Korean J Women Health Nurs.  2016 Jun;22(2):71-77. 10.4069/kjwhn.2016.22.2.71.

A Comparative Study of Anxiety, Pain and Maternal-fetal Attachment between Women who became Pregnant after Infertility Treatment and became Pregnant Naturally

• Yoon HJ
• Lee SS
• Ye SH
• Han AR
• Lim SR
• Chung HJ
• Park JM

• KMID: 2328087
• DOI: http://doi.org/10.4069/kjwhn.2016.22.2.71

Abstract

PURPOSE
This study was a comparative study to understand the levels of anxiety, pain and maternal-fetal attachment between women who became pregnant after infertility treatment and became pregnant naturally.
METHODS
This study used a comparative survey design. Data were collected by 50 couples of natural pregnancy and of who became pregnant after infertility treatment who visited delivery room in C Medical hospital, Seoul. These couples were to have first baby, and cervix dilatation of women was less than 3 cm regardless of diagnosis.
RESULTS
The score of anxiety of infertile women was significantly higher than that of naturally pregnant women; however, that of spouses showed no difference. The pain score for infertile women was significantly higher in both the active and transition phases. Pain scores that reported by their spouses did not show differences in either phase. The score of maternal-fetal attachment showed no difference between two groups of women.
CONCLUSION
The result showed the importance of nursing intervention to reduce women's anxiety and pain, through both antenatal-childbirth education programs and assertive nursing interventions. It is necessary to develop and evaluate new intervention which would be more effective for reducing pain and anxiety for couples who became pregnant after infertility treatment.

Keyword

Anxiety; Pain; Scale of maternal-fetal attachment; Pregnant women

MeSH Terms

Anxiety*
Cervix Uteri
Delivery Rooms
Diagnosis
Dilatation
Education
Family Characteristics
Female
Humans
Infertility*
Nursing
Pregnancy
Pregnant Women
Seoul
Spouses

Reference

1. Han SJ, Kim JI, Kim MJ. Comparison of obstetric pain, anxiety, and cervical dilatation between epidural analgesia and no analgesia group during labor stage I. Korean J Women Health Nurs. 2012; 18(2):126–134.

2. Lee MK, Hur MH. Effects of the spouse's aromatherapy massage on labor pain, anxiety and childbirth satisfaction for laboring women. Korean J Women Health Nurs. 2011; 17(3):195–204.

3. Shim CS, Lee YS. Effects of a yoga-focused prenatal program on stress, anxiety, self confidence and labor pain in pregnant women with in vitro fertilization treatment. J Korean Acad Nurs. 2012; 42(3):369–376.

4. Hwang RH. Relationship between maternal fetal attachment and state anxiety of pregnant women in the preterm labor. Korean J Women Health Nurs. 2013; 19(3):142–152.

5. Choi YS. An experimental study of the effects of childbirth preparation on labor pain. [Unpublished doctoral dissertation]. Seoul: Yonsei University;1984.

6. Kim HS, Yoo SJ, Kwon SY, Park YH. Differences in patients' and family caregivers' ratings of cancer pain. Korean J Hosp Palliat Care. 2008; 11(1):42–50.

7. Huskisson EC. Measurement of pain. lancet. 1974; 304(7889):1127–1131.

8. Kim KY. Effects on maternal-infant attachment by the taegyo perspective prenatal class [master's thesis]. Seoul: Yonsei University;2000. 1–74.

9. Gibbins J, Thomson AM. Women's expectations and experiences of childbirth. Midwifery. 2001; 17(4):302–313.

10. Jung MS. Effect of childbirth education in knowledge, anxiety, labor pain and self-Cooperation in Primiparae and Husbands. J Kyungpook Nurs Sci. 2003; 7(2):99–144.

11. Kim M. Stress, depression, and fetal attachment in pregnant women having infertility treatments. Korean J Women Health Nurs. 2014; 20(2):163–172.

12. Lee SA, Lee SH. Factors influencing maternal-fetal attachment among pregnant women. J Korea Acad Ind Coop Soc. 2015; 16(3):2020–2028.

13. Kim HO. A study on maternal-fetal attachment behaviors [master's thesis]. Seoul: Yonsei University;1991.