Korean J Women Health Nurs.  2019 Jun;25(2):182-193. 10.4069/kjwhn.2019.25.2.182.

Impact of Anxiety, Social Support, and Taegyo Practice on Maternal-Fetal Attachment in Pregnant Women Having an Abortion

• Kim B
• Sung MH

• KMID: 2449854
• DOI: http://doi.org/10.4069/kjwhn.2019.25.2.182

Abstract

PURPOSE
The purpose of the study was to identify effects of anxiety, social support, and Taegyo practice toward maternal-fetal attachment in pregnant women having an abortion. METHOD: Participants included 99 pregnant women having an abortion, who participated in this study. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression with the SPSS WIN 23.0 program.
RESULTS
Maternal-fetal attachment was significantly negatively correlated with anxiety, and significantly positively correlated with social support and Taegyo practice. Spousal support and Taegyo practice, explained 43.8% of participants' maternal-fetal attachment.
CONCLUSION
Results indicate that less anxiety and more social support, and Taegyo practice in pregnant women having an abortion, were associated with stronger maternal-fetal attachment. To strengthen the maternal-fetal attachment of pregnant women having an abortion experience, it would be necessary to develop and implement the Taegyo program, focusing on practicing Taegyo-related encouragement. Additionally, it is recommended that nursing intervention is provided, to encourage families to participate in the Taegyo practice together throughout the gestational period, and to maintain a positive relationship among partners.

Keyword

Abortion; Anxiety; Social support; Pregnant women; Attachment

MeSH Terms

Anxiety*
Female
Humans
Methods
Nursing
Pregnant Women*

Reference

1.Lee SA., Lee SH. Factors influencing maternal-fetal attachment among pregnant women. Journal of the Korea Academia-Industrial Cooperation Society. 2015. 16(3):2020–2028. CROSSREF.

2.Bennet SM., Litz BT., Lee BS., Maguen S. The scope and impact of perinatal loss: current status and future directions. Professional Psychology, Research and Practice. 2005. 36(2):180–187. CROSSREF.

3.Mehran P., Simbar M., Shams J., Ramezani-Tehrani F., Nasiri N. History of perinatal loss and maternal-fetal attachment behaviors. Women and Birth. 2013. 26(3):185–189.

4.Moon JY. Influence of uncertainty on coping behavior of pregnant women who experienced recurrent pregnancy loss [master's thesis]. Seoul: Hanyang University;2017. p. 96.

5.Yu M., Kim M. The contribution of maternal-fetal attachment: Taegyo, maternal fatigue and social support during pregnancy. Child Health Nursing Research. 2014. 20(4):247–254. CROSSREF.

6.Yilmaz SD., Beji NK. Effects of perinatal loss on current pregnancy in Turkey. Midwifery. 2013. 29(11):1272–1277.

7.Hwang RH. Relationship between maternal fetal attachment and state anxiety of pregnant women in the preterm labor. Korean Journal of Women Health Nursing. 2013. 19(3):142–152. CROSSREF.

8.Lee S., Jung E. Factors influencing maternal-fetal attachment among advanced maternal age: anxiety, spousal support. Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2017. 7(1):661–671. CROSSREF.

9.Kim ES. Factors influencing Taekyo in pregnant women [master's thesis]. Seoul: Yonsei University;2000. p. 80.

10.Chang SB., Kim KY., Kim ES. Changes of maternal-fetal attachment and self efficacy for delivery after the Taekyo-perspective prenatal class. Journal of Korean Academy of Women's Health Nursing. 2001. 7(1):7–17.

11.Im YM., Kim ES., Yoo IY. Factors associated with maternal-fetal attachment of expectant mothers whose fetus has a prenatal diagnosis of congenital heart disease. Journal of Korean Academy of Child Health Nursing. 2012. 18(3):150–156. CROSSREF.

12.Tektaş P., Çam O. The effects of nursing care based on Watson's theory of human caring on the mental health of pregnant women after a pregnancy loss. Archives of Psychiatric Nursing. 2017. 31(5):440–446.

13.Chung CW., Jung HS., Yun SN., Shin JC., Park HJ., Han MY. Factors of physical and psychological symptoms in women after miscarriage. Korean Journal of Women Health Nursing. 2009. 15(4):303–311. CROSSREF.

14.Hong JE., Park JM. Narrative exploration of infertile nurses' experience of natural abortion. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016. 25(1):58–70. CROSSREF.

15.Spielberger CD. Anxiety: state-trait process: stress and anxiety. New York: John Wiley & Sons;1975. 16. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978;. 21(11):p. 69–75.

16.Kim JT., Shin DK. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978. 21(11):69–75.

17.Curry MA., Campbell RA., Christian M. Validity and reliability testing of the prenatal psychosocial profile. Research in Nursing & Health. 1994. 17(2):127–135.

18.Choi YS., Kim HO. A survey on the practice Taekyo among childbearing couples. Journal of Korean Academy of Women's Health Nursing. 1995. 1(2):153–173.

19.Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nursing Research. 1981. 30(5):281–284.

20.Kim KY. Effects on maternal-infant attachment by the Taegyo perspective prenatal class [dissertation]. Seoul: Yonsei University;2000. p. 74.

21.Wee H., Park SY. The relationships between anxiety, depression, prenatal stress, maternal-fetal attachment and gratitude. Journal of the Korean Society of Maternal and Child Health. 2012. 16(2):274–286. CROSSREF.

22.Kim MO. Relationship between pregnant stress and Taegyo practice of pregnant women with gestational diabetes: based on the mediating effects of social support. Journal of Korea Society for Wellness. 2017. 12(1):399–408. CROSSREF.

23.Kwon MK., Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. Journal of Korean Academy of Nursing. 2011. 41(2):276–283.