Adults with childhood maltreatment history can face a difficult experience in transitioning to parenthood. Women with a history of emotional neglect in childhood tend to experience problematic attachment. The study's aim was to evaluate the relationship between childhood trauma and maternal-fetal attachment in pregnant women in a population-based study in Southern Brazil. This is a longitudinal study with pregnant women who were interviewed in two moments: before 24-weeks of pregnancy and 60 days after the first interview. We used the Childhood Trauma Questionnaire and the Maternal-Fetal Attachment Scale. The mean of maternal-fetal attachment in the general sample was 99.8 (± 10.8). The mean of emotional neglect was 8.9 (± 4.7); physical neglect 6.7 (± 2.8); sexual abuse 5.9 (± 3.0); physical abuse 6.8 (± 3.1) and emotional abuse 8.0 (± 4.1). After adjusted analysis, we found that pregnant women who suffered emotional neglect had 0.4 points less on the average on the maternal-fetal attachment, β = -0.4, CI 95% [-0.6, -0.2], and pregnant women who suffered emotional abuse had 0.2 points less on the average on the maternal-fetal attachment, β = -0.2, CI 95% [-0.5, -0.0]. Only emotional neglect and emotional abuse were associated with maternal-fetal attachment. This study showed that a history of childhood trauma can have a negative impact during the prenatal period, and can impair maternal-fetal attachment. The data found can assist health professionals in identifying factors that can protect and contribute to pregnant women who were victims of childhood trauma to face the transition to parenthood in the best possible way.

Coletivos juvenis políticos em uma universidade pública mineira: microespaço público...

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INTRODUCTION: CenteringPregnancy (CP), a group prenatal care model, has reported improved birth-related outcomes, specifically in preterm deliveries. Limited data exists, however, reporting additional benefits seen in patients receiving prenatal care within this model. METHODS: With IRB approval, a chart review was conducted comparing pregnancy related outcomes in patients who received care through the CenteringPregancy model vs the Traditional Prenatal Care model in our Women's Health Clinics at UF Health. A total of 20 patients, ages 18-21 received care via CP from March 2015–May 2016. These patients were compared to a random sample of 20 patients ages 18-21 who received care via the Traditional model from January 2014-December 2014. RESULTS: Although both groups showed similar breastfeeding initiation rates (95% CP vs 90% Control), the CP group showed significantly more breastfeeding at 6 weeks postpartum (42% vs 20%). Additionally, the CP group had significantly more adolescent patients elect LARC (32% vs 0%). Finally, the CP group showed significantly higher rates of immunizations in pregnancy: Influenza vaccine rates (45% CP, vs 30% Control) and TDaP vaccine rates (60% CP vs 35% Control). CONCLUSION: The CenteringPregnancy model may offer additional benefits in adolescent mothers, specifically: breastfeeding, contraception, and vaccination rates. Offering adolescent mothers group care allows for greater time with their provider, which in turn may lead to increased knowledge and understanding of health and pregnancy related outcomes. The outcomes noted in this study are promising and additional data may reveal that CenteringPregnancy may offer improved overall care in this population.