Volume 11, Issue 4 (December 2024)
Health Spiritual Med Ethics 2024, 11(4): 171-178 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ahmari Tehran H, Bakouei S, Mehran N. Effect of Training Maternal-fetal Attachment Behaviors Based on Iranian-Islamic Culture on the Anxiety in Pregnant Women. Health Spiritual Med Ethics 2024; 11 (4) :171-178
URL: http://jhsme.muq.ac.ir/article-1-597-en.html
URL: http://jhsme.muq.ac.ir/article-1-597-en.html
1- Spiritual Health Research Center, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran.
2- Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
3- Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran. ,n_mehran59@yahoo.com
2- Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
3- Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran. ,
Abstract: (479 Views)
Background and Objectives: The emotional relationship between a mother and her fetus is considered one of the stages of the mother’s adaptation to facing pregnancy anxiety. It seems that maternal-fetal attachment behaviors are different in various cultures and religions. This study aimed to examine the effect of training maternal-fetal attachment behaviors based on Iranian-Islamic culture on anxiety in pregnant women referred to health centers in Qom City, Iran.
Methods: This quasi-experimental research included 84 singleton primigravida pregnant mothers aged 30 to 34 years who were selected by convenience sampling method and randomly assigned to the experimental and control groups. The Spielberger state-trait anxiety inventory (STAI) and Cranley’s maternal-fetal attachment scale (MFAS) were administered at both pre- and post-intervention weeks in both groups. In addition to the usual care, the experimental group received training on maternal-fetal attachment behaviors based on Iranian-Islamic culture in eight 30-minute sessions over four weeks. Data were analyzed by SPSS software version 26 using the independent t-test and paired t-test.
Results: No statistically significant difference was observed between the two groups’ average anxiety scores before the intervention (P=0.67). After the intervention, a statistically significant difference was observed between the two groups’ mean anxiety scores (P=0.002).
Conclusion: Training in maternal-fetal attachment behaviors based on Islamic-Iranian culture reduced the anxiety of pregnant mothers. This training serves as a foundation for strengthening trust and hope in God, leading to a calmer mental and spiritual state for the mother. Healthcare providers are encouraged to recommend these training sessions.
Methods: This quasi-experimental research included 84 singleton primigravida pregnant mothers aged 30 to 34 years who were selected by convenience sampling method and randomly assigned to the experimental and control groups. The Spielberger state-trait anxiety inventory (STAI) and Cranley’s maternal-fetal attachment scale (MFAS) were administered at both pre- and post-intervention weeks in both groups. In addition to the usual care, the experimental group received training on maternal-fetal attachment behaviors based on Iranian-Islamic culture in eight 30-minute sessions over four weeks. Data were analyzed by SPSS software version 26 using the independent t-test and paired t-test.
Results: No statistically significant difference was observed between the two groups’ average anxiety scores before the intervention (P=0.67). After the intervention, a statistically significant difference was observed between the two groups’ mean anxiety scores (P=0.002).
Conclusion: Training in maternal-fetal attachment behaviors based on Islamic-Iranian culture reduced the anxiety of pregnant mothers. This training serves as a foundation for strengthening trust and hope in God, leading to a calmer mental and spiritual state for the mother. Healthcare providers are encouraged to recommend these training sessions.
Type of Study: Original Article |
Subject:
General
Received: 2024/10/11 | Accepted: 2024/11/18 | Published: 2024/12/30
Received: 2024/10/11 | Accepted: 2024/11/18 | Published: 2024/12/30
References
1. Mahmoudi P, Elyasi F, Nadi A, Ahmad Shirvani M. Effect of maternal-fetal/Neonatal attachment interventions on perinatal anxiety and depression: A narrative review. J Nurs Midwifery Sci. 2020; 7(2):126-35. [Link] [DOI:10.4103/JNMS.JNMS_28_19]
2. Bennett IM, Schott W, Krutikova S, Behrman JR. Maternal mental health, and child growth and development, in four low-income and middle-income countries. J Epidemiol Community Health. 2016; 70(2):168-73. [DOI:10.1136/jech-2014-205311] [PMID] [DOI:10.1136/jech-2014-205311]
3. Sadeghi N, Azizi 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 (Persian)]. Iran J Obstet Gynecol Infertil. 2014; 17(122):8-15. [DOI:10.22038/ijogi.2014.3574]
4. Suryawanshi IV O, Pajai S. A comprehensive review on postpartum depression. Cureus. 2022; 14(12):e32745. [DOI:10.7759/cureus.32745] [DOI:10.7759/cureus.32745]
5. Guintivano J, Manuck T, Meltzer-Brody S. Predictors of postpartum depression: A comprehensive review of the last decade of evidence. Clin Obstet Gynecol. 2018; 61(3):591-603. [DOI:10.1097/grf.0000000000000368] [PMID] [DOI:10.1097/GRF.0000000000000368]
6. Rollè L, Giordano M, Santoniccolo F, Trombetta T. Prenatal attachment and perinatal depression: A systematic review. Int J Environ Res Public Health. 2020; 17(8):2644. [DOI:10.3390/ijerph17082644] [PMID] [DOI:10.3390/ijerph17082644]
7. Özdemir K, Çevirme, Başkaya Y. Anxiety and prenatal attachment levels in pregnancy and influencing factors. Cukurova Méd J. 2020; 45(2):502-10. [DOI:10.17826/cumj.661828] [DOI:10.17826/cumj.661828]
8. Mohammed Hassan SA, Fikry Hassan Khedr N, Mohamed El-Sayed HES. Effectiveness of training attachment behavior on the relationship between a pregnant woman and her fetus. Int J Nurs. 2021; 8(1):11-24. [Link] [DOI:10.15640/ijn.v8n1a2]
9. Uğurlu M, Arslan G, Özdemir Ö. Maternal and paternal attachment levels in the prenatal period. Gulhane Med J. 2023; 65(3):108-14. [DOI:10.4274/gulhane.galenos.2023.98598] [DOI:10.4274/gulhane.galenos.2023.98598]
10. Gioia MC, Cerasa A, Muggeo VMR, Tonin P, Cajiao J, Aloi A, et al. The relationship between maternal-fetus attachment and perceived parental bonds in pregnant women: Considering a possible mediating role of psychological distress. Front Psychol. 2023; 13:1095030. [DOI:10.3389/fpsyg.2022.1095030] [PMID] [DOI:10.3389/fpsyg.2022.1095030]
11. BT Dau ALBT, Callinan LS, Smith MV. An examination of the impact of maternal fetal attachment, postpartum depressive symptoms and parenting stress on maternal sensitivity. Infant Behav Dev. 2019; 54:99-107.[DOI:10.1016/j.infbeh.2019.01.001] [PMID] [DOI:10.1016/j.infbeh.2019.01.001]
12. Shahmoradi S, Danesh F. [Maternal attachment to the fetus: Definitions, factors, and consequences: A review article (Persian)]. Nurs Midwifery J. 2020; 18(7):578-86. [DOI:10.29252/unmf.18.7.578] [DOI:10.29252/unmf.18.7.578]
13. Ertmann RK, Bang CW, Kriegbaum M, Væver MS, Kragstrup J, Siersma V, et al. What factors are most important for the development of the maternal-fetal relationship? A prospective study among pregnant women in Danish general practice. BMC Psychol. 2021; 9(1):2. [DOI:10.1186/s40359-020-00499-x] [PMID] [DOI:10.1186/s40359-020-00499-x]
14. Toosi M, Akbarzadeh M, Zare N, Sharif F. [Effect of attachment training on anxiety and attachment behaviors of first-time mothers (Persian)]. J Hayat. 2011; 17(3):69-79. [Link]
15. Haghighat F, Moradi A, Mazaheri MA, Hantoushzade S, Allahyari AA, Pasandideh A. [The effect of Iranian-Islamic concious mindful motherhood training on the quality of life of primgravidas women (Persian)]. Clin. Psychol Pers. 2015; 13(2):65-75. [Link]
16. Srivastava A, Bhatnagar P. Maternal foetal attachment and perceived stress during pregnancy. Int J Reprod Contracept Obstet Gynecol. 2020; 8(9):3750-6. [DOI:10.18203/2320-1770.ijrcog20193810] [DOI:10.18203/2320-1770.ijrcog20193810]
17. Kazemi M, Sadeghi N, Mosavi M. [Investigating the relationship between maternal and fetal attachment and spouses' functional health literacy in mothers (Persian)]. Avicenna J Nurs Midwifery Care. 2022; 30(2):116-23. [DOI:10.32592/ajnmc.30.2.116] [DOI:10.32592/ajnmc.30.2.116]
18. Lucchetti G, Koenig HG, Lucchetti ALG. Spirituality, religiousness, and mental health: A review of the current scientific evidence. World J Clin Cases. 2021; 9(26):7620-31. [PMID] [DOI:10.12998/wjcc.v9.i26.7620]
19. Jamshidimanesh M, Astaraki L, Behboodi Moghadam Z, Taghizadeh Z, Haghani H. [Maternal-fetal attachment and its associated factors (Persian)]. j Ḥayāt. 2012; 18(5):33-45. [Link]
20. Khodayarifard M, Spielberger CD, Lavasani MG, Zardkhaneh Akbari S. Psychometric properties of Farsi version of the Spielberger's state-trait anger expression inventory-2 (FSTAXI-2). Procedia Soc Behav Sci. 2013; 82:325-9. [DOI:10.1016/j.sbspro.2013.06.269] [DOI:10.1016/j.sbspro.2013.06.269]
21. Tork Zahrani S, Haji Rafiei E, Hajian S, Alavi Majd H, Izadi A. The Correlation between spiritual health and maternal-fetal attachment behaviors in pregnant women referring to the Health Centers in Qazvin, Iran. Int J Community Based Nurs Midwifery. 2020; 8(1):84-91. [doi:10.30476/IJCBNM.2019.81668.0] [PMID]
22. Mokhtaryan T, Yazdanpanahi Z, Akbarzadeh M, Amooee S, Zare N. The impact of Islamic religious education on anxiety level in primipara mothers. J Family Med Prim Care. 2016; 5(2):331-7. [DOI:10.4103/2249-4863.192314] [PMID] [DOI:10.4103/2249-4863.192314]
23. Abasi E, Keramat A, Borghei NS, Goli S, Farjamfar M. Evaluating the effect of prenatal interventions on maternal-foetal attachment: A systematic review and meta-analysis. Nurs Open. 2020; 8(1):4-16. [DOI:10.1002/nop2.648] [PMID] [DOI:10.1002/nop2.648]
24. Rezaie F, Shohani M, Alijani H, Abedi L. [The effect of spiritual self-care training on the attachment of the mothers of premature babies hospitalized in the neonatal intensive care unit (NICU) of Taleghani Hospital, Ilam (Persian)]. Med J Tabriz Univ Med Sci. 2023; 45(2):161-70. [Link] [DOI:10.34172/mj.2023.020]
25. Maasoumi R, Dastaran F, Faghihiniya F, Haghani S, Sabetghadam S. The effect of spiritual self-care intervention with a blended learning approach on anxiety in women with preterm labor: A randomized controlled trial. Int J Community Based Nurs Midwifery. 2023; 11(2):85-95. [DOI:10.30476/ijcbnm.2023.96119.2106]
26. Ghodrati F, Akbarzadeh M. A review of the importance of maternal-fetal attachment according to the Islamic recommendations. J Midwifery Reprod Health. 2018; 6(1):1193-200. [Link]
27. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016; 191:62-77. [DOI:10.1016/j.jad.2015.11.014] [PMID] [DOI:10.1016/j.jad.2015.11.014]
28. Mirzaee F, Hasanpoor-Azghady SB, Amiri-Farahani L. Correlation between religious coping, demographic and fertility factors, and pregnancy anxiety of Iranian primiparous women: A cross-sectional study. BMC Psychiatry. 2022; 22(1):298. [DOI:10.1186/s12888-022-03922-2] [PMID] [DOI:10.1186/s12888-022-03922-2]
29. Azizi S, Pelarak F, Mohagheghi J. [Effectiveness of religious teachings in reducing anxiety in pregnant women (Persian)]. Relig Health. 2017; 4(2):46-55. [Link]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Owned by Qom University of Medical Sciences
Published by Qom University of Medical Sciences Press
eISSN: 2383-3610
pISSN: 2322-4304
Email: j.hsme[at]muq.ac.ir
spirituality14[at]gmail.com
