Antenatal mood and fetal attachment after assisted conception

Objective Australian women conceiving with ART are at fourfold risk of admission to early parenting treatment programs compared with those conceiving spontaneously. This study aimed to identify prevalence and determinants of antenatal mood disturbance and other risks for early parenting difficulties...

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Bibliographic Details
Published in:Fertility and sterility 2008-05, Vol.89 (5), p.1103-1112
Main Authors: Fisher, Jane R.W., Ph.D, Hammarberg, Karin, Ph.D, Baker, Gordon H.W., Ph.D
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Affect
antenatal anxiety
antenatal attachment
antenatal depression
assisted reproductive technologies
Australia
Biological and medical sciences
Birth control
Depression
Depression, Postpartum - diagnosis
Depression, Postpartum - etiology
Educational Status
Female
Gynecology. Andrology. Obstetrics
Health Surveys
Humans
Infertility
Internal Medicine
Interviews as Topic
Longitudinal Studies
Marriage - psychology
Medical sciences
Miscellaneous
Mood disorders
Mood Disorders - diagnosis
Mood Disorders - etiology
Mother-Child Relations
Obstetrics and Gynecology
Pregnancy - psychology
Prenatal Diagnosis
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reproductive Techniques, Assisted - psychology
Risk Factors
Self Concept
Social Class
Sterility. Assisted procreation
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Summary:Objective Australian women conceiving with ART are at fourfold risk of admission to early parenting treatment programs compared with those conceiving spontaneously. This study aimed to identify prevalence and determinants of antenatal mood disturbance and other risks for early parenting difficulties after assisted conception. Design A prospective longitudinal investigation from conception to 18 months postpartum using telephone interviews and self-report questionnaires. Setting Melbourne IVF and Royal Women's Hospital Reproductive Services, Victoria, Australia. Patient(s) A consecutive cohort of English-speaking women with ultrasound-confirmed ART-conceived pregnancies. Main Outcome Measure(s) Standardized psychometric measures of mood, quality of marital relationship, mother-to-fetus emotional attachment, and personality. Intervention(s) None. Result(s) Of the 288 women with confirmed pregnancies, 239 were contactable, and 183 (77%) were recruited, 95% of whom completed both early and late pregnancy assessments. Participants were socioeconomically advantaged, had very good pregnancy health, exceptional marital relationships, normal personality styles, and intense affectionate attachment to the fetus. Very few (
ISSN:0015-0282
1556-5653
DOI:10.1016/j.fertnstert.2007.05.022