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Biomedical subjects

M S Cranley

Publications and source records attributed to M S Cranley.

12 recordsLinked to original sources

Social support as a factor in the development of parents' attachment to their unborn.

Two studies are discussed which have investigated the association between aspects of social support and parents' attachment to their unborn children. The first study involved interviews of 30 women in the third trimester of pregnancy and utilized a broad conceptualization of social support measured by a questionnaire developed for the study. Overall social support was positively associated with the woman's attachment to her fetus; support from health care professionals was more highly correlated with attachment (.74) than was support from family and friends (.25). The second study utilized questionnaires from 326 couples to investigate the relationship between fetal attachment and satisfaction with the marital relationship. Results revealed a positive association between marital relationship and attachment to the fetus for both men and women. Implications for further research are discussed.

Adult↗

Perinatal risk.

Genetic inheritance, the embryonic-fetal environment, and the family and social milieu are factors that may place the fetus-newborn at an increased risk for premature birth, congenital malformations, or neonatal illness. Knowledge of these factors is crucial to providing optimum nursing care to newborns. These factors are discussed in detail, and appropriate nursing assessments and interventions are reviewed.

Adult↗

Effect of fetal movement, ultrasound scans, and amniocentesis on maternal-fetal attachment.

The effects of fetal movement, ultrasound scans, and amniocentesis on maternal-fetal attachment and perception of fetal development in normal pregnancy were examined in 91 women during the second trimester. Women who reported feeling fetal movement early in pregnancy had higher maternal-fetal attachment scores and higher perception of fetal development scores. Ultrasound scans had no effect on either variable. Women who had genetic amniocentesis had lower attachment scores before the procedure, but one month later the attachment scores were not significantly different from those of other women. Both maternal-fetal attachment and perceptions of fetal development increased significantly from 16 to 20 weeks of gestation. There was a small but significant correlation between attachment scores and perception of fetal development.

Adult↗

Women's perceptions of vaginal and cesarean deliveries.

Three groups of women were compared to determine their perceptions of giving birth and the relationships between those perceptions and their degree of participation in decision making, the type of anesthesia for delivery, and the presence of their husbands at the births. Forty women had vaginal deliveries; 39 had emergency cesareans, and 43 had planned cesareans. All the women were interviewed and completed self-administered questionnaires two to four days after delivery. The three groups had significantly different perceptions of the birth experience with the emergency cesarean birth group having the most negative perception. Among women having cesareans, more positive perceptions were associated with regional anesthesia, presence of their husbands at delivery, and greater participation in decision making. Women in the cesarean groups were less likely to breast feed, and those having planned cesareans were least likely to attend childbirth classes. Many of the women were unaware of the options available to them that could influence the birth experiences.

Adolescent↗

An exploration of paternal-fetal attachment behavior.

A 63-item questionnaire utilizing the modified Maternal-Fetal Attachment Scale (PFA) (Cranley, 1981), the Marital Relationship Scale (Wapner, 1976), and the Physical History Scale (Wapner, 1976) was tested on 100 expectant fathers who had wives in their third trimester of pregnancy. Scores on the PFA were positively correlated with the strength of the marital relationship as perceived by the expectant father during pregnancy. A positive but weak association was shown between paternal-fetal attachment and the incidence of physical symptoms resembling pregnancy in the expectant father. Further testing of the PFA and related variables is indicated.

Female↗

Development of a tool for the measurement of maternal attachment during pregnancy.

A 24-item scale with five subscales was developed to measure the construct of maternal-fetal attachment during pregnancy and tested on 71 subjects in the third trimester of pregnancy. Content validity was built into the scale. A coefficient of reliability of .85 was demonstrated for the scale with the reliability of the subscales ranging from .52 to .73. Scores of the MFA scale were positively correlated with the amount of available social support reported by women and with their perceptions of babies three days after birth. There was a negative association between MFA scores and the amount of stress perceived by the women. Further refinement of the scale is indicated.

Female↗