辅助生殖技术助孕孕妇母胎依恋研究的范围综述  

Overview of the scope of research on maternal-fetal attachment in assisted reproductive technology for pregnant women

作　　者：程旭珍 常亚丽 吕燕 章昉[1] 徐鑫芬[2] Cheng Xuzhen;Chang Yali;Lyu Yan;Zhang Fang;Xu Xinfen(Department of Reproductive Endocrinology,Women′s Hospital School of Medicine Zhejiang University,Hangzhou 310006,China;Department of Nursing,Women′s Hospital School of Medicine Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属妇产科医院生殖内分泌科,杭州310006 [2]浙江大学医学院附属妇产科医院护理部,杭州310006

出　　处：《中国实用护理杂志》2025年第1期69-77,共9页Chinese Journal of Practical Nursing

摘　　要：目的对辅助生殖技术(ART)助孕孕妇母胎依恋建立的相关研究进行范围综述,总结母胎依恋在该孕妇群体中的研究现状,为今后研究前景提供参考。方法检索PubMed、Embase、EBSCO、Web of Science、Scopus、Cochrane Library、中国知网、万方数据库、中华医学期刊全文数据库中ART助孕孕妇母胎依恋建立的相关文献,检索时限为建库至2024年1月24日,对文献进行筛选、提取及总结。结果共纳入15篇文献。其中,14篇观察性研究报告了ART助孕孕妇母胎依恋的整体状况良好,但国内研究数据来源不足。15篇文献共使用3个评价工具,总结了影响母胎依恋发展的相关因素,分别是人口学因素(年龄、人格特质)、妊娠相关因素(如受孕方式、孕周、不孕史、流产史等)、社会心理因素(如焦虑、抑郁、矛盾、生育态度、怀孕接受度、社会支持、婚姻满意度等)。4篇文献涉及了提升ART助孕孕妇母胎依恋的建议或进行了干预研究。结论我国缺乏对ART助孕孕妇母胎依恋情况的关注,由于其影响因素复杂多样,应深入探索ART助孕孕妇在孕期各阶段的母胎依恋发展特点,开展更多的高质量研究,同时重视并开展母胎依恋关系障碍的早期筛查,制订针对性干预措施,促进优质母胎依恋关系的建立,为未来母婴亲密关系夯实基础。Objective To conduct a scoping review of the related research on the maternal-fetal attachment in pregnant women after assisted reproductive technology(ART),summarize the research status of maternal-fetal attachment,and provide reference for future research prospects.MethodsA search was conducted for studies published in PubMed,Embase,EBSCO,Web of Science,Scopus,Cochrane Library,China National Knowledge Infrastructure,Wanfang,and Chinese Medical Journal Full-text Database,from the date of database construction to January 24,2024.The results of the literature were screened,extracted,and summarized.ResultsA total of 15 studies were included.Among them,14 observational studies reported that the overall status of maternal-fetal attachment of ART pregnant women was in good condition,but the data sources of domestic research were insufficient.Three evaluation tools were used in 15 articles.The related factors were summarized as demographic factors(age and personality traits),pregnancy-related factors(such as conception method,gestational age,history of infertility,history of miscarriage,etc),and psychosocial factors(such as anxiety,depression,conflicts,attitudes towards childbirth,acceptance of pregnancy,social support,marital satisfaction,etc).Four studies put forward suggestions or conducted intervention studies on improving maternal-fetal attachment of ART pregnant women.ConclusionsThere is a lack of attention to the maternal-fetal attachment of ART pregnant women in China.Due to the complexity and diversity of its influencing factors,we should deeply explore the characteristics of maternal-fetal attachment development of ART pregnant women at all stages of pregnancy,and carry out more high-quality research.At the same time,we should pay attention to and carry out early screening of maternal-fetal attachment disorders,formulate targeted interventions,so as to promote the establishment of high-quality maternal-fetal attachment,and lay a solid foundation for future maternal-infant relationships.

关 键 词：母胎依恋 产前依恋 范围综述 辅助生殖技术 怀孕 

分 类 号：R714.8[医药卫生—妇产科学]