jamshidi manesh M. Astareki L. Behbodi Moghadam.Z. Taghi Zade Z.Haghani H.Maternal –Fetal Attachment and related factors. J nursing and Midwifery Medical Sciences Tehran. 2012.18(5). 22-45. [persion]
  12. Sadeghi N, Aziai S, Molaeinezhad M. Anxiety status in pregnant mothers at third trimester of pregnancy and its related factors in referrals to Bandar Abbas Hospitals in 2012. Iran J Obstet Gynecol Infertil 2014; 17(122):8-15. (Persian).
  13. Verbeek T, Arjadi R, Vendrik JJ, Burger H, Berger MY. Anxiety and depression during pregnancy in Central America: a cross-sectional study among pregnant women in the developing country Nicaragua. BMC Psychiatry 2015; 15(1):292.
  14. Babanazari l, Kafi SM, Relationship of pregnancy anxiety to its different periods,sextualsatisfaction and demographic factors.Iranian Journalof Psychology. 2008.14(2).206-213[persion]
  15. Kannenberg K, Weichert J, Rody A, Banz-Jansen C. Treatment-associated anxiety among pregnant women and their partners: what is the influence of sex, parity, age and education? Geburtshilfe Frauenheilkd 2016; 76(7):809-13.
  16. Ikeda M, Hayashi M, Kamibeppu K. The experience of postpartum depression among mothers with withdrawn attachment style during pregnancy and the first postnatal month. Open J Depr 2015; 4(4):61.
  17. Rafiee B, Akbarzade M, Asadi N, Zare N. Comparison of attachment and relaxation training effects on anxiety in third trimester and postpartum depression among primipara women. Hayat 2013; 19(1):76-88. (Persian).
  18. Toosi M, Akbarzadeh M, Zare N, Sharif F. Effect of attachment training on anxiety and attachment behaviors of first-time mothers. J Hayat 2011; 17(3):69-79. (Persian).
  19. Akbarzadeh M, Toosi M, Zare N, Sharif F. Effect of learning attachment behaviors on anxiety and maternal fetal attachment in first pregnant women. Evid Based Care 2011; 1(1):21-34. (Persian)
  20. Tarshizi M Different aspect Maternal-fetal Attachment and associated factors in pregnant women referred to Health Centers in Birjand 1391- Iran J Obstet Gynecol Infertility-16(72) –P13-21[persion]
  21. Seyed Ahmadi Nejad FS, Golmakani N, Shakeri MT. Effect of progressive muscle relaxation on depression, anxiety, and stress of primigravid women. Evid Based Care 2015; 5(1):67-76. (Persian).
  22. Kalkidan A. Birth mothers experience after relinquishment. [Doctoral Dissertation]. Ethiopia: Addis Ababa University, the School of Social Work; 2011.
  23. Mehran P, Simir M, Shams G, Nasiri N. Fetal attachment in pregnancy women with or without fetus or neonatal death. Sci Res J Nurs Midwifery 2012; 22(79):53-61. (Persian).
  24. Abbasi E, Tafazoli M. The Effect of training attachment behaviors on primipara maternal fetal attachment. Sci J Hamadan Nurs Midwifery Facul 2009; 17(12):35-45. (Persian).
  25. Condon JT,Corkindale C .The Coorelate of antenatal attachment in pregnant women .BrJ Med Psychology 1997.70(pt4),359-372
  26. Ven den Akker OB.A-Psychological trait and state characteristics. social support and attitudes to the surrogate pregnancy and baby .Human Reproduction.2007.22(8).P2287-2295
  27. Tieu M. Oh Baby Baby: the problem of surrogacy. Bioeth Res Notes 2007; 19(1):1-9.
  28. Lorenceau ES, Mazzucca L, Tisseron S, Pizitz TD. A cross-cultural study on surrogate mother's empathy and maternal–foetal attachment. Women Birth 2015; 28(2):154-9.
  29. Tyagi P, Singh AK, Tomar S, Kumar N, Singh NK, Singh R, et al. Surrogacy-does it affect physiology of bonding between surrogate mother-fetus and biological mother-new born? Int J Health Sci Res 2015; 5(3):321-3.
  30. The Iona Institute. The ethical case against surrogate motherhood. What we can learn from the Law of Other European Countries. Dublin: The Iona Institute; 2014.