Pregnancy intendedness, maternal–fetal bonding, and postnatal maternal–infant bonding

2021 ◽  
Author(s):  
Karina M. Shreffler ◽  
Tiffany N. Spierling ◽  
Jens E. Jespersen ◽  
Stacy Tiemeyer
Keyword(s):  
Pregnancy Intendedness

scholarly journals Meaning of Pregnancy Terms Among African-American Women

2017 ◽  
Author(s):  
Stephanie Solomon ◽  
Sandra Suther ◽  
Ivette Lopez ◽  
Alicestine Ashford ◽  
Linda Amankwaa ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
White Women ◽  
Childbearing Age ◽  
American Women ◽  
Planning Policy ◽  
Pregnancy Intendedness ◽  
Women's Lives ◽  
Recurrent Patterns ◽  
Descriptive Method

The concept of pregnancy intendedness is complex and may not bear the same meaning to all women. Moreover, researcher definition and women’s meaning were thought to be different. Some researchers have indicated that it is unclear how well women understand and relate to questions used by the National Survey of Family Growth (NSFG) and how the classifications relate to women’s lives. The purpose of this study was to explore the meaning of terms such as planned and/or intended pregnancy among African-American women of childbearing age using a qualitative exploratory descriptive method. Although African-American women want children, they are three times as likely to experience an unintended pregnancy as white women. Data extracted from transcripts were coded and analyzed for recurrent patterns and themes. For this study, the Theory of Planned Behavior (Ajzen & Fishbein, 1980) was employed to frame interview questions and to interpret data. Findings suggest participants and partners often did not have the same perceptions or meanings of pregnancy planning or intentions. These findings have implications for research and family planning policy.

Associations of Intrauterine Growth Restriction Among Term Infants and Maternal Pregnancy Intendedness, Initial Happiness About Being Pregnant, and Sense of Control

PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_1) ◽  
pp. 1171-1175
Author(s):  
Sharon Durousseau ◽  
Gilberto F. Chavez
Keyword(s):  
Confidence Interval ◽  
Psychosocial Factors ◽  
Intrauterine Growth Restriction ◽  
Odds Ratio ◽  
Growth Restriction ◽  
Sense Of Control ◽  
Term Infants ◽  
Mortality And Morbidity ◽  
Intrauterine Growth ◽  
Pregnancy Intendedness

Objective. Term infants (≥37 weeks’ gestation) who weigh <2500 g have intrauterine growth restriction (IUGR) and have a higher risk of mortality and morbidity. Little is known about how psychosocial factors affect the risk of IUGR. We examined the association between IUGR and maternal pregnancy intendedness, initial happiness about becoming pregnant, and maternal sense of control. Methods. We analyzed data from a survey of California mothers aged ≥15 years with term live births in 1999 and 2000 (N = 5961). Mothers were asked about pregnancy intendedness before pregnancy, initial happiness about becoming pregnant, and maternal sense of control, assessed by a standardized scale. We examined the association of having an infant with IUGR and these factors in univariate and multivariate analyses. Results. Mothers with low sense of control (3.0%) and average sense of control (2.7%) were more likely to have an infant with IUGR than mothers with high sense of control (1.8%; odds ratio: 1.8; 95% confidence interval: 1.2–2.9; and odds ratio: 1.6; 95% confidence interval: 1.0–2.5). After multivariate analysis, we found no significant association between sense of control and IUGR. We also found no significant association between IUGR and pregnancy intendedness and happiness about becoming pregnant. Conclusions. We found no statistically significant association between IUGR and maternal pregnancy intendedness, initial happiness about becoming pregnant, and maternal sense of control. Although research should continue to explore associations between psychosocial factors and IUGR, prenatal care programs should focus on known risk factors for IUGR.

scholarly journals Pregnancy Intendedness by Maternal Disability Status and Type in the United States

2020 ◽  
Vol 52 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Willi Horner‐Johnson ◽  
Mekhala Dissanayake ◽  
Justine P. Wu ◽  
Aaron B. Caughey ◽  
Blair G. Darney
Keyword(s):  
United States ◽  
The United States ◽  
Disability Status ◽  
Pregnancy Intendedness

scholarly journals The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Karina M. Shreffler ◽  
Stacy Tiemeyer ◽  
Jameca R. Price ◽  
Lance T. Frye
Keyword(s):  
Low Income ◽  
Contraceptive Use ◽  
Short Interval ◽  
Subsequent Pregnancy ◽  
Unintended Pregnancies ◽  
Contraceptive Counseling ◽  
Contraception Use ◽  
Increased Risk ◽  
Pregnancy Intendedness ◽  
A Current

Abstract Background The study was conducted to prospectively examine how pregnancy intendedness and prenatal provider counseling about postpartum contraceptive options are associated with lack of contraception use at 6 months post-birth (e.g., increased risk for a short interpregnancy interval). Methods Logistic regression models were used to examine risk for no postpartum contraception use among a sample of low-income and racially/ethnically diverse women recruited from two metropolitan perinatal clinics in Tulsa, OK. Results Women who reported that they were trying to get pregnant or “okay either way” about getting pregnant had significantly lower odds of using contraception at 6 months post childbirth than those who had unintended pregnancies. Having providers who discussed postpartum contraceptive options during pregnancy significantly increased the odds of contraceptive uptake among those who were planning or ambivalent about their pregnancies. Conclusions Intentions of a current pregnancy and provider contraceptive counseling matter for postpartum contraceptive use and the associated risk for a short interval subsequent pregnancy. Provider contraceptive counseling that accounts for the intendedness of a current pregnancy may offer a more targeted approach to prevent a short interval subsequent pregnancy.

scholarly journals Determinants of dietary patterns and diet quality during pregnancy: a systematic review with narrative synthesis

2016 ◽  
Vol 20 (6) ◽  
pp. 1009-1028 ◽  
Author(s):  
Ina-Merle Doyle ◽  
Brigitte Borrmann ◽  
Angelique Grosser ◽  
Oliver Razum ◽  
Jacob Spallek
Keyword(s):  
Systematic Review ◽  
Dietary Intake ◽  
Dietary Patterns ◽  
Health Behaviours ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Social ◽  
Pregnancy Intendedness ◽  
Life Course Framework ◽  
In Pregnancy

AbstractObjectiveTo identify determinants of diet in pregnancy, by detecting factors in our multiple-determinants life course framework that are associated with dietary patterns, quality or guideline adherence.DesignA systematic review of observational studies, published in English or German, was conducted. Sociodemographic, lifestyle, environmental and pregnancy-related determinants were considered. Four electronic databases were searched in January 2015 and updated in April 2016 and a total of 4368 articles identified. Risk of bias was assessed using adapted Newcastle–Ottawa Scales.SettingHigh- and upper-middle-income countries.SubjectsPregnant or postpartum women reporting their dietary intake during pregnancy.ResultsSeventeen publications of twelve studies were included and compared narratively due to heterogeneity. Diet in pregnancy was patterned along a social gradient and aligned with other health behaviours before and during pregnancy. Few studies investigated the influence of the social and built environment and their findings were inconsistent. Except for parity, pregnancy determinants were rarely assessed even though pregnancy is a physiologically and psychologically unique period. Various less well-researched factors such as the role of ethnicity, pregnancy intendedness, pregnancy ailments and macro-level environment were identified that need to be studied in more detail.ConclusionsThe framework was supported by the literature identified, but more research of sound methodology is needed in order to conclusively disentangle the interplay of the different determinants. Practitioners should be aware that pregnant women who are young, have a low education or do not follow general health advice appear to be at higher risk of inadequate dietary intake.

scholarly journals Eight Indicators of Unilateral Pregnancy

2010 ◽  
Vol 4 (4) ◽  
pp. 323-333 ◽  
Author(s):  
Kevin Melchionne
Keyword(s):  
United States ◽  
Unintended Pregnancy ◽  
Contraceptive Use ◽  
Family Formation ◽  
The United States ◽  
Pregnancy Intention ◽  
Pregnancy Intendedness ◽  
Mothers And Children ◽  
Definition Of

Unintended pregnancy often leads to undesirable outcomes for both mothers and children. However, the definition of unintended pregnancy in the sociology of family formation has been restricted to the intentions of mothers. The intentions of fathers—and, with them, the possible role of disagreement about pregnancy intention—remain outside most conceptual frameworks and research programs. This article draws together a number of indicators of unilateral pregnancy in research on contemporary family formation in the United States. Studies of pregnancy intendedness and contraceptive use consistently provide evidence suggesting a significant role for unilateral pregnancy in family formation. Working on the assumption that unilateral pregnancy presents great potential for social dislocation, this article argues for the integration of the concept of unilateral pregnancy into the theoretical framework informing research on family formation.

scholarly journals Pregnancy happiness: implications of prior loss and pregnancy intendedness

2019 ◽  
Vol 38 (2) ◽  
pp. 184-198 ◽  
Author(s):  
Stacy Tiemeyer ◽  
Karina Shreffler ◽  
Julia McQuillan
Keyword(s):  
Pregnancy Intendedness

Pregnancy Intendedness and the Use of Periconceptional Folic Acid

PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_1) ◽  
pp. 1142-1145 ◽  
Author(s):  
Kenneth D. Rosenberg ◽  
Jill M. Gelow ◽  
Alfredo P. Sandoval
Keyword(s):  
Folic Acid ◽  
Confidence Interval ◽  
Older Women ◽  
Adolescent Mothers ◽  
Low Income ◽  
Odds Ratio ◽  
Response Rate ◽  
Pregnancy Risk ◽  
Pregnancy Intendedness ◽  
Ongoing Surveillance

Objective. Periconceptional use of folic acid can prevent birth defects, including at least 50% of neural tube defects. This study used an ongoing surveillance system to explore the association between pregnancy intendedness and women taking periconceptional folic acid. Methods. Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) surveys a stratified random sample of women after a live birth. In 1998–1999, 1867 women completed the survey (64.0% response rate); responses were weighted for nonresponse. Women were asked whether they took folic acid most days in the month before becoming pregnant. Results. Overall, 33.2% of women took folic acid most days in the month before becoming pregnant, and 39.9% said that their pregnancy was unintended. Adolescent mothers were less likely to take periconceptional folic acid (9.2%) and more likely to report unintended pregnancy (62.0%) than older women. Overall, women who said that their pregnancy was intended were more likely to report that they had taken periconceptional folic acid (odds ratio: 4.75; 95% confidence interval: 3.16–7.14); after controlling for maternal age and income the odds ratio was 3.70 (95% confidence interval: 2.38–5.56). Conclusions. Women whose pregnancies were intended were more likely to have been taking periconceptional folic acid than women whose pregnancies were unintended. The importance of fertile women’s taking daily multivitamins that contain 400 μg (0.4 mg) of folic acid should be stressed among women who are not contemplating pregnancy, especially adolescents and low-income women.

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