Pregnancy Intention and Its Effect on Antenatal Care Service Utilization, Postpartum Infant Bonding, and Postpartum Depression | ||||
| Egyptian Journal of Health Care | ||||
| Article 51, Volume 11, Issue 2, June 2020, Page 804-825 PDF (527.09 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.208573 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Fatma Mohammed Ibrahim Morsi1; Amira Mohammed Attya2; Zienab Mohammed Ibrahim Morsi3 | ||||
| 1Lecturer of Psychiatric/Mental Health Nursing - Faculty of Nursing - Ain Shams University | ||||
| 2Lecturer of Maternity & Neonatal Health Nursing- Faculty of Nursing - Ain Shams | ||||
| 3Lecturer of Psychiatric/Mental Health Nursing - Faculty of Nursing – MTI | ||||
| Abstract | ||||
| Background: Unplanned conception resulting in a live delivery can have serious health, psychosocial, and economic consequences; and increases the likelihood of bonding failure and postpartum depression. Aim: This study aimed to assess the effect of pregnancy intention on antenatal care service utilization, postpartum infant bonding, and postpartum depression. Design: A cross- sectional, analytical study design was utilized on 213 women who were attending breast feeding clinic, and outpatient clinic in Obstetrics and Gynecology Hospital - It is affiliated to Ain Shams University Hospitals. Tools of data collection: The data was collected using 1) Mother’s interviewing questionnaire that included a) Mother’s demographic characteristics, and b) obstetric history; 2) London Measure of Unplanned Pregnancy; 3) Postpartum Bonding Questionnaire; and 4) Edinburg postnatal depression scale. Results: data analysis revealed that, (72.8%) of the studied women had unintended pregnancy as (32.4%) of them had unplanned pregnancy, and (40.4%) of them had ambivalent pregnancy, while (27.2%) of them had planned pregnancy. Also (59.2%) of the studied women had postpartum depressive symptoms (EPD Score ≥13). Also, (61.9%) of the studied women had postpartum infant bonding disorder. There was a highly statistically significant relation between pregnancy intention and antenatal care service utilization, also there were statistically significant moderate negative correlations between pregnancy intention, and postpartum depression and two domains of postpartum infant bonding which are infant focused anxiety domain and rejection and pathologic anger domain. Conclusion: This study concluded that, women with unintended pregnancy experienced lack of antenatal care service utilization, postpartum depression, infant focused anxiety, and pathologic anger compared to women with intended pregnancy. Recommendation: 1. Prevention of unintended pregnancy through increasing women awareness regarding family planning camps affiliated to ministry of health and population. 2. Establishing psychosocial counseling clinic to offer psychological support services for couples who are at risk for psychological problems. | ||||
| Keywords | ||||
| Antenatal Care Service Utilization; Maternal Depression; Postpartum Infant Bonding; Pregnancy Intention | ||||
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