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Recent versus long-term maternal traumatic life events: Which one impacts prenatal attachment?

Published online by Cambridge University Press:  13 August 2021

L.S. Meddouri ,
S. Bourgou ,
R. Fakhfakh ,
D. Bousnina ,
A. Triki  and
A. Belhadj
L.S. Meddouri*
Affiliation:
Child And Adolescent, Mongi Slim Hospital, La Marsa, Tunisia
S. Bourgou
Affiliation:
Child And Adolescent, Mongi Slim Hospital, La Marsa, Tunisia
R. Fakhfakh
Affiliation:
Preventive Medecine, Aberahman Mami, ariana, Tunisia
D. Bousnina
Affiliation:
Preventive And Social Medecine, mother infant protection center, ezzouhour, Tunisia
A. Triki
Affiliation:
Gynecology And Obstetrics, Mongi Slim Hospital, La Marsa, Tunisia
A. Belhadj
Affiliation:
Child And Adolescent, Mongi Slim Hospital, La Marsa, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Prenatal attachment is a strong predictor of post-natal attachment. Identifying factors influencing this bond is important, especially maternal history of stressful life-events.

Objectives

Determine which type of maternal trauma impacts prenatal attachment.

Methods

We conducted a transversal descriptive study in a first line clinical practice center and in an university gynecology-obstetrics department. We used Prenatal Attachment Inventory (PAI) to assess maternal-fetal attachment, the Childhood Trauma Questionnaire (CTQ) to evaluate maternal childhood stressful events and the Life-Threatening Events (LTE) to explore traumas during the past 6 months.

Results

For the 125 pregnant women in our study, the mean age was 30 years and 5 months with 99,2% of them married. Mean gestational age was 33 weeks +1 day. PAI’s mean score was 55,58± 10,20; CTQ‘s mean score was 36,62 ± 9,53 revealing trauma in 28%. Women admitted being victims of IPV in 49,6% with almost the half (48,38%) being exposed to two or more forms of violence. Mean score for recent traumatic events in LTE was 1,87 with 65,2% being exposed to two or more life threatening event. A correlation between the total score of PAI and CTQ was found (p=0.021) particularly subscales of physical and emotional negligence of the CTQ (p=0.023 and p=0.006). We found no statistically significant correlation neither between PAI and IPV (p=0,453) nor between PAI and LTE (p= 0,360).

Conclusions

Providing an appropriate training for health care providers can enable them to detect pregnancies at risk in order to refer them to trauma-informed mental health services.

Keywords

CTQ
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S209
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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