Abstract
The present study investigates if mothers and fathers have similar ways of thinking and feeling about their babies during late pregnancy and how aspects of parental–fetal attachment are related to maternal depressive mood. Two hundred and ninety-eight Swedish-speaking women at 30–32 weeks of gestation and partners (n = 274) participated in the study. Socio-demographic background data were collected. Prenatal attachment was assessed with the maternal/paternal–fetal attachment scale (MFA/PFA), and depressive symptoms were assessed by the Edinburgh postnatal depression scale (EPDS). MFA and PFA scores mirrored each other. After factor analysis, five different factors loaded somewhat differently for men were revealed as significant. These factors were (I) concerns about the fetus and health behavior, (II) mental preparation to take care of the unborn child, (III) experiences of pregnancy, (IV) experiences of fetal movements, and (V) naming of the baby. Factors III and IV were related to depressive symptoms. Mothers with slight depressive symptoms were somewhat less positive about the pregnancy but showed more attention to the fetal movements. Midwives should conduct interviews on the women’s psychosocial history and use validated instruments, which may help them to identify problems with the psychosocial health of the mother and her partner as they journey through pregnancy and transition to parenthood.
Similar content being viewed by others
References
Babbie E (2004) The practice of social research, 10th edn. Wadsworth, Belmont
Barclay L, Everitt L, Rogan F, Schmied V, Wyllie A (1997) Becoming a mother—an analysis of women’s experience of early motherhood. J Adv Nurs 25:719–728
Bågedahl-Strindlund M, Monsen Börjesson K (1998) Postnatal depression: a hidden illness. Acta Psychiatr Scand 98:272–275
Bowlby J (1988) Secure and insecure attachment. Basic Books, New York
Cannella B (2005) Maternal-fetal attachment: an integrative review. J Adv Nurs 50(1):60–68
Condon JT (1985) the parental–fetal relationship—a comparison of male and female expectant parents. J Psychosom Obstet Gynaecol 4:271–284
Condon JT (1993) The assessment of antenatal emotional attachment: development of a questionnaire instrument. Br J Med Psychol 66:167–183
Condon JT, Corkindale C (1997) The correlates of antenatal attachment in pregnant women. Br J Med Psychol 70(4):359–372
Condon JT, Esuvaranathan V (1990) The influence of parity on the experiences of pregnancy: a comparison of first- and second-time expectant couples. Br J Med Psychol 63:369–377
Cooper P, Murray L (1995) Course and recurrence of postnatal depression. Evidence for the specificity of the diagnostic concept. Br J Psychiatry 166:191–195
Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786
Cranley MS (1981) Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res 30(5):281–284
Cranley MS (1992) Response to “A Critical Review of Prenatal Attachment Research”. Sch Inq Nurs Pract 6(1):23–26
Di Pietro JA, Hilton S, Hawkins M, Costigan K, Pressman E (2002) Maternal stress and affect influence fetal neurobehavioral development. Dev Psychol 38(5):659–668
Doan McK H, Cox NL, Zimerman A (2003) The maternal fetal attachment scale: some methodological ponderings. JOPPPAH 18(2):167–188
Field T, Diego MA, Dieter J, Hernandez-Reif M, Schanberg S, Kuhn C, Yando R, Bendell D (2001) Depressed withdrawn and intrusive mothers’ effect on fetuses and neonates. Infant Behav Dev 24:27–39
Gayness BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Mill WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/technology Assessment no. 119. (Prepared by the RTI-University of North Carolina Evidence-based Practice Center, under contract no. 290-02- 0016). AHRQ Publication No. 05-E006-2. Agency for Healthcare Research and Quality, Rockville
Grace JT (1999) Development of maternal–fetal attachment during pregnancy. Nurs Res 38:228–232
Green MJ (1998) Postnatal depression or perinatal dysphoria? Findings from a longitudinal community-based study using the Edinburgh Postnatal Depression Scale. J Reprod Infant Psychol 16:143–155
Hildingsson I, Rådestad I (2005) Swedish women’s satisfaction with medical and emotional aspects of antenatal care. J Adv Nurs 52(3):239–249
Hjelmstedt A, Collins A (2008) Psychological functioning and predictors of father–infant relationship in IVF-fathers and controls. Scand J Caring Sci 22:72–78
Hjelmstedt A, Widström A-M, Collins A (2006) Psychological correlates of prenatal attachment in women who conceived after in vitro fertilization and women who conceived naturally. Birth 33(4):303–310
Honjo S, Arai S, Kaneko H, Ujiie T, Murase S, Sechiyama H, Sasaki Y, Hatagaki C, Inagaki E, Usui M, Miwa K, Ishihara M, Hashimoto O, Nomura K, Itakura A, Inoko K (2003) Antenatal depression and maternal–fetal attachment. Psychopathology 36:304–311
Jansson B (1963) Psychic insufficiencies associated with childbearing. Acta Psychiatr Scand, Suppl 172
Johanson R, Chapman G, Murray D, Johnson I, Cox J (2000) The North Staffordshire Maternity Hospital prospective study of pregnancy-associated depression. J Psychosom Obstet Gynecol 21:93–97
Josefsson A, Berg G, Nordin C, Sydsjö G (2001) Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstet Gynecol Scand 80:251–255
Klaus MR, Kennel JH, Klaus PH (1995) Bonding. Building the foundation of secure attachment and independence. Adisson-Wesley, Reading
Kunkel GF, Doan HM (2003) Fetal Attachment and depression: Measurement Matters. J Prenat Perinat Psychol Health 18(2):149–166
Lagercrantz E (1979) Förstföderskan och hennes barn. Wahlström & Widstrand, Stockholm
Laxton-Kane M, Slade P (2002) The role of maternal prenatal attachment in a woman’s experience of pregnancy and implications for the process of care. J Reprod Infant Psychol 20(4):253–266
Lindgren K (2001) Relationships among maternal–fetal attachment, prenatal depression, and health practices in pregnancy. Res in Nurs Health 24:203–217
Lundh W, Gyllang C (1993) Use of the postnatal depression scale in some Swedish Child Health Care Centres. Scand J Caring Sci 7:149–154
Matthey S, Barnett B, Ungerer J, Waters B (2000) Paternal and maternal depressed mood during the transition to parenthood. J Affect Disord 60:75–85
Mikhail MS, Freda MC, Merkatz RB, Polizotto R, Mazloom E, Merkatz IR (1991) The effect of fetal movements counting on maternal attachment to fetus. Am J Obstet and Gynecol 165:988–991
Mikulincer M, Florian V (1999) Maternal–fetal bonding, coping strategies, and mental health during pregnancy—the contribution of attachment style. J Soc Clin Psychol 18:255–276
Műller ME (1993) Development of the prenatal attachment inventory. West J Nurs Res 15:199–211
Műller ME, Ferketich S (1993) Factor analysis of the maternal fetal attachment scale. Nurs Res 42(3):144–147
Murray D, Cox JL (1990) Screening for depression during pregnancy with the Edinburgh depression scale (EPDS). J Reprod Infant Psychol 8:99–107
Murray L, Carothers AD (1990) The validation of the Edinburgh post-natal depression scale on a community sample. Br J Psychiatry 157:288–290
National Board of Health and Welfare (1996) Health care before, during and after pregnancy (Hälsovård före, under och efter graviditet). National Board of Health and Welfare, Stockholm in Swedish
Nelson AM (2003) Transition to motherhood. JOGNN 32:465–477
Nilsson Å, Almgren P-E (1970) Parental emotional adjustment. A prospective investigation of 165 women. Acta Psychiatr Scand Suppl 220
Nyström K, Öhrling K (2004) Parenthood experiences during the child’s first year: literature review. J Adv Nurs 46:319–330
Raphael-Leff J (1991) Psychological processes of childbearing. Chapman and Hall, London
Romito P (1990) Postpartum depression and the experience of motherhood. Acta Obstet Gynecol Scand Suppl154
Rubertsson C, Wickberg B, Gustavsson P, Rådestad I (2005) Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national Swedish sample. Arch Womens Ment Health 8:97–104
Seimyr L, Edhborg M, Lundh W, Sjögren B (2004) In the shadow of maternal depressed mood: experiences of parenthood during the first year after childbirth. J Psychosom Obstet Gynecol 25:23–34
Siddique A, Hagglof B, Eisemann M (1999) An exploration of prenatal attachment in Swedish expectant women. J Reprod Infant Psychol 17(4):369–379
Sjögren B, Edman G, Widström A-M, Mathiesen A-S, Uvnäs-Moberg K (2004) Maternal foetal attachment and personality during first pregnancy. J Reprod Infant Psychol 22(2):57–69
Thorpe K (1993) A study of use of the Edinburgh Postnatal Scale with parent groups outside the postpartum period. J Reprod Infant Psychol 11:119–125
Uddenberg N (1974) Reproductive adaptation in mother and daughter. A study of personality development and adaptation to motherhood. Acta Psychiatr Scand Suppl 254
Weaver RH, Cranley MS (1983) An exploration of paternal–fetal attachment behavior. Nurs Res 32(2):68–72
Welles-Nyström B (1996) Scenes from a marriage; equality and ideology in Swedish family policy, maternal ethnotheories and practice. In: Harkness S, Super C (eds) Parents cultural belief systems. Their origins, expressions, and consequences. Guilford, New York, pp 192–214
White MA, Wilson ME, Elander G, Persson B (1999) The Swedish family: transition to parenthood. Scand J Caring Sci 13:171–176
Wickberg B, Hwang P (1996) The Edinburgh Postnatal Depression Scale: validation on a Swedish community sample. Acta Psychiatr Scand 94:181–184
Acknowledgments
The authors wish to thank the following institutions for their financial support: Centre for Caring Sciences, Karolinska Institutet, and the Swedish Council for Planning and Coordination of Research. The authors are most grateful to the project director for the longitudinal study, Wendela Lundh, and to Ann-Sofi Matthiesen for her statistical support. We also wish to thank the women and their partners who agreed to take part in the study.
Author information
Authors and Affiliations
Corresponding author
Additional information
This study is dedicated to Dr. Berit Sjögren, who unfortunately died before this paper was completed. We have tried to remain true to her professional research intentions and to her passionate commitment to women’s well-being and bio-psycho-social health.
Rights and permissions
About this article
Cite this article
Seimyr, L., Sjögren, B., Welles-Nyström, B. et al. Antenatal maternal depressive mood and parental–fetal attachment at the end of pregnancy. Arch Womens Ment Health 12, 269–279 (2009). https://doi.org/10.1007/s00737-009-0079-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00737-009-0079-0