Maternal-fetal bonding: a concept analysis
Keywords:
Prenatal care, maternal-child nursing, maternal-fetal relations, pregnancy, concept formation, maternal-child health.Abstract
Introduction: Maternal-fetal bonding is a relational process built by the pregnant woman.
Objective: To identify the attributes of the concept of maternal-fetal bonding.
Material and methods: The conceptual analysis approached by Walker and Avant´s was used. A detailed searched for articles in several databases such as Lilacs/BIREME, CUIDEN, EBSCO, Science Direct, Ovid, EMBASE, PubMed/Medline y Google Scholar was carried out. A database was designed to gather information from different articles. The integration of information was carried out following the steps proposed for the concept analysis outlined by Walker and Avant.
Development: Maternal-fetal bonding is a process that requires the mental representation of the fetus as a person. It can be expressed as interactions with the fetus and self-care behavior, and it requires network support. Some antecedents of maternal-fetal bonding are the relation of the pregnant woman with her mother and her partner and consequently, the intention to breastfeed, the sensation of maternal competence, and maternal-infant attachment. The attributes of this concept can be grouped into four dimensions: cognitive, affective, altruistic, and personal/relational. Several instruments have been developed to carry out its measurement, including Cranley´s, Muller´s and Condon´s.
Conclusions: It is concluded that maternal-fetal bonding is a concept of transcendence combining theory and practice of maternal and child nursing care and prenatal care; as it is a fundamental pillar in the transition to motherhood.Downloads
References
1. Osorio J, Carvajal G, Rodríguez M. Preparation for Motherhood during Pregnancy: a Concept Analysis. Investig y Educ en Enfermería [Internet]. 2017;35(3):295–305. [Citado 10/05/2018]. Disponible en: https://aprendeenlinea.udea.edu.co/revistas/index.php/iee/article/view/329204/20785724
2. Redshaw M, Martin C. Babies, ‘bonding’ and ideas about parental ‘attachment.’ J Reprod Infant Psychol [Internet]. 2013;31(3):219–21. [Citado 12/04/2018]. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/02646838.2013.830383
3. Perrelli JGA, Zambaldi CF, Cantilino A, Sougey EB. Mother-child bonding assessment tools. Rev Paul Pediatr [Internet]. 2014;32(3):257–65. [Citado 12/04/2018]. Disponible en: https://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4227350&tool=pmcentrez&rendertype=abstract
4. Villa I, Giraldo I, Ramírez M, Orozco G, Blanco L. Vínculo prenatal: la importancia de los estilos vinculares en el cuidado gestacional. Rev Katharsis [Internet]. 2015;22:267–303. [Consultado: 12/04/2018]. Disponible en: https://revistas.iue.edu.co/index.php/katharsis
5. Shieh C, Kravitz M, Wang H-H. ¿What do we know about Maternal-Fetal Attachment? Kaohsiung J Med Sci [Internet]. 2001;17:448–54. [Citado 12/04/2018]. Avaliable from: https:// https://www.sciencedirect.com/journal/the-kaohsiung-journal-of-medical-sciences/issues
6. Roncallo CP, Sánchez M, Arranz E. Vínculo materno-fetal : implicaciones en el desarrollo psicológico y propuesta de intervención en atención temprana. Escritos Psicol [Internet]. 2015;8(2):14–23. [Consultado: 12/04/2018]. Disponible en: https://dx.doi.org/10.5231/psy.writ.2015.0706
7. Schiller CJ. Teaching concept analysis to graduate nursing students. Nurs Forum [Internet]. 2018;53(2):1-7. [Citado 15/03/2019]. Avalaible from: https://DOI:10.1111/nuf.12233
8. Diccionario de la lengua española [Internet]. España: Real Academia Española; 2016. [Consultado: 12/04/2018]. Disponible en: https://www.rae.es/
9. Español Oxford Living Dictionaries [Internet]. Oxford. 2017. [Consultado: 18/03/2018]. Disponible en: https://es.oxforddictionaries.com/definicion/apego
10. Cranley M. Development of a Tool for the Maternal Attachment during pregnancy. Nurs Res. 1981;30(5):281-4.
11. Müller ME. Development of the Prenatal Attachment Inventory. West J Nurs Res [Internet]. 1993; 15(2):199–215. [Citado 15/03/2018]. Disponible en: https://raj.sagepub.com/lookup/doi/10.1177/2153368714567577%5Cnhttp://dx.doi.org/10.1023/A:1007521427059%5Cnhttp://onlinelibrary.wiley.com.prox.lib.ncsu.edu/doi/10.1111/j.1728457.2005.00079.x/pdf%5Cnhttp://www.tandfonline.com/doi/abs/10.1080/00380237.2002.1057
12. Condon JT. The assessment of antenatal emotional attachment: development of a questionnaire instrument. Br J Med Psychol.1993;66(2):167-83.
13. Holmes J. Bowlby J. AttachmentTheory. 2ed. London: Routledge; 2014.
14. Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: A cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy Childbirth [Internet]. 2017;17(1):1–9. [Citado 15/03/2019]. Disponible en: https://dx.doi.org/10.1186/s12884-017-1223-x
15. Félix M, Marcos F, Qintas M. Relation between Maternal-Fetal Attachment and Gestational Age and Parental Memories. Rev Enferm Ref [Internet]. 2016;IV(8):85–92.[Citado 18/05/2018]. Disponible en: https://dx.doi.org/10.12707/RIV15025
16. Alhusen J, Gross D, Hayat M, Woods A, Sharps P. The Influence of Maternal-Fetal Attachment and Health Practices on Neonatal Outcomes in Low-Income, Urban Women. Res Nurs Heal [Internet]. 2012;35(2):112–20. [Citado 18/05/2018]. Disponible en: https://doi:10.1002/nur.21464
17. Dubber S, Reck C, Müller M, Gawlik S. Postpartum bonding: the role of perinatal depression, anxiety and maternal–fetal bonding during pregnancy. Arch Womens Ment Health [Internet]. 2015;18(2):187–95.[Citado 18/05/2018]. Disponible en: https://doi:10.1007/s00737-014-0445-4
18. Maas AJBM, de Cock ESA, Vreeswijk CMJM, Vingerhoets AJJM, van Bakel HJA. A longitudinal study on the maternal–fetal relationship and postnatal maternal sensitivity. J Reprod Infant Psychol [Internet]. 2016;34(2):110–21. [Citado 22/06/2018]. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/02646838.2015.1112880
19. Rossen L, Hutchinson D, Wilson J, Burns L, Allsop S, Elliott E, et al. Maternal Bonding through Pregnancy and Postnatal: Findings from an Australian Longitudinal Study. Am J Perinatol [Internet]. 2017;34(8):808–17. [Citado 22/06/2018]. Disponible en: https://doi:10.1055/s-0037-1599052
20. Branjerdporn G, Meredith P, Strong J, García J. Associations Between Maternal-Foetal Attachment and Infant Developmental Outcomes: A Systematic Review. Matern Child Health J [Internet]. 2017;21(3):540-53. [Citado 15/03/2019]. Disponible en: https://doi:10.1007/s10995-016-2138-2
21. Dokuhaki A, Akbarzadeh M, Pishva N, Zare N. A study of the effect of training pregnant women about attachment skills on infants’ motor development indices at birth to four months. Fam Med Prim Care Rev [Internet]. 2017;19(2):114–22. [Citado 15/03/2019]. Disponible en: https://doi.org/10.5114/fmpcr.2017.67864
22. Delavari M, Mohammad-Alizadeh-Charandabi S, Mirghafurvand M. The relationship between maternal–fetal attachment and maternal self-efficacy in Iranian women: a prospective study. J Reprod Infant Psychol [Internet]. 2018;36(3):302-11. [Citado 15/03/2019]. Disponible en: https://doi.org/10.1080/02646838.2018.1436753
23. Setodeh S, Sharif F, Akbarzadeh M. The impact of paternal attachment training skills on the extent of maternal neonatal attachment in primiparous women: A clinical trial. Fam Med Prim Care Rev [Internet]. 2018;20(1):47-54. [Citado 15/03/2019]. Disponible en: https://doi.org/10.5114/fmpcr.2018.73703
24. Borg Cunen N, Jomeen J, Borg Xuereb R, Poat A. A narrative review of interventions addressing the parental–fetal relationship. Women and Birth [Internet]. 2016;30(4):141-51. [Citado 15/03/2019]. Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S1871519216302153
25. Güney E, Uçar T. Effect of the fetal movement count on maternal–fetal attachment. Japan J Nurs Sci [Internet]. 2018;16(1):1–9. [Citado 15/03/2019]. Disponible en: https://doi:10.1111/jjns.12214
26. Diniz E, Volling BL, Koller SH. Social support moderates association between depression and maternal–fetal attachment among pregnant Brazilian adolescents. J Reprod Infant Psychol [Internet]. 2014;32(4):1–12. [Citado 15/03/2019]. Disponible en: https://doi.org/10.1080/02646838.2014.910865
27. Hassan NMM, Hassan FMAE. Predictors of Maternal Fetal Attachment among Pregnant Women. IOSR J Nurs Heal Sci [Internet]. 2017;6(1):95–106. [Citado 15/03/2018]. Disponible en: http://www.iosrjournals.org/iosr-jnhs/papers/vol6-issue1/Version-6/N06010695106.pdf
28. Maas AJBM, Vreeswijk CMJM, Braeken J, Vingerhoets AJJM, van Bakel HJA. Determinants of maternal fetal attachment in women from a community-based sample. J Reprod Infant Psychol [Internet]. 2014;32(1):5–24. [Citado 15/03/2018]. Disponible en: http://www.tandfonline.com/doi/abs/10.1080/02646838.2013.853170
29. Walsh J, Hepper E, Marshall B. Investigating attachment, caregiving, and mental health: a model of maternal-fetal relayionships. BMC Pregnancy Childbirth [Internet]. 2014;14(383):2-9. [Citado 15/03/2018]. Disponible en: https://doi:10.1186/s12884-014-0383-1
30. Chrzan-Dętkoś M, Łockiewicz M. Maternal romantic attachment, and antenatal and postnatal mother–infant attachment in a sample of Polish women. Eur J Dev Psychol [Internet]. 2015;12(4):492–442. [Citado 15/03/2018]. Disponible en: http://www.tandfonline.com/doi/full/10.1080/17405629.2015.1036024
31. Rubertsson C, Pallant F. J, Sydsjö G, Haines M. H, Hildingsson I. Maternal depressive symptoms have a negative impact on prenatal attachment – findings from a Swedish community sample. J Reprod Infant Psychol [Internet]. 2015;33(2):153–64. [Citado 15/03/2018]. Disponible en: http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=2012933999&site=ehost-live
32. Barone L, Lionetti F, Dellagiulia A. Maternal-fetal attachment and its correlates in a sample of Italian women: A study using the Prenatal Attachment Inventory. J Reprod Infant Psychol [Internet]. 2014;32(3):230-9 [Citado 15/03/2018]. Disponible en: http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2014-25850-003&site=ehost-live%5Cnlavinia.barone@unipv.it
33. Dau AL, Callinan LS, Smith M V. An examination of the impact of maternal fetal attachment, postpartum depressive symptoms and parenting stress on maternal sensitivity. Infant Behav Dev [Internet]. 2019;54:99-107. [Citado 15/03/2019]. Disponible en: https://doi.org/10.1016/j.infbeh.2019.01.001
34. Delavari M, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M. The Relationship of Maternal-Fetal Attachment and Postpartum Depression: A Longitudinal Study. Arch Psychiatr Nurs [Internet]. 2018;32(2):263-7. [Citado 15/03/2019]. Disponible en: https://doi.org/10.1016/j.apnu.2017.11.013
35. Delavari M, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S. The relationship of maternal–fetal attachment and depression with social support in pregnant women referring to health centers of Tabriz–Iran, 2016. J Matern Neonatal Med [Internet]. 2018;31(18):2450-6. [Citado 15/03/2019]. Disponible en: https://doi.org/10.1080/14767058.2017.1344961
36. Nishikawa M, Sakakibara H. Effect of nursing intervention program using abdominal palpation of Leopold’s maneuvers on maternal-fetal attachment. Reprod Health [Internet]. 2013;10(1):1-7. [Citado 15/03/2018]. Disponible en: http://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-10-12
37. Handelzalts JE, Preis H, Rosenbaum M, Gozlan M, Benyamini Y. Pregnant Women’s Recollections of Early Maternal Bonding: Associations With Maternal–Fetal Attachment and Birth Choices. Infant Ment Health J [Internet]. 2018;39(5):511-21. [Citado 15/03/2019]. Disponible en: https://doi:10.1002/imhj.21731
38. Zdolska-Wawrzkiewicz A, Chrzan-Dętkoś M, Bidzan M. Maternal attachment style during pregnancy and becoming a mother in Poland. J Reprod Infant Psychol [Internet]. 2017;36(1):4-11. [Citado 15/03/2019]. Disponible en: http://doi.org/10.1080/02646838.2017.1395400
39. Mata RC, Estrada B, Landero R, Autónoma U, Luis DS. Propiedades psicométricas de la traducción al español de la Escala de Vinculación Prenatal Materna. Summa Psicológica UST [Internet]. 2015;12(1):103–9. [Consultado: 15/03/2018]. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5147354
40. Lafuente MJ. La escala EVAP (Evaluación de la Vinculación Afectiva y la Adaptación Prenatal). Un estudio piloto. Index de Enfermería. 2008;17(2):1-13