The contribution of psychological factors in the occurrence of pregnant delivery

Article Sidebar

PDF (Español (España))
Published: Nov 29, 2014
DOI: https://doi.org/10.17060/ijodaep.2014.n1.v4.595
Keywords:
Prenatal psychological factors evolution during pregnancy delivery outcome

Main Article Content

Ana Paula Forte Camarneiro
Escola Superior de Enfermagem de Coimbra
Joao Manuel Rosado de Miranda Justo
Professor da Faculdade de Psicologia da Universidade de Lisboa

Abstract

Some psychological variables of women seem to be in close relationship with the clinical course of pregnancy and delivery outcome. However, about risk factors for preterm birth, it is necessary to deepen the knowledge of the psychological risk area to enable more effective prevention. Aim: To relate the result of delivery, with regard to gestational age, mode of delivery and infant characteristics with psychological variables assessed during pregnancy, prenatal maternal attachment, psychopathological symptomatology and coping. Methodology: A prospective, descriptive correlational study; participants were 395 women at the second trimester of pregnancy and at postpartum, who attended antenatal clinics at the center of Portugal. The following instruments were used: Clinical Questionnaire about the Result of Delivery; Sociodemographic and Clinical Questionnaire in Pregnancy; Maternal Antenatal Attachment Scale; Brief Symptoms Inventory (BSI); Problems’ Resolution Inventory (PRI). Results: Gestational age and birth weight of the baby, on one side, and variables of prenatal attachment, BSI and PRI, on the other side, did not correlate significantly. The quality of prenatal maternal attachment was higher in women who came to have a delivery by forceps or vacuum extraction, compared with those that had caesarean birth (p = .05). The majority of women had a healthy pregnancy (75.7%). Coping strategies like Interpersonal Sensitivity and Help-seeking seem to influence the occurrence of obstetrical pathology. Women with higher scores on Total Prenatal Attachment and Intensity of Preocupation are more likely to have newborns with health problems. There is an association between clinical variables, the newborn´s health at birth and obstetric pathology of the II and III trimesters. Conclusion: Prenatal psychological factors such as prenatal attachment do not seem to influence the obstetric condition or the result of delivery but appear to play an important role about how pregnant women experience pregnancy and labor.

Downloads

Download data is not yet available.

Article Details

How to Cite
Forte Camarneiro, A. P., & Rosado de Miranda Justo, J. M. (2014). The contribution of psychological factors in the occurrence of pregnant delivery. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 4(1), 113–122. https://doi.org/10.17060/ijodaep.2014.n1.v4.595
Issue
Vol. 4 No. 1 (2014): THE PSYCHOLOGY OF TODAY
Section
Articles
Authors who publish with this journal agree to the following terms:
 
a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to copy and redistribute the material in any medium or format under the following terms:

 

Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

NonCommercial — You may not use the material for commercial purposes.

NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.

 
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
 
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
 
The authors are responsible to obtain the appropriate permissions to reproduce material (text, images or graphics) from other publications and to quote their origin correctly.
 

References

Andersson, L., Sundstrom-Poromaa, I., Wulff, M., Astrom, M., & Bixo, M. (2004). Implications of antenatal depression and anxiety for obstetric outcome. Obstetrics & Gnyecology, 104 (3), Sept., 467-476.

Berle, J. O., Mykletun, A., Daltveit, A. K., Rasmussen, S., Holsten, F., & Dahl, A. A. (2005). Neonatal outcomes in offspring of women with anxiety and depression during pregnancy. Archives of Women’s Mental Health, 8, 181-189.

Bielawska-Batorowicz, E., & Siddiqui, A. (2008). A study of prenatal attachment with Swedish and Polish expectant mothers. Journal of Reproductive and Infant Psychology, 36 (4), November, 373-384.

Borjesson, K., Ruppert, S., & Bagedahl-Strindlund, M. (2005). A longitudinal study of psychiatric symptoms in primiparous women: relation to personality disorders and sociodemographic factors. Archives of Women’s Mental Health, 8, 232-242.

Brandon, A. R., Trivedi, M. H., Hynan, L. S., Miltenberger, P. D., Labat, D. B., Rifkin, J. B., & Stringer, C. A. (2008). Prenatal depression in women hospitalized for obstetric risk. Journal of Clinical Psychiatry, 69(4), April, 635-643.

Brazelton, T. B. & Cramer, B. (1993). A relação mais precoce. Lisboa: Terramar.

Bullinger, A. & Goubet, N. (1999). Le bébé prématuré, acteur de son développement. Enfance, 1, 27-32. Presses Universitaires de France.

Camarneiro, A. P. & Justo, J. (2010). Padrões de vinculação pré-natal. Contributos para a adaptação da Maternal and Paternal Antenatal Attachment Scale em casais durante o segundo trimestre de gestação na região Centro de Portugal. Revista Portuguesa de Pedopsiquiatria, 28, 7-22.

Camus, J. L. (2002). O verdadeiro papel do pai. Porto: Âmbar.

Canavarro, M. C. (1999). Inventário de sintomas psicopatológicos – B. S. I.. In M. R. Simões, M. M. Gonçalves, & L. S. Almeida (Eds.). Testes e Provas Psicológicas em Portugal. Vol. 2. Braga: APPORT/SHO: 95-108.

Condon, J. T. (1993). The assessment of antenatal emotional attachment: development of a questionnaire instrument. British Journal of Medical Psychology, 66, 167-183.

Curry, M. A. (1987). Maternal behavior of hospitalized pregnant women. Journal of Psychosomatic Obstetrics and Gynecology, 7, 165-181.

Dayan, J., Creveuil, C., Marks, M. N., Conroy, S., Herlicoviez, M., Dreyfus, M., & Tordjman, S. (2006). Prenatal depression, prenatal anxiety and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosomatic Medicine, 68, 938-946.

Dickstein, S., Seifer, R., & Albus, K. E. (2009). Maternal adult attachment representations across relationship domains and infant outcomes: the importance of family and couple functioning. Attachment & Human Development, 11(1), 5-27.

DiPietro, J.A., Ghera, M. M., Costigan, K., & Hawkins, M. (2004). Measuring the ups and downs of pregnancy stress. Journal of Psychosomatic, Obstetrics and Gynecology, 25, 189-201.

Faisal-Cury, A., & Menezes, P. R. (2007). Prevalence of anxiety and depression during pregnancy in a private setting sample. Archives of Women’s Mental Health, 10, 25-32.

Field, T., Diego, M., Hernandez-Reif, M., Figueiredo, B., Ascencio, A., Schanberg, S., & Kuhn, C. (2008). Prenatal dysthymia versus major depression effects on maternal cortisol and fetal growth. Depression and Anxiety, 25, E11-E16.

Fonagy, P. (2004). Théorie de l´attachement et psychanalyse. Paris: Érès.

Golse, B. (2007). O ser-bebé. Lisboa: Climepsi.

Jolley, S. N. & Spach, T. (2008). Stress System Dysregulation in Perinatal mood disorders. In S. D. Stone, & A. Menken (Eds.). Perinatal and postpartum mood: perspectives and treatment guide for the health care practitioner. New York: Springer Publishing Company, 133-151.

Justo, J. (1990). Gravidez e mecanismos de defesa: Um estudo introdutório. Análise Psicológica, 8 (2), 371-376.

Justo, J. (1994). Evolução da ansiedade e dos mecanismos de defesa ao longo da gravidez. Lisboa: Faculdade de Psicologia e Ciências da Educação. Tese de doutoramento.

Justo, J. (1997). Os bebés prematuros, as mães deles e os psicólogos de quem eles precisam. Psicologia, Teoria, Investigação e prática, 2, 307-332.

Justo, J. (2002). The psychological interpretation of clinical pathology in pregnancy: a continuity hypothesis. Revista Portuguesa de Psicossomática, 4(1), Jan/Jun, 109-130.

Kemp, V. H. & Page, C.K. (1987). Maternal prenatal attachment in normal and high-risk pregnancies. Journal of Obstetric, Gynecologic and Neonatal Nursing, 16, 178-184.

Klaus, M. H. et al, (1975). Human maternal behaviour at first contact with her young. Pediatrics. 46, 187-192.

Lebovici, S. (1987). O bebé, a mãe e o psicanalista. Portalegre: Artes Médicas.

Lequien, P. (1999). Survie et qualité de survie des grands prématurés. Enfance, 1, 93-95. Presses Universitaires de France.

Marcus, S.M. (2009). Depression during pregnancy: rates, risks and consequences. Canadian Journal Clinical Pharmacology, 16 (1), Winter, 15-22.

Matthey, S, Barnett, B., Ungerer, J. & Waters, B (2000). Paternal and maternal depressed mood during the transition to parenthood. Journal of Affective Disorders, 60 (2), 75-85.

McLean, M., Walters, W. A. W., & Smith, R. (1993). Prediction and early diagnosis of preterm labor: a critical review. Obstetrical and Ginecological Survey, 48, (4), 209-225.

Mercer, R. T., Ferketich, S. L., May, K., DeJoseph, J., & Sollid, D. (1988). Further exploration of maternal and paternal fetal attachment. Research in Nursing and Health, April, 11(2), 83-95.

Misri, S. & Joe, K. (2008). Perinatal mood disorders. In S. D. Stone & A. Menken (Eds.). Perinatal and postpartum mood: perspectives and treatment guide for the health care practitioner. New York: Springer Publishing Company, 64-83.

Miura, E. (1991). Neonatologia, princípios e práticas. Porto Alegre: Artes Médicas.

Norman, J. & Greer, I. (Ed.) (2005). Preterm labour: managing risk in clinical practice. Cambridge University Press.

O´Hara, M. W. (2009). Pospartum depression: what we know. Journal of Clinical Psychology, 65 (12), 1258-1269.

Pereira, M.G., Santos, A.C., & Ramalho, V. (1999). Adaptação à gravidez: um estudo biopsicossocial. Análise Psicológica, 17 (3), Set., 583-590.

Sá, E. (1996). Relatório de Consenso sobre Diabetes e Gravidez. Revista de Endocrinologia, Metabolismo e Nutrição, 5 (1), 63-109.

Teichmann, A. T. & Breull A. (1989). Ein neues Konzept psychosomatischer Forschung am Beispiel der vorzeitigen Wehentatigkeit. Zsch. Psychosom. Med. 35, 256-276.

Thompson, J. & Ashwill, J. (1996). O recém-nascido de alto risco. In Uma introdução à enfermagem Pediátrica. 6ª Ed. Arte Médicas: Porto Alegre.

Vaz Serra, A. (1988). Um estudo sobre coping: o inventário de resolução de problemas. Psiquiatria Clínica, 9 (4), 301-316.

White, O., McCorry, N. K., Scott-Heyes, G., Dempster, M., & Manderson, J. (2008). Maternal appraisals of risk, coping and prenatal attachment among women hospitalised with pregnancy complications. Journal of Reproductive and Infant Psychology, 26 (2) May, 74-85.