Prenatal attachment in women with twin versus singleton pregnancy: Socio-demographic, mental health and pregnancy-related predictors.
Antenatal attachment
Depression
Medical complications
Pregnancy
Prenatal attachment
Singleton
Twin
Journal
Early human development
ISSN: 1872-6232
Titre abrégé: Early Hum Dev
Pays: Ireland
ID NLM: 7708381
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
06
02
2023
revised:
24
04
2023
accepted:
04
05
2023
medline:
15
6
2023
pubmed:
20
5
2023
entrez:
19
5
2023
Statut:
ppublish
Résumé
While twin pregnancy (TP) is associated with increased maternal physical and psychological risks, little is known about how this context interferes with prenatal attachment. To compare the level of prenatal attachment between women with TP and singleton pregnancy (SP), and to investigate socio-demographic, maternal mental health and pregnancy-related predictors. Case-control study in a university hospital. 119 women with TP during their last trimester of pregnancy versus 103 women with SP. The Prenatal Attachment Inventory (PAI), the Edinburgh Postnatal Depression Scale (EPDS), in addition to the collection of general socio-demographic and medical data. The mean PAI total score did not significantly differ between the two groups. In the group of women with TP, low but statistically significant correlations were found between the PAI total score and the EPDS total score (r = -0.21) and with maternal age (r = -0.20). No major difference in prenatal attachment was found in women TP compared to those with SP. A higher level of depressive symptoms is worth considering to explore the risk of suboptimal attachment in this population. Questions were raised about the applicability of usual measures of prenatal attachment in this context.
Sections du résumé
BACKGROUND
While twin pregnancy (TP) is associated with increased maternal physical and psychological risks, little is known about how this context interferes with prenatal attachment.
AIMS
To compare the level of prenatal attachment between women with TP and singleton pregnancy (SP), and to investigate socio-demographic, maternal mental health and pregnancy-related predictors.
STUDY DESIGN
Case-control study in a university hospital.
SUBJECTS
119 women with TP during their last trimester of pregnancy versus 103 women with SP.
OUTCOME MEASURES
The Prenatal Attachment Inventory (PAI), the Edinburgh Postnatal Depression Scale (EPDS), in addition to the collection of general socio-demographic and medical data.
RESULTS
The mean PAI total score did not significantly differ between the two groups. In the group of women with TP, low but statistically significant correlations were found between the PAI total score and the EPDS total score (r = -0.21) and with maternal age (r = -0.20).
CONCLUSIONS
No major difference in prenatal attachment was found in women TP compared to those with SP. A higher level of depressive symptoms is worth considering to explore the risk of suboptimal attachment in this population. Questions were raised about the applicability of usual measures of prenatal attachment in this context.
Identifiants
pubmed: 37207472
pii: S0378-3782(23)00085-3
doi: 10.1016/j.earlhumdev.2023.105789
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
105789Informations de copyright
Copyright © 2023 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest All coauthors certify that there are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome.