ANTENATAL DETERMINANTS OF PARENTAL ATTACHMENT AND PARENTING ALLIANCE: HOW DO MOTHERS AND FATHERS DIFFER?

2017 ◽  
Vol 38 (2) ◽  
pp. 183-197 ◽  
Author(s):  
Rita Luz ◽  
Astrid George ◽  
Rachel Vieux ◽  
Elisabeth Spitz
2017 ◽  
Vol 38 (3) ◽  
pp. 445-445
Author(s):  
Rita Luz ◽  
Astrid George ◽  
Rachel Vieux ◽  
Elisabeth Spitz

2014 ◽  
Vol 1580 ◽  
pp. 78-101 ◽  
Author(s):  
J.E. Swain ◽  
P. Kim ◽  
J. Spicer ◽  
S.S. Ho ◽  
C.J. Dayton ◽  
...  

2019 ◽  
Author(s):  
Linda Marlene Richter ◽  
Wiedaad Slemming ◽  
Shane A Norris ◽  
Alan Stein ◽  
Lucilla Poston ◽  
...  

Abstract Background The 2016 World Health Organization Antenatal Guidelines and the 2015 South African Maternal and Child Health Guidelines recommend one early antenatal ultrasound scan to establish gestational age and to detect multiple pregnancies and fetal abnormalities. Prior research indicates that ultrasound can also increase parental-fetal attachment. We aim to establish whether, compared to routine care, messages to promote parental attachment and healthy child development, conducted during one or two pregnancy ultrasounds improve early child development and growth, exclusive breastfeeding, parental-child interactions and pre- and post-natal clinic attendance. Methods The effect of messages to sensitise mothers and fathers to fetal development will be tested in a 3-armed randomised trial with 100 mothers and their partners from Soweto-Johannesburg in each arm. The primary outcome is child development at 6 months post-natal. Secondary outcomes include infant feeding, parental attachment and interaction, parental mental health and infant growth, assessed at 6 weeks and 6 months. Parents in Arm 1 receive a fetal ultrasound <25 weeks during routine antenatal care at tertiary hospitals, and a second standard ultrasound at the research site within 2 weeks. Arm 2 participants receive the routine antenatal ultrasound and an additional ultrasound <25 weeks at the research site, together with messages to promote parental attachment and healthy child development. Arm 3 participants receive the routine ultrasound and two additional ultrasounds at the research site, <25 weeks and <36 weeks, together with messages to promote parental attachment and healthy child development. Discussion Evidence from high-income countries suggests that first-time prospective mothers and fathers enjoy seeing their fetus during ultrasound and that it is an emotional experience. A number of studies have found that ultrasound increases maternal attachment during pregnancy, a predictor of positive parent-infant interactions which, in turn, promotes healthy infant development. It is generally agreed that studies are needed which follow up parental-child behaviour and healthy child development postnatally, include fathers, and examine the construct in a wider diversity of settings, especially in low- and middle-income countries. Testing the added benefits of pregnancy ultrasound for child development is a gap that the proposed trial in South Africa seeks to address. Trial Registration The trial is registered with the Pan African Clinical Trials Registry (https://pactr.samrc.ac.za) on 15 August 2018 (identifier: PACTR201808107241133).


Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Linda Richter ◽  
Wiedaad Slemming ◽  
Shane A. Norris ◽  
Alan Stein ◽  
Lucilla Poston ◽  
...  

Abstract Background The 2016 World Health Organization Antenatal Guidelines and the 2015 South African Maternal and Child Health Guidelines recommend one early antenatal ultrasound scan to establish gestational age and to detect multiple pregnancies and fetal abnormalities. Prior research indicates that ultrasound scan can also increase parental–fetal attachment. We aim to establish whether, compared to routine care, messages to promote parental attachment and healthy child development, conducted during one or two pregnancy ultrasound scans, improve early child development and growth, exclusive breastfeeding, parental–child interactions and prenatal and postnatal clinic attendance. Methods The effect of messages to sensitise mothers and fathers to fetal development will be tested in a three-armed randomised trial with 100 mothers and their partners from Soweto, Johannesburg in each arm. The primary outcome is child development at 6 months postnatally. Secondary outcomes include infant feeding, parental attachment and interaction, parental mental health and infant growth, assessed at 6 weeks and 6 months. Parents in Arm 1 receive a fetal ultrasound scan < 25 weeks during routine antenatal care at tertiary hospitals, and a second standard ultrasound scan at the research site within 2 weeks. Arm 2 participants receive the routine antenatal ultrasound scan and an additional ultrasound scan < 25 weeks at the research site, together with messages to promote parental attachment and healthy child development. Arm 3 participants receive the routine ultrasound scan and two additional ultrasound scans at the research site, < 25 weeks and < 36 weeks, together with messages to promote parental attachment and healthy child development. Discussion Evidence from high-income countries suggests that first-time prospective mothers and fathers enjoy seeing their fetus during ultrasound scan and that it is an emotional experience. A number of studies have found that ultrasound scan increases maternal attachment during pregnancy, a predictor of positive parent–infant interactions which, in turn, promotes healthy infant development. It is generally agreed that studies are needed which follow up parental–child behaviour and healthy child development postnatally, include fathers and examine the construct in a wider diversity of settings, especially in low and middle-income countries. Testing the added benefits of pregnancy ultrasound scan for child development is a gap that the proposed trial in South Africa seeks to address. Trial registration Pan African Clinical Trials Registry, PACTR201808107241133. Registered on 15 August 2018.


2020 ◽  
Vol 8 ◽  
Author(s):  
Renata Tambelli ◽  
Cristina Trentini ◽  
Francesco Dentale

Parental pre-natal representations predict the interactive patterns that parents will put in place after childbirth. Early interactions defined by high parental emotional availability (EA) influence the development of security in children. To date, research on the predictive role of parental pre-natal representations on child attachment is still poor. Moreover, investigations on pre-natal representations have mainly focused on mothers. This study aimed at: investigating the criterion validity of the Interview of Maternal Representations During Pregnancy-Revised (IRMAG-R) and of the Interview of Paternal Representations During Pregnancy (IRPAG), using EA, parental attachment, and child attachment toward both parents, as criteria; testing the incremental validity of the IRMAG-R and IRPAG in the prediction of child attachment, controlling for other covariates, such as depressive and anxious levels during pregnancy, EA, and parental attachment; evaluating the possible mediation role of EA on the relationship between parental representations during pregnancy and child attachment. Fifty couples of primiparous parents were recruited during pregnancy, when the IRMAG-R and IRPAG were administered to mothers and fathers. At 6–9 months after childbirth, the mother–child and father–child interactions were coded by means of the EA Scales (EAS). At 14–18 after childbirth, the Adult Attachment Interview (AAI) was administered to parents, and the Strange Situation Procedure (SSP) was carried out to assess children's attachment toward mothers and fathers, respectively. The results showed significant correlations between parental pre-natal representations and EA, parental attachment and child attachment. As regards the prediction of child attachment, the IRMAG-R/IRPAG categories showed: a significant and large unique contribution for maternal representations; a close to be significant contribution for paternal representations (with a higher effect size for mothers than fathers). Moreover, while the indirect effect of pre-natal representations in the prediction of child attachment was not significant for mothers, it was instead significant for fathers. The results of this study confirmed the criterion validity of the IRMAG-R and IRPAG, and supported the incremental validity of the IRMAG-R and IRPAG in the prediction of children's attachment categories. Finally, the mediation models revealed that EA did not mediate the relationship between maternal pre-natal representations and child attachment, while it totally mediated the relationship between paternal pre-natal representations and child attachment.


2019 ◽  
Author(s):  
Linda Marlene Richter ◽  
Wiedaad Slemming ◽  
Shane A Norris ◽  
Alan Stein ◽  
Lucilla Poston ◽  
...  

Abstract Background The 2016 World Health Organization Antenatal Guidelines and the 2015 South African Maternal and Child Health Guidelines recommend one early antenatal ultrasound scan to establish gestational age and to detect multiple pregnancies and fetal abnormalities. Prior research indicates that ultrasound can also increase parental-fetal attachment. We aim to establish whether, compared to routine care, messages to promote parental attachment and healthy child development, conducted during one or two pregnancy ultrasounds improve early child development and growth, exclusive breastfeeding, parental-child interactions and pre- and post-natal clinic attendance. Methods The effect of messages to sensitise mothers and fathers to fetal development will be tested in a 3-armed randomised trial with 100 mothers and their partners from Soweto-Johannesburg in each arm. The primary outcome is child development at 6 months post-natal. Secondary outcomes include infant feeding, parental attachment and interaction, parental mental health and infant growth, assessed at 6 weeks and 6 months. Parents in Arm 1 receive a fetal ultrasound <25 weeks during routine antenatal care at tertiary hospitals, and a second standard ultrasound at the research site within 2 weeks. Arm 2 participants receive the routine antenatal ultrasound and an additional ultrasound <25 weeks at the research site, together with messages to promote parental attachment and healthy child development. Arm 3 participants receive the routine ultrasound and two additional ultrasounds at the research site, <25 weeks and <36 weeks, together with messages to promote parental attachment and healthy child development. Discussion Evidence from high-income countries suggests that first-time prospective mothers and fathers enjoy seeing their fetus during ultrasound and that it is an emotional experience. A number of studies have found that ultrasound increases maternal attachment during pregnancy, a predictor of positive parent-infant interactions which, in turn, promotes healthy infant development. It is generally agreed that studies are needed which follow up parental-child behaviour and healthy child development postnatally, include fathers, and examine the construct in a wider diversity of settings, especially in low- and middle-income countries. Testing the added benefits of pregnancy ultrasound for child development is a gap that the proposed trial in South Africa seeks to address. Trial Registration The trial is registered with the Pan African Clinical Trials Registry (https://pactr.samrc.ac.za) on 15 August 2018 (identifier: PACTR201808107241133).


2019 ◽  
Author(s):  
Linda Marlene Richter ◽  
Wiedaad Slemming ◽  
Shane A Norris ◽  
Alan Stein ◽  
Lucilla Poston ◽  
...  

Abstract Background The 2016 World Health Organization Antenatal Guidelines and the 2015 South African Maternal and Child Health Guidelines recommend one early antenatal ultrasound scan to establish gestational age and to detect multiple pregnancies and fetal abnormalities. Prior research indicates that ultrasound can also increase parental-fetal attachment. We aim to establish whether, compared to routine care, messages to promote parental attachment and healthy child development, conducted during one or two pregnancy ultrasounds improve early child development and growth, exclusive breastfeeding, parental-child interactions and pre- and post-natal clinic attendance. Methods The effect of messages to sensitise mothers and fathers to fetal development will be tested in a 3-armed randomised trial with 100 mothers and their partners from Soweto-Johannesburg in each arm. The primary outcome is child development at 6 months post-natal. Secondary outcomes include infant feeding, parental attachment and interaction, parental mental health and infant growth, assessed at 6 weeks and 6 months. Parents in Arm 1 receive a fetal ultrasound <25 weeks during routine antenatal care at tertiary hospitals, and a second standard ultrasound at the research site within 2 weeks. Arm 2 participants receive the routine antenatal ultrasound and an additional ultrasound <25 weeks at the research site, together with messages to promote parental attachment and healthy child development. Arm 3 participants receive the routine ultrasound and two additional ultrasounds at the research site, <25 weeks and <36 weeks, together with messages to promote parental attachment and healthy child development. Discussion Evidence from high-income countries suggests that first-time prospective mothers and fathers enjoy seeing their fetus during ultrasound and that it is an emotional experience. A number of studies have found that ultrasound increases maternal attachment during pregnancy, a predictor of positive parent-infant interactions which, in turn, promotes healthy infant development. It is generally agreed that studies are needed which follow up parental-child behaviour and healthy child development postnatally, include fathers, and examine the construct in a wider diversity of settings, especially in low- and middle-income countries. Testing the added benefits of pregnancy ultrasound for child development is a gap that the proposed trial in South Africa seeks to address. Trial Registration The trial is registered with the Pan African Clinical Trials Registry (https://pactr.samrc.ac.za) on 15 August 2018 (identifier: PACTR201808107241133).


Author(s):  
Julia Huemer ◽  
Maria Haidvogl ◽  
Fritz Mattejat ◽  
Gudrun Wagner ◽  
Gerald Nobis ◽  
...  

Objective: This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. Methods: A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Results: Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum – sister pairs sum comparison – of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Conclusions: Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.


2016 ◽  
Vol 4 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Susan T. Tran ◽  
Kristen E. Jastrowski Mano ◽  
Kim Anderson Khan ◽  
W. Hobart Davies ◽  
Keri R. Hainsworth

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