著者

玉城 清子 賀数 いずみ

出版者

沖縄県立看護大学

雑誌

沖縄県立看護大学紀要 (ISSN:13455133)

巻号頁・発行日

vol.7, pp.10-16, 2006-03

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背景:沖縄県は他府県に比較し、若妊婦の出産率が高い。若年妊婦は思春期・青年期の発達課題と共に母親としての発達課題も獲得しなければならない。若年妊婦の胎児への愛着に関連する要因については、わが国ではまだ明らかにされてない。目的:若年妊婦の胎児への愛着と関連する要因を明らかにする。研究方法:妊娠30週以降の若年妊婦47人を対象に、胎児への愛着、子どもの頃の母親ならびに父親の養育態度、夫婦関係の調和性、ソーシャルサポート、本人やパートナー・実父母・義父母の妊娠の受容、パートナーの結婚相手としての希望程度、妊娠希望の有無、属性の調査を行った。結果:対象の平均年齢18.5歳、パートナー21.8歳。夫婦で独立して生活している者は約3判、他は夫婦または本人のみ実家で生活していた。胎児への愛着と関連の認められた要因は、パートナーの結婚相手としての希望程度、妊娠希望の有無で、学歴や婚姻状況、家族形態などは関連がなかった。パートナーとの結婚を望んだ程度でみると望んだ程度の強いものの方が希望の程度の弱いものよりも、有意に胎児への愛着得点が高く、また、妊娠希望の有無では「有」の方が「無」に比べ有意に愛着得点が高かった。胎児への愛着得点と、夫婦関係の調和性、ソーシャルサポート、子どもの頃母親ならびに父親の養育態度、本人やパートナー・実父母・義父母との関連では、本人・パートナー・実父母の妊娠の受容に有意な関連がみられた。結論:若年妊婦の胎児への愛着と関連するのは、パートナーを結婚相手として希望した程度、妊娠希望の有無、本人ならびにパートナーや実父母の妊娠の受容であることが明らかになった。Background: Okinawa prefecture maintains a higher adolescent pregnancy rate than other prefectures. Adolescent pregnant women have to master their own development skills, and they are also expected to acquire a mother's skills. In Japan, factors related to maternal-fetal attachment in adolescent mothers have yet to be identified. Objectives: The purpose of this study was to identify the factors related to maternal fetal attachment in adolescent mothers. Methods: Forty-seven adolescent pregnant women were recruited from 7 obstetric facilities. Instruments were PAI (Prenatal Attachment Inventory), PBI (Parental Bond Instrument), MDAS (Marital Dyadic Adjustment Scale), ISSIQ (Interview Scheduled for Social Interaction Questionnaire), acceptance of pregnancy, and demographic factors. Results: Mean age of subjects was 18.5 years, and that of husbands or partners was 21.8 years. Only 30% of the couples live independently, and the other 70% of couples (or single women) live with their parents. There were significant differences on PAI with regards to eagerness to get married with partner, and planned pregnancy. PAI score of the women who got married with the more eager partner was higher than for those who got married with a weakly eager partner. There was also a significant difference on PAI score between planned pregnancy and non planned pregnancy. PAI score of the planned pregnant women was higher than non planned pregnancy women. Education, marriage, and family style were not related to PAI score. There were significant correlations between PAI score and acceptance of pregnancy by herself, partner, mother, and father. Conclusions: Eagerness to get married with the partner, planned pregnancy, acceptance of pregnancy by herself, partner, mother, and father seem to be important factors related to maternal attachment to her unborn child for adolescent women.