Abstract
The objective of this study was to assess maternal–fetal attachment, coping styles, self-concept, and adjustment to pregnancy among previously infertile women. The prospective evaluation used quantitative and qualitative assessment in each trimester of pregnancy to investigate differences over time and comparison among women pregnant through standard infertility therapies, women pregnant through IVF, and never infertile women. Methodology includes standardized self-report instruments (Cranley Maternal Attachment Scale, Jalowiec Coping Scale, Tennessee Self-Concept Scale) and a semistructured interview. The subjects were women pregnant for the first time, with no adoptive or stepchildren, in private infertility and obstetric practices. The main outcome measure was identification of differences in adaptation to pregnancy that necessitate interventions for educational and emotional support. Differences in attachment, coping, and self-concept were established. The process of transition to parenthood appears to be different among previously infertile women and involves higher levels of anxiety, avoidance behavior, and lack of preparation for taking home a newborn. Practice guidelines need to be developed to meet the special needs of women pregnant after infertility.
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