Relationships between somatic sensations of pregnancy and maternal-fetal attachment

DOI 3 Citations 16 References
  • SUZUI Emiko
    Doctor's Course of Health Science, Osaka University Graduate School of Medicine Department of Nursing, Kawasaki University of Medical Welfare
  • OHASHI Kazutomo
    Division of Health Sciences, Osaka University Graduate School of Medicine

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  • 妊婦の身体感覚と胎児への愛着の関連性

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Abstract

Objective<br>This study examines relationships between Somatic Sensations of Pregnancy and Fetal Attachment.<br>Subjects and method<br>A Somatosensory Scale of Pregnancy (SSOP) was devised on the basis of a preliminary survey of 26 items, organized under Factor 1, "unlocalized somatic sensations" (14 items), Factor 2, "localized somatic sensations" (8 items), and Factor 3, "fetal-centered somatic sensations" (4 items). SSOP was used together with the Muller Maternal-Fetal Attachment Scale in a survey of 390 primiparas in three classes of maternity facilities that differed in numbers of ultrasound examinations performed and numbers of hours spent on antenatal examinations or health care counseling. The two types of facilities that conducted ultrasound scans at every examination were classified as a "hospital" or "maternity home conducting frequent scans", while the third class of facility was treated as "maternity home conducting infrequent scans."<br>Results<br>Subjects in the middle stage of pregnancy who received examinations at maternity homes conducting frequent scans showed significantly higher fetal-centered somatic sensation scores than those examined in hospitals; similarly, a significantly higher level of fetal-centered somatic sensation was shown by late-term subjects examined at both classes of maternity home, as compared to subjects examined in hospitals. Subjects in both the middle and late stages of pregnancy examined in maternity homes conducting ultrasound infrequently showed significantly higher degrees of fetal attachment, but there was no significant difference on this measure between subjects examined by either of the two classes of maternity homes. No significant differences were shown in unlocalized or localized somatic sensation scores of subjects in middle or later pregnancy subjects, regardless of the type of facility where their antenatal examinations were held. Fetal-centered somatic sensation scores and fetal attachment scores were shown to be significantly correlated (p<0.000), with a correlation coefficient of 0.427 (0.372 for midterm and 0.323 for later term pregnancy).<br>Conclusions<br>The somatic sensations of women during pregnancy may be classified as unlocalized, localized and fetal-centered. Of these three factors, it was found that fetal-centered somatic sensations are associated with fetal attachment.

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