Melbourne School of Population and Global Health - Research Publications

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Author: Baker, Gordon × End date: 2012 × Type: Journal (Paginated) ×

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    Antenatal mood and fetal attachment after assisted conception
    Fisher, Jane R. W. ; HAMMARBERG, KARIN ; Baker, Gordon H. W. (Elsevier, 2007)
    Objective: Australian women conceiving with ART are at fourfold risk of admission to early parenting treatment programs compared to those conceiving spontaneously. The study aimed to identify prevalence and determinants of antenatal mood disturbance and other risks for early parenting difficulties after assisted conception. Design: A prospective longitudinal investigation from conception to 18 months postpartum using telephone interviews and self-report questionnaires. Setting: Melbourne IVF and Royal Women’s Hospital Reproductive Services, Victoria, Australia. Patient(s): A consecutive cohort of English-speaking women with ultrasound-confirmed ART -conceived pregnancies. Main outcome measure(s): Standardized psychometric measures of mood, quality of marital relationship, mother to fetus emotional attachment, and personality. Intervention(s): None Result(s): Of the 288 women with a confirmed pregnancy, 239 were contactable, 183 (77%) recruited and 95% completed both early and late pregnancy assessments. Participants were socioeconomically advantaged, had very good pregnancy health, exceptional marital relationships, normal personality styles and intense affectionate attachment to the fetus. Very few (< 5%) had clinically significant mood disturbance in late pregnancy. Conclusions: There were low rates of antenatal mood disturbance and other risk factors for postpartum depression. Pregnancy and motherhood might be idealised after ART conception and preparation for the realities of infant care might then be insufficient.
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    Assisted conception is a risk factor for postnatal mood disturbance and early parenting difficulties
    Fisher, Jane R. W. ; HAMMARBERG, KARIN ; Baker, H. W. Gordon (Elsevier, 2005)
    Objective: To investigate whether assisted conception is associated with an increased risk of admission to a residential early parenting program for treatment of maternal mood disorder or infant feeding or sleeping disorders in the postpartum year. Design: Systematic audit of consecutive medical records. Setting: Masada Private Hospital Mother Baby Unit (MPHMBU), Melbourne, Australia Patients: Medical records of all mother-infant dyads admitted to MPHMBU between July 2000 and August 2002. Main outcome measures: Modes of conception and delivery of index infant, maternal and infant age on admission, multiplicity of birth, infant birthweight and Edinburgh Postnatal Depression Scale scores. Results: A total of 745 records were audited and mode of conception was recorded in 526 (70.6%) of records. Overall 6% (45 / 745) of the admitted infants had been conceived through ART compared to 1.52% in the general population (RR 4.0, 95% CI 3.0 - 5.4). Mothers who had conceived with ART were older and more likely to have had caesarean and multiple births than those who conceived spontaneously. Conclusions: Assisted conception appears to be associated with a significantly increased rate of early parenting difficulties. Women who experience assisted conception may require additional support after their babies are born.