Материнско-фетальная привязанность как естественный феномен беременности и формирования материнства
Материнско-фетальная привязанность как естественный феномен беременности и формирования материнства
Кельмансон И.А. Материнско-фетальная привязанность как естественный феномен беременности и формирования материнства. Педиатрия. Consilium Medicum. 2023;1:12–18.
DOI: 10.26442/26586630.2023.1.202127
Kelmanson IA. Maternal-fetal attachment as a natural phenomenon of pregnancy and maternity development: A review. Pediatrics. Consilium Medicum. 2023;1:12–18. DOI: 10.26442/26586630.2023.1.202127
Материнско-фетальная привязанность как естественный феномен беременности и формирования материнства
Кельмансон И.А. Материнско-фетальная привязанность как естественный феномен беременности и формирования материнства. Педиатрия. Consilium Medicum. 2023;1:12–18.
DOI: 10.26442/26586630.2023.1.202127
Kelmanson IA. Maternal-fetal attachment as a natural phenomenon of pregnancy and maternity development: A review. Pediatrics. Consilium Medicum. 2023;1:12–18. DOI: 10.26442/26586630.2023.1.202127
Беременность – важнейший этап формирования материнства, материнского программирования. Составным компонентом этого процесса является материнско-фетальная привязанность, которую можно определить как связи между женщиной и плодом, зависящие от когнитивных и эмоциональных способностей воспринимать другое человеческое существо и включающие в себя мысли, поведение, эмоции и отношения. Формирование материнско-фетальной привязанности, предположительно, обусловлено высокой пластичностью головного мозга беременной, следствием чего являются существенные структурные и функциональные изменения его отдельных участков. Изучение материнско-фетальной привязанности возможно при использовании стандартизованных опросников, одним из которых является Шкала Антенатальной Материнской Привязанности. В работе приводятся русскоязычная версия этого опросника и референтные величины. Материнско-фетальная привязанность зависит от личностных характеристик женщины и в меньшей степени – от социально-демографических факторов, а ее характеристики имеют прогностическое значение для психологического и соматического здоровья матери и ребенка. Оценка материнскофетальной привязанности и ее оптимизация должны рассматриваться как составной компонент медико-психологического сопровождения беременных.
Pregnancy is the most important stage in the formation of motherhood, maternal programming. An integral component of this process is maternal-fetal attachment, which can be defined as the bonds between a woman and a fetus that depend on the cognitive and emotional abilities to perceive another human being and include thoughts, behavior, emotions and relationships. The formation of maternal-fetal attachment is presumably due to the high plasticity of the brain of a pregnant woman, which results in significant structural and functional changes in its individual structures. The study of maternal-fetal attachment is possible using standardized questionnaires, one of which is the Maternal Antenatal Attachment Scale. The paper provides the Russian version of this questionnaire and its reference values. Maternal-fetal attachment depends on the personality characteristics of the woman and, to a lesser extent, on socio-demographic factors, and its characteristics have a prognostic value for the psychological and somatic health of the mother and child. Assessment of maternal-fetal attachment and its optimization should be considered as an integral component of medical and psychological support for pregnant women.
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3. Kinsley CH, Amory-Meyer E. Why the maternal brain? J Neuroendocrinol. 2011;23(11):974-83. DOI:10.1111/j.1365-2826.2011.02194.x
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5. Ainsworth MDS, Blehar MC, Waters E, Wall SN. Patterns of attachment: A psychological study of the strange situation. Psychology Press, 2015.
6. Bowlby J. The Bowlby-Ainsworth attachment theory. Behav Brain Sci. 1979;2(4):637-8. DOI:10.1017/S0140525X00064955
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10. Lumley JM. Attitudes to the fetus among primigravidae. J Paediatr Child Health. 1982;18(2):106-9. DOI:10.1111/j.1440-1754.1982.tb02000.x
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________________________________________________
1. Filipppova GG. Psikhologiia materinstva. Moscow: Izdatel'stvo Instituta Psikhoterapii 2002 (in Russian).
2. Keyser-Marcus L, Stafisso-Sandoz G, Gerecke K, et al. Alterations of medial preoptic area neurons following pregnancy and pregnancy-like steroidal treatment in the rat. Brain Res Bull. 2001;55(6):737-45. DOI:10.1016/s0361-9230(01)00554-8
3. Kinsley CH, Amory-Meyer E. Why the maternal brain? J Neuroendocrinol. 2011;23(11):974-83. DOI:10.1111/j.1365-2826.2011.02194.x
4. Glynn LM. Implications of Maternal Programming for Fetal Neurodevelopment. In: Zimmerman AW, Connors SL, Eds. Maternal Influences on Fetal Neurodevelopment: Clinical and Research Aspects. New York: Springer New York, 2010; p. 33-53.
5. Ainsworth MDS, Blehar MC, Waters E, Wall SN. Patterns of attachment: A psychological study of the strange situation. Psychology Press, 2015.
6. Bowlby J. The Bowlby-Ainsworth attachment theory. Behav Brain Sci. 1979;2(4):637-8. DOI:10.1017/S0140525X00064955
7. Brutman VI, Radionova MS. Development of maternal attachment to fetus during pregnancy. Voprosi psikhologii. 1997;6:38-47 (in Russian).
8. Rubin R. Maternal tasks in pregnancy. J Adv Nurs. 1976;1(5):367-76. DOI:10.1111/j.1365-2648.1976.tb00921.x
9. Lumley J. Through a glass darkly: ultrasound and prenatal bonding. Birth. 1990;17(4):214-7. DOI:10.1111/j.1523-536X.1990.tb00025.x
10. Lumley JM. Attitudes to the fetus among primigravidae. J Paediatr Child Health. 1982;18(2):106-9. DOI:10.1111/j.1440-1754.1982.tb02000.x
11. Winnicott DW. Through pediatrics to psycho-analysis: Collected papers. London; New York: Routledge, 2014.
12. Zimerman A. Conceptualizing prenatal attachment: Toward a multidimensional view. J Prenat Perinat Psychol Health. 2003;18(2):109-29.
13. Van den Bergh B, Simons A. A review of scales to measure the mother–foetus relationship. J Reprod Infant Psychol. 2009;27(2):114-26. DOI:10.1080/02646830802007480
14. Pollock PH, Percy A. Maternal antenatal attachment style and potential fetal abuse. Child Abuse Negl. 1999;23(12):1345-57. DOI:10.1016/S0145-2134(99)00101-5
15. Numan M. A neural circuitry analysis of maternal behavior in the rat. Acta Paediatr. 1994;83(s397):19-28. DOI:10.1111/j.1651-2227.1994.tb13261.x
16. Lord C, Buss C, Lupien SJ, Pruessner JC. Hippocampal volumes are larger in postmenopausal women using estrogen therapy compared to past users, never users and men: A possible window of opportunity effect. Neurobiol Aging. 2008;29(1):95-101. DOI:10.1016/j.neurobiolaging.2006.09.001
17. Protopopescu X, Butler T, Pan H, et al. Hippocampal structural changes across the menstrual cycle. Hippocampus. 2008;18(10):985-8. DOI:10.1002/hipo.20468
18. Oatridge A, Holdcroft A, Saeed N, et al. Change in Brain Size during and after Pregnancy: Study in Healthy Women and Women with Preeclampsia. Am J Neuroradiol. 2002;23(1):19.
19. Smith R, Mesiano S, McGrath S. Hormone trajectories leading to human birth. Regul Pept. 2002;108(2):159-64. DOI:10.1016/S0167-0115(02)00105-2
20. Wood CE. Estrogen/Hypothalamus-Pituitary-Adrenal Axis Interactions in the Fetus: the Interplay Between Placenta and Fetal Brain. J Soc Gynecol Investig. 2005;12(2):67-76. DOI:10.1016/j.jsgi.2004.10.011
21. Fleming AS, Ruble D, Krieger H, Wong PY. Hormonal and Experiential Correlates of Maternal Responsiveness during Pregnancy and the Puerperium in Human Mothers. Hormon Behav. 1997;31(2):145-58. DOI:10.1006/hbeh.1997.1376
22. Maestripieri D, Zehr JL. Maternal Responsiveness Increases during Pregnancy and after Estrogen Treatment in Macaques. Hormon Behav. 1998;34(3):223-30. DOI:10.1006/hbeh.1998.1470
23. Swaab DF. We are our brains: a neurobiography of the brain, from the womb to Alzheimer's. New York: Random House, 2014.
24. Levine A, Zagoory-Sharon O, Feldman R, Weller A. Oxytocin during pregnancy and early postpartum: Individual patterns and maternal–fetal attachment. Peptides. 2007;28(6):1162-9. DOI:10.1016/j.peptides.2007.04.016
25. Feldman R, Weller A, Zagoory-Sharon O, Levine A. Evidence for a Neuroendocrinological Foundation of Human Affiliation: Plasma Oxytocin Levels Across Pregnancy and the Postpartum Period Predict Mother-Infant Bonding. Psychol Sci. 2007;18(11):965-70. DOI:10.1111/j.1467-9280.2007.02010.x
26. Fleming AS, Steiner M, Corter C. Cortisol, Hedonics, and Maternal Responsiveness in Human Mothers. Hormon Behav. 1997;32(2):85-98. DOI:10.1006/hbeh.1997.1407
27. Stallings J, Fleming AS, Corter C, et al. The Effects of Infant Cries and Odors on Sympathy, Cortisol, and Autonomic Responses in New Mothers and Nonpostpartum Women. Parenting. 2001;1(1-2):71-100. DOI:10.1080/15295192.2001.9681212
28. Lowry PJ. Corticotropin-Releasing Factor and its Binding Protein in Human Plasma. Ciba Foundation Symposium 172 - Corticotropin-Releasing Factor. Novartis Foundation Symposia, 2007; p. 108-28.
29. Vanston CM, Watson NV. Selective and persistent effect of foetal sex on cognition in pregnant women. NeuroReport. 2005;16(7):779-982.
30. Yaron Y, Lehavi O, Orr-Urtreger A, et al. Maternal serum HCG is higher in the presence of a female fetus as early as week 3 post-fertilization. Human Reprod. 2002;17(2):485-9. DOI:10.1093/humrep/17.2.485
31. Lei ZM, Rao CV. Neural Actions of Luteinizing Hormone and Human Chorionic Gonadotropin. Semin Reprod Med. 2001;19(01):103-10. DOI:10.1055/s-2001-13917
32. Dipietro JA, Irizarry RA, Costigan KA, Gurewitsch ED. The psychophysiology of the maternal–fetal relationship. Psychophysiology. 2004;41(4):510-20.
DOI:10.1111/j.1469-8986.2004.00187.x
33. Herzenberg LA, Bianchi DW, Schroder J, et al. Fetal cells in the blood of pregnant women: detection and enrichment by fluorescence-activated cell sorting. Proc Natl Acad Sci U S A. 1979;76(3):1453-5. DOI:10.1073/pnas.76.3.1453
34. Bianchi DW, Zickwolf GK, Weil GJ, et al. Male fetal progenitor cells persist in maternal blood for as long as 27 years postpartum. Proc Natl Acad Sci U S A. 1996;93(2):705-8. DOI:10.1073/pnas.93.2.705
35. Boddy AM, Fortunato A, Wilson Sayres M, Aktipis A. Fetal microchimerism and maternal health: A review and evolutionary analysis of cooperation and conflict beyond the womb. BioEssays. 2015;37(10):1106-18. DOI:10.1002/bies.201500059
36. Khosrotehrani K, Johnson KL, Cha DH, et al. Transfer of Fetal Cells With Multilineage Potential to Maternal Tissue. JAMA. 2004;292(1):75-80. DOI:10.1001/jama.292.1.75
37. Tan XW, Liao H, Sun L, et al. Fetal Microchimerism in the Maternal Mouse Brain: A Novel Population of Fetal Progenitor or Stem Cells Able to Cross the Blood–Brain Barrier? Stem Cells. 2005;23(10):1443-52. DOI:10.1634/stemcells.2004-0169
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Авторы
И.А. Кельмансон*
ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России, Санкт-Петербург, Россия; СПбГАОУ ВО «Санкт-Петербургский государственный институт психологии и социальной работы», Санкт-Петербург, Россия
*iakelmanson@hotmail.com
________________________________________________
Igor A. Kelmanson*
Almazov National Medical Research Centre, Saint Petersburg, Russia; Saint Petersburg State Institute of Psychology and Social Work, Saint Petersburg, Russia
*iakelmanson@hotmail.com