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Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Study protocol

Maternal-fetal emotional relationship during pregnancy, its related factors and outcomes in Iranian pregnant women: a panel study protocol

Authors: Vajihe Atashi, Shahnaz Kohan, Zahra Salehi, Kobra Salehi

Published in: Reproductive Health | Issue 1/2018

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Abstract

Background

Considering the importance of attachment in child’s development and mother’s health, various related factors and also lack of necessary information in this regard in our country, the research team decides to conduct this study to evaluate maternal-fetal attachment during pregnancy, its changes and post-partum consequences on mother-infant relationship. This process should be studied during pregnancy and also after delivery so that the effect of related factors and the changes in attachment over time could be determined and comprehensible information about the effective underlying conditions on this issue would be gathered.

Methods

The present research is a longitudinal study (panel study). Data gathering would start at the first trimester, continue during second and third trimesters of pregnancy, first visit after delivery, second, fourth and end sixth months later. Pregnant women in the first trimester would be selected and contacted. If they have inclusion criteria, they would be selected as a participant. At first, their demographic-reproductive characteristics, Beck Depression Inventory (BDI), Spielberger State-Trait Anxiety Inventory (SSTAI), The Social Support Appraisal (SSA), Adult Attachment Scale (AAS) and Parental Bonding Instrument (PBI) would be completed; during the second trimester, BDI, SSTAI and Cranley’s Maternal-Fetal Attachment Scale (CMFAS) would be completed. In the third trimester, the same questionnaires would be completed.
During the first month after birth, Avant’s questionnaire of Mother-Infant Attachment Behaviors would be completed. At the second, fourth and sixth months after delivery Muller’s Mother -Infant Attachment Scale would also be completed.

Discussion

The results of the study will be provided to maternal child health policy-makers in the health system. This information could not be obtained through cross-sectional studies and through one episode of data collection and more studies are needed to provide us a perspective of the mother-infant relation over time. Studying attachment during pregnancy would provide us a chance to learn more about this process.
Literature
1.
go back to reference Ossa X, Bustos L, Fernandes L. Prenatal attachment and associated factors during the third trimester of pregnancy in Tumeco, Chile. Midwifery. 2012;28:689–96.CrossRef Ossa X, Bustos L, Fernandes L. Prenatal attachment and associated factors during the third trimester of pregnancy in Tumeco, Chile. Midwifery. 2012;28:689–96.CrossRef
2.
go back to reference Bowlby J. Attachment and loss. (Vol. 1). New York: Basic Books; 1969. Bowlby J. Attachment and loss. (Vol. 1). New York: Basic Books; 1969.
3.
go back to reference Sadeghi M, Mazaheri A. Comparement of attachment styles in mothers with and without history of fetus abortion (intentional and spantaneus). Fertility and Infertility Journal. 2009;8:60–9 (Article in Persian). Sadeghi M, Mazaheri A. Comparement of attachment styles in mothers with and without history of fetus abortion (intentional and spantaneus). Fertility and Infertility Journal. 2009;8:60–9 (Article in Persian).
4.
go back to reference Sedgmen B, Mcmahon G, Carins D, Benzie R, Woodfied R. The impact of two-dimensional versus three dimensional ultrasound exposure on maternal-fetal attachment and maternal health behavior in pregnancy. Ultrasound Obstet Gynecol. 2006;27:245–51.CrossRef Sedgmen B, Mcmahon G, Carins D, Benzie R, Woodfied R. The impact of two-dimensional versus three dimensional ultrasound exposure on maternal-fetal attachment and maternal health behavior in pregnancy. Ultrasound Obstet Gynecol. 2006;27:245–51.CrossRef
5.
go back to reference Gurol A, Palot S. The effects of baby massage on attachment between mother and their infants. Asian Nursing Res. 2012;6:35–41.CrossRef Gurol A, Palot S. The effects of baby massage on attachment between mother and their infants. Asian Nursing Res. 2012;6:35–41.CrossRef
6.
go back to reference Ulrich H, Asim K. Pregnancy and loneliness: the therapeutic value of 3D/4D ultrasound. Psychology. 2014;5:7. Ulrich H, Asim K. Pregnancy and loneliness: the therapeutic value of 3D/4D ultrasound. Psychology. 2014;5:7.
7.
go back to reference Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res. 1981;30:281-284.CrossRef Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nurs Res. 1981;30:281-284.CrossRef
8.
go back to reference Muller ME. Development of the prenatal attachment inventory. West J Nurs Res. 1993;15(2):199–215.CrossRef Muller ME. Development of the prenatal attachment inventory. West J Nurs Res. 1993;15(2):199–215.CrossRef
9.
go back to reference Doan H, Zimerman A. Conceptualizing prenatal attachment: toward a multidimensional view. J Prenatal Perinatal Psychol Health. 2003;18:109–30. Doan H, Zimerman A. Conceptualizing prenatal attachment: toward a multidimensional view. J Prenatal Perinatal Psychol Health. 2003;18:109–30.
10.
go back to reference Ustunsoz A, Guvenc G, Akyuz A, Oflaz F. Comparison of maternal and paternal fetal attachment in Turkish couples. Midwifery. 2010;26:1–9.CrossRef Ustunsoz A, Guvenc G, Akyuz A, Oflaz F. Comparison of maternal and paternal fetal attachment in Turkish couples. Midwifery. 2010;26:1–9.CrossRef
11.
go back to reference Dayton C, Levendosky A, Davidson W, Bogat G. The child as held in the mind of the mother: the influence of prenatal maternal representations on parenting behaviors. Infant Ment Health J. 2010;31:220–41.CrossRef Dayton C, Levendosky A, Davidson W, Bogat G. The child as held in the mind of the mother: the influence of prenatal maternal representations on parenting behaviors. Infant Ment Health J. 2010;31:220–41.CrossRef
12.
go back to reference Mehran P, Simbar M, Shams J, Ramazani- Tehrani F. History of perinatal loss and maternal- fetal attachment behaviors. Women Birth. 2013;26:185–9.CrossRef Mehran P, Simbar M, Shams J, Ramazani- Tehrani F. History of perinatal loss and maternal- fetal attachment behaviors. Women Birth. 2013;26:185–9.CrossRef
13.
go back to reference Perry D, Ettinger A, Mendelson T, Le H. Prenatal depression predicts postpartum maternal attachment in low- income Latina mothers with infants. Infant Behav Dev. 2011;34:339–50.CrossRef Perry D, Ettinger A, Mendelson T, Le H. Prenatal depression predicts postpartum maternal attachment in low- income Latina mothers with infants. Infant Behav Dev. 2011;34:339–50.CrossRef
14.
go back to reference Eswi A, Khalil A. Prenatal attachment and fetal health locus of control among low risk and high risk pregnant women. World Applied Scie. 2012;18(4):462–71. Eswi A, Khalil A. Prenatal attachment and fetal health locus of control among low risk and high risk pregnant women. World Applied Scie. 2012;18(4):462–71.
15.
go back to reference Beckett C, Taylor H. Human growth and development. New Delhi: SAGE; 2010. Beckett C, Taylor H. Human growth and development. New Delhi: SAGE; 2010.
16.
go back to reference Moghaddam Hoseini V. Jaafarnejadf F, Soltani-far a. impact of maternal attachment style on mother to infant attachment. Qom Univ Med Sci J. 2011;5(3):87–91. Moghaddam Hoseini V. Jaafarnejadf F, Soltani-far a. impact of maternal attachment style on mother to infant attachment. Qom Univ Med Sci J. 2011;5(3):87–91.
17.
go back to reference Rees C. Thinking about children’s attachments. Arch Dis Child. 2005;90:1058–65.CrossRef Rees C. Thinking about children’s attachments. Arch Dis Child. 2005;90:1058–65.CrossRef
18.
go back to reference Sroufe L. Attachment and development: a prospective, longitudinal study from birth to adulthood. Attach Hum Dev. 2005;7:349–67.CrossRef Sroufe L. Attachment and development: a prospective, longitudinal study from birth to adulthood. Attach Hum Dev. 2005;7:349–67.CrossRef
19.
go back to reference Dekleyn M, Greenberg M. Attachment and psychopathology in childhood. In: Cassidy J, Shaver P, editors. Handbook of attachment: Theory, research, and clinical applications. New York: Guilford Press; 2008. Dekleyn M, Greenberg M. Attachment and psychopathology in childhood. In: Cassidy J, Shaver P, editors. Handbook of attachment: Theory, research, and clinical applications. New York: Guilford Press; 2008.
20.
go back to reference Lyons-Ruth K, Jacobvitz D. Handbook of attachment: theory, research, and clinical applications. In: Cassidy J, Shaver P, editors. Attachment disorganization: genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. 2 ed. New York: Guilford press; 2008. Lyons-Ruth K, Jacobvitz D. Handbook of attachment: theory, research, and clinical applications. In: Cassidy J, Shaver P, editors. Attachment disorganization: genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. 2 ed. New York: Guilford press; 2008.
21.
go back to reference Weinfield N, Sroufe L, Egeland B, Carlson E. Individual differences in infant-caregiver attachment: conceptual and empirical aspects of security. In: Cassidy J, Shaver P, editors. Handbook of attachment: theory, research, and clinical applications, 2 ed. New York: Guilford Press; 2008. Weinfield N, Sroufe L, Egeland B, Carlson E. Individual differences in infant-caregiver attachment: conceptual and empirical aspects of security. In: Cassidy J, Shaver P, editors. Handbook of attachment: theory, research, and clinical applications, 2 ed. New York: Guilford Press; 2008.
22.
go back to reference Barlow J, Svanberg P. Keeping the baby in mind: infant mental health in practice. New York: Taylor & Francis Group; 2009.CrossRef Barlow J, Svanberg P. Keeping the baby in mind: infant mental health in practice. New York: Taylor & Francis Group; 2009.CrossRef
23.
go back to reference Parsons C, Young K, Murray L, Stein A, Kringelbach M. The functional neuro-anatomy of the evolving parent-infant relationship. Prog Neurobiol. 2010;91:241–20.CrossRef Parsons C, Young K, Murray L, Stein A, Kringelbach M. The functional neuro-anatomy of the evolving parent-infant relationship. Prog Neurobiol. 2010;91:241–20.CrossRef
24.
go back to reference Wjik M, saridjan N, Ijzendoorn M, Bakermans-Kranenburg M, Joddoe V, Hofman A, Al E. Attachment depression and cortisol; deviant patterns in insecure-resistant and disorganized infanints. Dev Psychobiol. 2010;52:441–52.CrossRef Wjik M, saridjan N, Ijzendoorn M, Bakermans-Kranenburg M, Joddoe V, Hofman A, Al E. Attachment depression and cortisol; deviant patterns in insecure-resistant and disorganized infanints. Dev Psychobiol. 2010;52:441–52.CrossRef
25.
go back to reference Feldman J. The effect of support expectations on prenatal attachment: an evidence based approach for intervention on an adolescent population. Child Adoles Social Work J. 2007;24:209–35.CrossRef Feldman J. The effect of support expectations on prenatal attachment: an evidence based approach for intervention on an adolescent population. Child Adoles Social Work J. 2007;24:209–35.CrossRef
26.
go back to reference Meleis A. Transition theory: middle range and situation specific theories in nursing research and Practicies. New York: Springer Publishing Company; 2010. Meleis A. Transition theory: middle range and situation specific theories in nursing research and Practicies. New York: Springer Publishing Company; 2010.
27.
go back to reference Mercer R. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36:226–32.CrossRef Mercer R. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36:226–32.CrossRef
28.
go back to reference Raphael-Leff J. Psychological processes of childbearing. London: The Anna Freud Centre; 2005. Raphael-Leff J. Psychological processes of childbearing. London: The Anna Freud Centre; 2005.
29.
go back to reference Theran S, Levendosky A, Bogat A, Huth-Bocks A. Stability and change in mothers’ internal representations of their infants over time. Attach Hum Dev. 2005;7:253–68.CrossRef Theran S, Levendosky A, Bogat A, Huth-Bocks A. Stability and change in mothers’ internal representations of their infants over time. Attach Hum Dev. 2005;7:253–68.CrossRef
30.
go back to reference Brandon A, Pitts S, Denton W, Stringer A, Evans H. A history of the theory of prenatal attachment. Prenat Prinat Psychol Health. 2009;23:201–22. Brandon A, Pitts S, Denton W, Stringer A, Evans H. A history of the theory of prenatal attachment. Prenat Prinat Psychol Health. 2009;23:201–22.
31.
go back to reference Ammaniti M, Tambelli R, Odorisio F. Exploring maternal representations during pregnancy in normal and at-risk samples: the use of the interview of maternal representations during pregnancy. Infant Ment Health J. 2013;34:1–10.CrossRef Ammaniti M, Tambelli R, Odorisio F. Exploring maternal representations during pregnancy in normal and at-risk samples: the use of the interview of maternal representations during pregnancy. Infant Ment Health J. 2013;34:1–10.CrossRef
32.
go back to reference Leva-Giroux R. Prenatal maternal attachment: the lived experience. Doctor of nursing sciences University of sandiego, 2002. Leva-Giroux R. Prenatal maternal attachment: the lived experience. Doctor of nursing sciences University of sandiego, 2002.
33.
go back to reference Eichhorn N. Maternal fetal attachment: can acceptance of fetal sentience impact the maternal-fetal attachment relationship? J Prenat Perinat Psychol Health. 2012;27(1):47–55. Eichhorn N. Maternal fetal attachment: can acceptance of fetal sentience impact the maternal-fetal attachment relationship? J Prenat Perinat Psychol Health. 2012;27(1):47–55.
34.
go back to reference Armstrong D. Emotional distress and prenatal attachment in pregnancy after perinatal loss. J Nurs Scholarsh. 2002;34:339–45.CrossRef Armstrong D. Emotional distress and prenatal attachment in pregnancy after perinatal loss. J Nurs Scholarsh. 2002;34:339–45.CrossRef
35.
go back to reference Zimerman A, Doan H. Prenatal attachment and other feeling and thoughts during pregnancy in three groups of pregnant women. J Prenat Perinat Psychol Health. 2003;18:2. Zimerman A, Doan H. Prenatal attachment and other feeling and thoughts during pregnancy in three groups of pregnant women. J Prenat Perinat Psychol Health. 2003;18:2.
36.
go back to reference Huth-Bocks A, Levendosky A, Bogat G, Eye A. The impact of maternal charactristics and contextual variables on infant-mothr attachment. Child Dev. 2004;75:480–96.CrossRef Huth-Bocks A, Levendosky A, Bogat G, Eye A. The impact of maternal charactristics and contextual variables on infant-mothr attachment. Child Dev. 2004;75:480–96.CrossRef
37.
go back to reference Bielawska B, Siddiqui A. A study of prenatal attachment with Swedish and polish expectant mothers. J Reprod Infant Psychol. 2008;26:372–84. Bielawska B, Siddiqui A. A study of prenatal attachment with Swedish and polish expectant mothers. J Reprod Infant Psychol. 2008;26:372–84.
38.
go back to reference Stemmle P. An exploration of maternal variables impacting infant attachment status among high risk pregnant adolescent. Doctor of psychology. California: Palo Alto University; 2010. Stemmle P. An exploration of maternal variables impacting infant attachment status among high risk pregnant adolescent. Doctor of psychology. California: Palo Alto University; 2010.
39.
go back to reference Mcfarland J, Salis Bury A, Battle C, Hawes K, Halloran K, Laster B. Major depressive disorders during pregnancy and emotional attachment to the fetus. Arch Women Ment Health. 2011;14:424–34.CrossRef Mcfarland J, Salis Bury A, Battle C, Hawes K, Halloran K, Laster B. Major depressive disorders during pregnancy and emotional attachment to the fetus. Arch Women Ment Health. 2011;14:424–34.CrossRef
40.
go back to reference Silvera A. Prenatal attachment in adolescent: relationship with maternity identify, parent and peer attachment and father of the baby. Doctor of Psychology: Alliant International University; 2013. Silvera A. Prenatal attachment in adolescent: relationship with maternity identify, parent and peer attachment and father of the baby. Doctor of Psychology: Alliant International University; 2013.
41.
go back to reference Torshizi M. Different Dimensions of Maternal-Fetal Attachment Behaviors and Associated Factors in Pregnant Women Referred to Health Centers of Birjand, Iran. IJOGI. 2013;16(72):13–21 (Article in Persian). Torshizi M. Different Dimensions of Maternal-Fetal Attachment Behaviors and Associated Factors in Pregnant Women Referred to Health Centers of Birjand, Iran. IJOGI. 2013;16(72):13–21 (Article in Persian).
42.
go back to reference Burke C. The effects of an 18-hours prenatal attachment program on maternal emotional attachment, A dissertation presented in partial fulfillment of the requirements for the degree Doctor of Psychology. USA: Capella University; 2007. Burke C. The effects of an 18-hours prenatal attachment program on maternal emotional attachment, A dissertation presented in partial fulfillment of the requirements for the degree Doctor of Psychology. USA: Capella University; 2007.
43.
go back to reference Davachi A, Khoramroodi R, Shahpoorian F, Haghani H. Fetal touching! Does it improve maternal fetal or meternal newborn attachment? Journal of Iran Nursing. 2001;13:16–44 (Article in Persian). Davachi A, Khoramroodi R, Shahpoorian F, Haghani H. Fetal touching! Does it improve maternal fetal or meternal newborn attachment? Journal of Iran Nursing. 2001;13:16–44 (Article in Persian).
44.
go back to reference Taavoni S, Ahadi M, Ganji T, Hosseini F. Comparison of Maternal Fetal Attachment between Primgravidas and Multigravidas Women with Past History of Fetal or Neonatal Death. IJN. 2008;21(53):53–61 (Article in Persian). Taavoni S, Ahadi M, Ganji T, Hosseini F. Comparison of Maternal Fetal Attachment between Primgravidas and Multigravidas Women with Past History of Fetal or Neonatal Death. IJN. 2008;21(53):53–61 (Article in Persian).
45.
go back to reference Abasi A, Tafazoli M, Esmaeili H. The Effect of Foetal Movement Counting on Primipara Maternal Fetal Attachment. J Mazandaran Univ Med Sci. 2010;20(77):53–60 (Article in Persian). Abasi A, Tafazoli M, Esmaeili H. The Effect of Foetal Movement Counting on Primipara Maternal Fetal Attachment. J Mazandaran Univ Med Sci. 2010;20(77):53–60 (Article in Persian).
46.
go back to reference Akbarzadeh M,Toosi M, Zare N, Sharif F. Effect of learning attachment behaviors on anxiety and maternal fetal attachment in first pregnant women. EBCJ. 2011; 1(1): 21–34. (Article in Persian). Akbarzadeh M,Toosi M, Zare N, Sharif F. Effect of learning attachment behaviors on anxiety and maternal fetal attachment in first pregnant women. EBCJ. 2011; 1(1): 21–34. (Article in Persian).
47.
go back to reference Jamshidimanesh M, Astaraki L, Behboodi-Moghadam Z, Taghizadeh Z, Haghani H. Maternal-Fetal Attachment and its Associated Factors. Hayat. 2013;18(5):33–45 (Article in Persian). Jamshidimanesh M, Astaraki L, Behboodi-Moghadam Z, Taghizadeh Z, Haghani H. Maternal-Fetal Attachment and its Associated Factors. Hayat. 2013;18(5):33–45 (Article in Persian).
48.
go back to reference Toosi M, Akbarzadeh A, Zare N, Sharif F. Effect of Attachment Training on Anxiety and Attachment Behaviors of first-time Mothers. Hayat. 2011;17(3):69–79 (Article in Persian). Toosi M, Akbarzadeh A, Zare N, Sharif F. Effect of Attachment Training on Anxiety and Attachment Behaviors of first-time Mothers. Hayat. 2011;17(3):69–79 (Article in Persian).
49.
go back to reference Taffazoli M, Montakhab Asadi M, Aminyazdi SA, Shakeri MT. The relationship between maternal-fetal attachment and mother-infant attachment behaviors in Primiparous women referring to Mashhad health care centers. J Midwifery Reprod Health. 2015;3(2):318–27. Taffazoli M, Montakhab Asadi M, Aminyazdi SA, Shakeri MT. The relationship between maternal-fetal attachment and mother-infant attachment behaviors in Primiparous women referring to Mashhad health care centers. J Midwifery Reprod Health. 2015;3(2):318–27.
50.
go back to reference Abdollahzade-Rafi M, Hassanzadeh M, Ahmadi S, Taheri M, Hosseini M. Relationship between social support with depression and anxiety during third trimester pregnancy. IJNR. 2012;7(26):1–10 (Article in Persian). Abdollahzade-Rafi M, Hassanzadeh M, Ahmadi S, Taheri M, Hosseini M. Relationship between social support with depression and anxiety during third trimester pregnancy. IJNR. 2012;7(26):1–10 (Article in Persian).
51.
go back to reference Pakdaman S. The relationship between attachment and community engagement in adolescents. Thesis for fulfillment of PhD in psychology. Iran: Tehran University; 2001. (in Persian) Pakdaman S. The relationship between attachment and community engagement in adolescents. Thesis for fulfillment of PhD in psychology. Iran: Tehran University; 2001. (in Persian)
52.
go back to reference Shabangiz A, Ehsanpour S. Association between depression and delivery type. HUMJ. 2014;18(2):151–8 (Article in Persian). Shabangiz A, Ehsanpour S. Association between depression and delivery type. HUMJ. 2014;18(2):151–8 (Article in Persian).
53.
go back to reference Moshki M, Baloochi-Beydikhti T, Cheravi K. The Relationship of Postpartum Depression to Health Control Beliefs and Demographic Factors. ZUMS Journal. 2015;22(92):74–85 (Article in Persian). Moshki M, Baloochi-Beydikhti T, Cheravi K. The Relationship of Postpartum Depression to Health Control Beliefs and Demographic Factors. ZUMS Journal. 2015;22(92):74–85 (Article in Persian).
54.
go back to reference Panahi-shahri M. The primary study in validity, reliability and norms of the state-trait anxiety inventory (STAI). MS. thesis. Tehran: Tarbiat Modares University, College of Psychology; 2002. Panahi-shahri M. The primary study in validity, reliability and norms of the state-trait anxiety inventory (STAI). MS. thesis. Tehran: Tarbiat Modares University, College of Psychology; 2002.
55.
go back to reference Behzadi B, Sarvghad S, Samani S. The Persian version of confirmatory factor analysis on the relationship between parental bonding Parker. Methods Psychol Models. 2011;2(6):81–98 (Article in Persian). Behzadi B, Sarvghad S, Samani S. The Persian version of confirmatory factor analysis on the relationship between parental bonding Parker. Methods Psychol Models. 2011;2(6):81–98 (Article in Persian).
56.
go back to reference Peyvandi P, Ahadi H, Mazaheri MA, Jomehri F, Kiyamanesh AR. Prediction of postnatal depression based on maternal-infant attachment, attachment styles and marital satisfaction in mothers of premature infants and normal infants. Thought Behav Clinical Psychol. 2013;8(29):37–46 (Article in Persian). Peyvandi P, Ahadi H, Mazaheri MA, Jomehri F, Kiyamanesh AR. Prediction of postnatal depression based on maternal-infant attachment, attachment styles and marital satisfaction in mothers of premature infants and normal infants. Thought Behav Clinical Psychol. 2013;8(29):37–46 (Article in Persian).
57.
go back to reference Hobbs K. An invstigation into the relationships between psychological functioning, engagement with obstetric services and prenatal attachment, A dissertation presented in partial fulfillment of the requirements for the degree doctor of Psychology. UK: University of Sheffield; 2010. Hobbs K. An invstigation into the relationships between psychological functioning, engagement with obstetric services and prenatal attachment, A dissertation presented in partial fulfillment of the requirements for the degree doctor of Psychology. UK: University of Sheffield; 2010.
58.
go back to reference Alhusen J, Gross D, Hayat M, Woods A, Sharps P. The influence of maternal- fetal attachment and health practices on neonatal outcomes in low- income urban women. Res Nurs Health. 2012;35:112–20.CrossRef Alhusen J, Gross D, Hayat M, Woods A, Sharps P. The influence of maternal- fetal attachment and health practices on neonatal outcomes in low- income urban women. Res Nurs Health. 2012;35:112–20.CrossRef
59.
go back to reference Walsh J, Hepper EG, Marshall BJ. Investigating attachment, care giving, and mental health: a model of maternal-fetal relationships. BMC Preg Child Birth. 2014;14:383.CrossRef Walsh J, Hepper EG, Marshall BJ. Investigating attachment, care giving, and mental health: a model of maternal-fetal relationships. BMC Preg Child Birth. 2014;14:383.CrossRef
60.
go back to reference Tabaeh-Emami SH, Noori A, Malekpour M, Abedi A. Effectiveness of Cognitive-Behavior Training for Mothers on Changing Maternal Behavior and Child’s Insecure Attachment. J Clinical Psych. 2011;3(3):7–16 (Article in Persian). Tabaeh-Emami SH, Noori A, Malekpour M, Abedi A. Effectiveness of Cognitive-Behavior Training for Mothers on Changing Maternal Behavior and Child’s Insecure Attachment. J Clinical Psych. 2011;3(3):7–16 (Article in Persian).
Metadata
Title
Maternal-fetal emotional relationship during pregnancy, its related factors and outcomes in Iranian pregnant women: a panel study protocol
Authors
Vajihe Atashi
Shahnaz Kohan
Zahra Salehi
Kobra Salehi
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0620-6

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