Browsing by Subject "Maternal-Fetal Relations"
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Item Maternal and Fetal Representations, Dimensions of Personality, and Prenatal Attachment in Women Hospitalized with High Risk Pregnancy(2006-08-11) Brandon, Anna Rachel; Evans, Harry M.The present study investigated the effects of self-criticism, dependency, object representation, and risk upon maternal antenatal attachment in women hospitalized during pregnancy with high risk of maternal or fetal demise. Ninety-one women completed the Depressive Experiences Questionnaire (Blatt, D'Affliti, and Quinlan, 1976), the Object Relations Inventory (Blatt et al.,1992), the Maternal Antenatal Attachment Scale (Condon, 1973), the Edinburgh Postpartum Depression Scale (Cox, Holden, and Sagovsky, 1987) and the Center for Epidemiological Studies Depression Scale (Unauthored, 1999) within the first three days of hospital admission. No relationship was indicated between maternal representations and antenatal fetal attachment, nor was there a correlation between maternal representation and fetal representation. Self-critical mothers significantly scored lower in the measure of antenatal attachment quality and endorsed a higher number of depressive symptoms. Mothers hospitalized because of maternal risk were not significantly different in their reports of attachment than were mothers hospitalized because of fetal risk, and no significant differences were found across severity of risk factors as evaluated by the Hobel Risk Assessment. Consistent with previous research, depressive symptomatology was associated with a lower quality of maternal antenatal attachment overall. Results suggest that maternal narratives may not be significantly linked with reported antenatal attachment and depressive symptoms have a stronger association with reductions of antenatal attachment than dependent or self-critical tendencies.Item Object Representation, Relationship Satisfaction, Maternal-Fetal Attachment, and Depression in High-Risk Pregnancy(2010-01-12) Keller, Mary Jane; Brandon, Anna RachelLittle is known about the nature of a woman’s early caregiver object relations and the role they play in her relationship satisfaction, maternal-fetal attachment and possible experience of depression in a high risk pregnancy in the context of antepartum hospitalization. This study investigated the effects of a woman’s internal object representations of her early female and male caregivers and the association between her development as evidenced in her rated written narratives and the relationship satisfaction she experience with her current romantic partner, the attachment she felt toward the child she carried, and her experience of depression in a high risk pregnancy. One hundred sixteen women completed the Object Relations Inventory (ORI), Maternal Antenatal Attachment Scale (MAAS), The Edinburg Postnatal Depression Scale (EPDS) and the Depressive Experiences Questionnaire (DEQ) during antepartum hospitalization. Participants also completed the Dyadic Adjustment Scale (DAS). There was a positive correlation between reported satisfaction in a primary romantic relationship and the rating of a woman’s representation of her level Differentiation-Relatedness with her primary male caregiver (ORI-DR-M), usually her father. There was also a significant relationship between depressive symptoms, as measured by the EPDS and the Quality of a woman’s attachment to fetus or unborn child (MAAS-Q). No relationship between a woman’s ORI-DR for her primary male or female caregiver and depressive symptoms was identified. Nor was any association found between dependency (anaclitic depression) and a woman object representation of her mother or self-criticism (introjective depression) and a woman’s object representation of her father. The findings do suggest that the object representation level of woman’s relationship with her father influences the quality of her relationship with her romantic partner during hospitalization for complications of pregnancy. [Keywords: high risk pregnancy; maternal-fetal attachment; Object Relations Inventory; relationship satisfaction; father; object representation; pregnancy; depression]Item Prenatal Attachment During Antepartum Hospitalization: Associations with Pregnancy Planning, Partner Relationship, and Postpartum Depression and Anxiety(2007-08-08) Rifkin, Jamie Brett; Evans, Harry M.Little is known about factors that may interfere with a woman's ability to attach to her fetus in the context of antepartum hospitalization. This study investigated the effects of pregnancy planning, considering termination, and the quality of a romantic relationship on maternal-fetal attachment in a group of women hospitalized for obstetric complications. One hundred twenty-nine women completed the Maternal Antenatal Attachment Scale during antepartum hospitalization. Participants also completed the Dyadic Adjustment Scale and reported whether their pregnancy was planned and whether they had considered terminating their current pregnancy. No differences in reported levels of prenatal attachment were found between women with planned and unplanned pregnancies or between those who had considered termination and those who had not. There was a positive correlation between reported satisfaction in a primary romantic relationship and prenatal attachment. Although small associations were detected between prenatal attachment and postpartum depression, this finding did not reach statistical significance. No relationship between antenatal attachment and postpartum anxiety was identified. The findings suggest that the quality of a woman's relationship with her partner influences the level of attachment to her fetus.