Interactive Feedback of Obstetric Ultrasonographic Findings on Maternal-Fetal Bonding in Adolescent Pregnancy in Sunpasitthiprasong Hospital: A Randomized Controlled Trial

Abstract

Objective: To study the effect of the interactive feedback of ultrasonographic findings on maternal-fetal bonding in adolescent pregnancy.

Material and Methods: A randomized controlled trial was conducted in antenatal care unit, Sunpasitthiprasong Hospital, Ubon Ratchathani, Thailand. Adolescent pregnant women who underwent a routine ultrasound examination at 16 to 28 weeks of gestation were randomized into two groups: 1) interactive feedback group or 2) normal feedback group. Self-reported questionnaires were completed for assessing maternal-fetal bonding by the Maternal Antenatal Attachment Scale (MAAS), Spielberger’s anxiety level and health behavior, before undergoing ultrasound examinations in both groups. The same questionnaires were completed again at 4 weeks later.

Results: A total of 50 adolescent pregnancy were randomly assigned in one-to-one ratio to interactive feedback group and normal feedback group. There are 2 women and 5 women in interactive feedback group and normal feedback group were lost to follow up, left 23 women in interactive feedback group and 20 women in normal feedback group available for analysis. Obstetrical ultrasonography increased maternal-fetal bonding demonstrated by significant difference of MAAS in both groups (P = 0.001). The interactive feedback group showed better maternal-fetal bonding