The medical care program in the Denmark try taxpayer-funded and you may free with the diligent

The medical care program in the Denmark try taxpayer-funded and you may free with the diligent

Right here we take a look at the the cousin contribution out of a comprehensive set of basic trimester items often based in the female’s pregnancy number or which happen to be without difficulty examined during an initial pregnancy session to your strength away from MAA measured from the third trimester making use of the Maternal Antenatal Attachment Scale (MAAS) . Experience in elements-in particular individuals who are present and can feel recognized early while pregnant-that will be vital to have a healthy MAA, is essential to have early personality of females at risk for development an awful MAA. Since the current meta-data spends strategies that only indirectly target those items that will be the initial determinants out of MAA, this research provides a significant contribution for the literary works inside value.

Study construction

This really is a possible studies spanning questionnaires and fitness records getting expecting mothers doing antenatal proper care check outs provided by the standard professional (GP).


The majority of Danes (99%) are joined which have good GP just who serves as a great gatekeeper so you can second care. No less than three prenatal proper care visits are given by the GP at the pregnancy months six–10, 25 and you will thirty-two. A fourth postnatal go to is performed seven months postpartum. Nearly all women trying to remain the maternity sit-in the original head to. Within this appointment a structured checklist is created (new Maternity Wellness List), that is next taken to midwives in addition to relevant obstetric services.


192 at random selected GP means from the Resource Region and you can Region Zealand participated. An in depth description of your recruitment techniques try revealed elsewhere . Every woman scheduling an appointment to own a primary antenatal worry check out regarding the acting GPs’ techniques ranging from had been qualified to receive involvement. Every woman got oral and you may created facts about your panels at the first visit. When they decided to participate, they offered created consent giving usage of the details using their maternity information and enabling the experts to get hold of her or him and you may post forms. Detachment from consent, miscarriage, triggered abortion and stillbirth was indeed exception standards. The actions was basically in accordance with the Helsinki II Declaration and you may Danish laws. Recognition about Danish Studies Coverage Agency are obtained (Record 2014–41-3018).

Study was indeed compiled of a medical interview presented from the GPs, stated about Pregnancy Wellness List and away from electronic diligent forms. New Pregnancy Health Listing was a two-web page survey that is initiated and you may complete by the GP from the the initial antenatal go to anywhere between gestational weeks 6–ten. An electronic questionnaire developed because of it research is sent by the age-post after every of one’s about three antenatal worry check outs in pregnancy months 6–10, twenty five and you can 32. Questionnaires was basically lso are-provided for low-responders immediately following 2 weeks. Whenever they nevertheless didn’t work, next an e-post and you may Texting had been delivered.

Maternal antenatal attachment

To assess MAA i utilized the Maternal Antenatal Connection Measure (MAAS) pared to many other established tips off MAA (age.g. the fresh Maternal Fetal Attachment Measure or the Prenatal Attachment Inventory ) the MAAS try a comparatively brief survey, it is therefore a whole lot more feasible to make usage of inside the medical habit and you will studies having high questionnaire electric batteries like the latest you to. The scale has shown a beneficial psychometric services regarding the modern recognition degree [cuatro, 27]. As MAA basically increases with GA additionally the event is the greatest caught later during pregnancy , the newest MAAS is included in the questionnaire pursuing the 3rd antenatal see.

Brand new MAAS includes 19 items for each having four ordinal impulse choice. Types of goods are: “For the past two weeks while i consider the kids in to the me personally I have feelings which happen to be…” (solutions anywhere between “really unfortunate” to “very happy”); “For the past two weeks I have considered…” (solutions between “very emotionally faraway of my personal child” so you’re able to “really personal mentally back at my baby”). The new survey steps a couple size of MAA: “quality” (eleven circumstances, henceforth named “Quality”) and you most use dating apps in North Carolina will “stamina otherwise concentration of preoccupation on fetus” (8 products, henceforth named “Intensity”). Top quality means the new mom’s psychological skills to the fetus (the conceptualization of one’s fetus because the ‘a little person’, intimacy, satisfaction, and you may pain and worry within imagined losings as opposed to distance and frustration). Strength stands for brand new concentration of preoccupation away from go out spent considering, talking-to, and you will palpating the newest fetus, we.elizabeth. brand new extent to which the new fetus uses up a main put in your ex psychological existence. (Diversity having Top quality: 11–50; range getting Power: 8–40). A complete MAAS rating (henceforth “All over the world MAAS rating”) can be calculated and it is a composite out of Strength and Top quality, (range: 19–95) with high scores highlighting a healthier MAA.