The study is aimed to explore health and attachment to fetus in pregnant women with natural conception (NC) vs. in-vitro fertilization (IVF). Hypotheses. (1) There are average differences in diagnosed health problems between women with IVF pregnancy and women with NC pregnancy; (2) There are average differences in perceived health between women with IVF pregnancy and women with NC pregnancy; (3) There is a moderate association between diagnosed health problems and perceived health; (4) Women with IVF pregnancy on average report greater attachment to fetus than women with NC pregnancy; (5) Diagnosed health problems are negatively related to attachment to the fetus; and this link is partially mediated by perceived health. Methods. The study was a part of an ongoing prospective longitudinal project in Russia, with the sample including 244 women with NC and 105 women with IVF pregnancy. Data were collected from medical records and questionnaires completed during the first and third trimesters of pregnancy. The measures included perceived health; a detailed measure of reproductive and general health; and a comprehensive measure of attachment to the fetus. Pregnant women completed the questionnaires during the first and third trimesters of pregnancy. In total, 46 questions were related to different health problems. In addition, medical information was obtained from antenatal records stored in the databases of partner clinics. On the bases of combined questionnaire and medical records data, 2 general health indexes were created: Reproductive Health Index (RHI - a measure of reproductive health), Physical Health Index (PHI - a measure of physical health, excluding reproductive). Statistical data analysis was performed with IBM SPSS Statistics 22 software package (descriptive statistics, Chi square test, Mann-Whitney U test, Spearman nonparametric correlation criterion, multiple regression analysis). Data were checked for normal distribution using Kolmogorov-Smirnov criterion. Conclusion. Despite the poorer state of health in terms of reproductive and some somatic indicators, the self-rated health of women with induced pregnancy was not worse than perceived health of women whose pregnancy occurred naturally. Attachment to the fetus was slightly greater for women in the IVF group than in the NC group. Diagnosed and perceived heath was not significantly related to attachment to the fetus.

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Background. Psychological tension in the family, along with stress and mental and physical illness, are linked to the reproductive health of parents, as well as to the outcomes of infertility treatments and pregnancy overall.Objective. To compare stress and negative affect (depression, irritability, and anxiety) in families with induced pregnancies (in-vitro fertilization, IFV) vs. natural pregnancies. The relationship between negative affect and stress in pregnant women was explored in both groups. Finally, the study investigated links between negative affect and partner relationships.Design. The sample included 308 women and 278 men from couples with natural conception, and 131 women and 102 men from couples with an IVF pregnancy.Results. Relatively low levels of negative affective states and stress were found in families with both natural and induced pregnancies. Moderate correlations were found between women's negative affect and their stress level in both groups. Significant correlations were found in both groups between negative psychological states of the spouses, as well as between negative psychological states and warmth/hostility in marital relations.Conclusion. The results suggest that psychological states, stress levels, and links between psychological states and quality of family relations are similar in families with IVF and those with natural pregnancies. Further longitudinal research is needed to explore the direction of causal links between the psychological states of the spouses, and between their psychological states and the quality of family relations.

The article presents a social-psychological indicators of stress, coping mechanisms, rigidity and psychological component gestational dominant as risk factors predisposing to deviations in the context of preparedness for motherhood, marked psychological characteristics of pregnant women main group.Material and methods. The study was conducted on the basis of obstetric clinics SSMU, prenatal maternity hospital number 4 and the Centre for Medical Prevention (Cabinet crisis pregnancy). Total was attended by 52 women aged 18 to 44 years, at different stages of pregnancy – from 5 to 39 weeks. Methodological apparatus consisted of a structured interview questionnaire “Medical and social data of the pregnant woman” methodology for determining the stress and social adaptation of Holmes and Rage (1967), a questionnaire of coping R. Lazarus and S. Folkman (WCQ, 1988), Tomsk questionnaire rigidity G.V. Zalewski (TORZ, 1987), test on pregnant I.V. Dobryakova (1996). Data processing was carried out using statistical methods Spearman rank correlation coefficient, nonparametric Mann–Whitney U and Kruskal–Wallis H and φ * – Fisher's angular transformation.Results. Significant psychological factors that may influence the formation of readiness for motherhood among women of the main group can be considered an unplanned pregnancy (65%), and also its not gelendost (35%).Studies of stress resistance was detected in pregnant women from the main group low stress levels (88%), and only 12% have a high degree. Most of the women from the сomparison group reverse the situation 64% have a high degree of stress, this suggests that the presence of previously state miscarriage is for this group of stress.On the formation of readiness for motherhood affects not only the presence of stressful situations, butalso how the woman in their lives. Using U-test Mann–Whitney, were statistically significant differences were observed among the main group and сomparison group in the following coping strategies: selfcontrol (p ≤ 0.0014), the search for social support (p ≤ 0.0015), accepting responsibility (p ≤ 0.04), and planning solutions to the problems (p ≤ 0.00016). These differences are considered as one of the risk factors for deviant motherhood main group.In contrast to the сomparison group, where 62% of pregnant women with the optimal type PKGD, main group optimal type PKGD observed only in 38% of the respondents, which indicates that the risk of deviations in the structure of psychological readiness.Conclusion. Risk factors such as social disadvantage, the planned abandonment of a child, the tendency to rigid behavior, inefficient use of coping strategies and low level of optimal psychological component gestational dominant testify about the possible psychological unpreparedness for the upcoming event to become a mother and as a consequence to the development of deviant motherhood.