The Correlation Between Mother-Infant Bonding and Postpartum Depression in Women with A History of Infertility
Year 2022,
Volume: 11 Issue: 3, 403 - 410, 04.10.2022
Elif Özdemir
,
Sena Kaplan
,
Sibel Küçük
Abstract
Purpose: This study investigated the correlation between mother-infant bonding and postpartum depression in women with a history of infertility.
Methods: The sample consisted of 169 women divided into two: infertile group (n=56) and fertile group (n=112). Data were collected using a descriptive information questionnaire, the Edinburgh Postnatal Depression Scale (EPDS), and the Mother-to-Infant Bonding Scale (MIBS).
Results: The fertile and infertile groups had a mean age of 28.95±3.38 and 36.55±3.55, respectively (p=0.001). The infertile group had a higher mean MIBS score (3.73±2.91) than the fertile group (1.50±1.29) (p=0.001). However, there was no significant difference in EPDS scores between the two groups (p > 0.05). Moreover, there was a positive correlation between MIBS and EPDS score in the fertile group (r = 0.354, p = 0.001), suggesting that the higher the risk for postpartum depression, the lower the mother-infant bonding. There was no correlation between MIBS and EPDS score in the infertile group (p > 0.05).
Conclusion: Future studies should recruit larger samples of infertile women with cultural and ethnic diversity and take confounding factors into account to investigate the relationship between postpartum depression and mother-infant bonding.
Thanks
The study was accepted by Republic of Turkey Yildirim Beyazit University Institute of Health Sciences as master’s thesis
References
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Akizuki, Y., & Kai, I. (2008). Infertile Japanese women’s perception of positive and negative social interactions within their social networks. Human Reproduction, 23(12), 2737–2743.
- Akyuz, A., Seven, M., Devran, A., & Demiralp, M. (2010). Infertility History is it a risk factor for postpartum depression in Turkish women?. The Journal of perinatal & neonatal nursing, 24(2), 137-145.
- Ataman, U., & Arslan, P. (2010). Doğal gebelikler ile infertilite tedavisi sonucu oluşan gebeliklerde psiko-sosyal bakım gereksinimleri. [Psycho-social Care Needs in Pregnancies Experienced Naturally and Pregnancies with as a Result of Infertility Treatment]. Sosyal Politika Çalışmaları Dergisi, 23(23), 75-86.
- American Psyhiatric Associaiton, Postpartum Depression, Available https://www.psychiatry.org/patients-families/postpartum-depression/what ispostpartum-depression (18.02.2021).
- Barker, J., Daniels, A., O’Neal1, K., & Van Sell, S.L. (2017). Maternal-Newborn Bonding Concept Analysis. International Journal of Nursing & Clinical Practices, 4, 229.
https://doi.org/10.15344/2394-4978/2017/229.
- Bernstein, J., Lewis, J., & Seibel, M. (1994). Effect of Previous Infertility on Maternal-Fetal Attachment,
- Coping Styles, and Self-Concept During Pregnancy. Journal Of Women's Health, 3 (2), 125-133.
- Chen, C.J., Chen, Y., Sung, H, Chen, C.J., Chen, Y.C., Sung, H.C., Kuo, P.C., & Wang, C.H. (2011). Perinatal attachment in naturally pregnant and infertility-treated pregnant women in Taiwan. Journal of
Advanced Nursing, 67(10), 2200-2208. https://doi: 10.1111/j.1365-2648.2011.05665.x
- Çankaya, S., Yılmaz, S.D., Can, R., & Kodaz, N.D. (2017). Postpartum depresyonun maternal bağlanma üzerine etkisi. [Effect of postpartum depression on maternal attachment]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 4, 232-240.
- Courtney, D., L., & Prasad, M.R. (2014). Association between infertility treatment and symptoms of postpartum depression. Fertility and Sterility, 102 (5), 1416-1421. https://doi.org/10.1016/j.fertnstert.2014.07.1247
- Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782-786.
- Deatsman, S., Vasilopoulos, T., & Rhoton-Vlasak, A. (2016). Age and Fertility: A Study on Patient Awareness. JBRA Assisted Reproduction, 20(3), 99-106. https://doi:10.5935/15180557.20160024
- Donarelli, Z., Lo Coco, G., Gullo, S., Marino, A., Volpes, A., & Allegra, A. (2012). Are attachment dimensions associated with infertility-related stress in couples undergoing their first IVF treatment? A study on the individual and cross-partner effect. Human Reproduction, 27(11), 3215-3225. https://doi: 10.1093/humrep/des307
- Dornelles, L.M., MacCallum, F., Lopes, R.C., Piccinini, C.A., & Passos, E.P. (2014). Living each week as unique. Maternal fears in assisted reproductive technology pregnancies. Midwifery, 115-120. https://doi.org/10.1016/j.midw.2013.12.005
- Engindeniz, A.N., Küey, L., & Kültür, S. (1997). Edinburgh doğum sonrası depresyon ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. [Edinburgh Postpartum Depression Scale Turkish form validity and reliability study]. Bahar Sempozyumları 1, Psikiyatri Derneği Yayınları, Ankara, 51-52 (in Turkish).
- Forman, D.R., O'Hara, M.W., Stuart, S., Gorman, L.L., Larsen, K.E., & Coy, K.C. (2007). Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Development and Psychopathology, 191, 585–602. https://doi: 10.10170S0954579407070289
- Gressier, F., Letranchant, A., Cazas, O., Sutter-Dallay, A.L., Falissard, B., & Hardy, P. (2015). medically assisted conception: a systematic review and meta-analysis. Human Reproduction, 30 (11), 2575–2586. https://doi: 10.1093/humrep/dev207;
- Gourounti, K. (2016). Psychological stress and adjustment in pregnancy following assisted reproductive technology and spontaneous conception: A systematic review. Women Health, 56(1), 98-118. https://doi: 10.1080/03630242.2015.1074642.
- Haliloğlu, S., Sağlam, Z.A., & Toprak, D. (2013). İnfertilite polikliniğine başvuran kadın hastaların sosyodemografik özelliklerinin değerlendirilmesi. [Evaluation of the sociodemographic characteristics of women patients admitted to infertility outpatient clinic]. Smyrna Tıp Dergisi,15, 1-7.
- Hasanpoor-Azghdy S.B., Simbar, M., & Vedadhir, A. (2014). The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study. The Iranian Journal of Reproductive Medicine, 12(2), 131-138.
- Hess, R.F., Ross, R., Gililland, J.L. (2018). Infertility, psychological distress, and coping strategies among women in Mali, West Africa: a mixed‐ methods study. African Journal of Reproductive Health, 22, 60‐ 72. https://doi.org/ 10.29063/ajrh2018/v22i1.6
- Hughes, P., Turton, P., Hopper, E., McGauley, G.A., & Fonagy, P. (2001). Disorganised Attachment Behaviour among Infants Born Subsequent to Stillbirth. Journal of Child Psychology and Psychiatry, 42, 791–801.
https://data.tuik.gov.tr/Bulten/Index?p=Evlenme-ve-Bosanma-Istatistikleri-2019-33708 (14.03.2021)
- Karakulak, H.A., & Alparslan, Ö. (2016). Anne-bebek bağlanma ölçeğinin Türk toplumuna uyarlanması: Aydın örneği. [Adaptation of Mother to Infant Bonding Scale to The Turkish Society: Aydın Sample]. Journal of Contemporary Medicine, 6(3), 188-199.
- Keser, Ö.N., Boyacıoğlu, N.E., & Dinç, H. (2017). Postpartum depression prevalence and risk factors in Turkey: A systematic review and meta-analysis, Archive Psiciatrih Nursing, 31(4),420-428.
- Koçyiğit, O.T. (2012). İnfertilite ve sosyo-kültürel etkileri. [nfertility and its socio‐ cultural impacts]. İnsanbilim Dergisi, 1(1), 27–37.
- Lee, S.H., Liu, L.C., Kuo, P., & Lee, M.S. (2011). Postpartum depression and correlated factors in women who received in vitro fertilization treatment. Journal of Midwifery Womens Health, 56(4), 347-352.
- Lehnig, F., Nagl, M., Stepan, H., Wagner, B., & Kersting, A. (2019). A Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study. BMC Pregnancy and Childbirt, (19), 278.
- Listijono, D.R., Mooney, S., & Chapman, M. (2014). A comparative analysis of postpartum maternal mental health in women following spontaneous or ART conception. Journal of Psychosom Obstet Gynaecol, 35(2), 51-54. https://doi: 10.3109/0167482X.2014.911281).
- Lynch, C.D., & Prasad, M.R. (2014). Association between infertility treatment and symptoms of postpartum depression, Fertility and Sterility, 102(5),1416-1421.
- Martin, J.A., Hamilton, B.E., Osterman, M.J., Curtin, S.C., & Matthews, T.J. (2015). Births: Final data for 2013. Natl Vital Stat Rep., 64,1-65.
- Moehler, E., Brunner, R., Wiebel, A., Reck, C., & Resch, F. (2006). Maternal depressive symptoms in the postnatal period are associated with long-term impairment of motherchild bonding. Arch Womens Ment Health, 9, 273-278. https://doi: 10.1007/s00737-006-0149- 5
- Monti, F., Agostoni, F., Fagandini, P., Battista, La Sala G., & Blickstein, I. (2009). Depressive symptoms during late pregnancy and early parenthood following assisted reproductive technology. Fertil Steril, 91(3), 851-857. https://doi.org/10.1016/j.fertnstert.2008.01.021
- Murray, L. (1992). The Impact of Postnatal Depression on Infant Development. J. Child Psychol. Psychiatry, 33, 543-561.
- Nieto, L., Lara, M.A., & Navarrete, L. (2017). Prenatal predictors of maternal attachment and their association with postpartum depressive symptoms in mexican women at risk of depression.
Matern Child Health J., 21(6), 1250-1259. https://doi: 10.1007/s10995-016-2223-6
- O’Hara, M.W., & McCabe, J.E. (2013). Postpartum Depression: Current Status and Future Directions. Annu. Rev. Clin. Psychol., 9, 379-407.
- Olshansky, E., & Sereika, S. (2005). The transition from pregnancy to postpartum in previously infertile women: a focus on depression. Arch Psychiatr Nurs., 19(6), 273-280.
- Özşahin, Z., Akça, E., Gökbulut, N. (2020). Postpartum depresyon düzeyi ile maternal bağlanma arasındaki ilişki. [The Relationship between Postpartum Depression Level and Maternal Attachment]. Journal of Inonu University Health Services Vocational School, 8(3), 2147-7892. https://doi: 10.33715/inonusaglik.757249
- Ranjbar, F., Behboodi, M.Z., Borimnejad, L., Ghaffari, R.S., & Akhondi, M.M. (2015). Experiences of infertile women seeking assisted pregnancy in Iran: a qualitative study, Jour of Repro Infer, 16, 221- 228. https:// doi: 10.18502 / ijrm.v18i1.6203
- Ross, L.E., McQueen, K., Vigod, S., & Dennis, C.L. (2011). Risk for postpartum depression associated with assisted reproductive technologies and multiple births: a systematic review. Hum Reprod Update, 17(1), 96-106. https://doi: 10.1093/humupd/dmq025
- Sahin, M.B., & Gursoy, E. (2020). The social and psychological consequences of women getting pregnant with fertility treatment: A qualitative study, Perspect Psychiatr Care, 1- 10.
Safaei, N.A., Vakili, M.M., Ebrahimi, L., & Kharaghani, R. (2018). Demographics and the correlation between irrational parenthood cognitions and marital relationship quality in infertile women in Zanjan province in 2016. Perspect Psychiatr Care, 1-6. https://doi.org/10.1111/ppc. 12298
- Sexty, R.E., Hamadneh, J., Rösner, S., Strowitzki, T., Ditzen, B., Toth, B., & Wischmann, T. (2016). Cross‐ cultural comparison of fertility specific quality of life in German, Hungarian and Jordanian couples attending a fertility center. Health Qual Life Outcomes, 14,27. https://doi.org/10.1186/s12955‐ 016‐ 0429‐ 3
- Sliwerski, A., Kossakowska, K., Jarecka, K., Switalska, J., & Batorowicz E.B. (2020). The effect of maternal depression on infant attachment: A systematic review.
İnfertilite Hikayesi Olan Kadinlarda Anne Bebek Bağlanmasi ve Postpartum Depresyon Arasindaki İlişki
Year 2022,
Volume: 11 Issue: 3, 403 - 410, 04.10.2022
Elif Özdemir
,
Sena Kaplan
,
Sibel Küçük
Abstract
Amaç: Bu çalışmada infertilite hikayesi olan kadınlarda anne bebek bağlanması ve postpartum depresyon arasındaki ilişki incelenmiştir.fer
Yöntem: Çalışmanın örneklemini infertil grup (n=56) ve fertil grup (n=112) olmak üzere toplam 169 kadın oluşturmuştur. Veriler Tanımlayıcı Bilgi Formu, Edinburg Postpartum Depresyon Skalası (EPDS) ve Anne-Bebek Bağlanma Ölçeği (ABBÖ) kullanılarak toplanmıştır.
Bulgular: Fertil ve infertil grupların yaş ortalaması sırasıyla 28.95 ± 3.38 ve 36.55 ± 3.55 idi (p=0.001). İnfertil grupta ABBÖ puan ortalamasının (3.73±2.91), fertile gruba göre daha yüksek (1.50±1.29) olduğu belirlenmiştir (p=0.001). Ancak iki grup arasında EPDS ortalama puanları yönünden anlamlı bir fark bulunmamıştır (p > 0.05). Bunun yanı sıra, fertile grupta ABBÖ ve EPDS ortalama puanları arasında pozitif bir korelasyon olduğu belirlenmiştir (r = 0.354, p=0.001). Bu sonuç doğum sonrası depresyon riski ne kadar yüksek ise anne ve bebek bağlanma düzeyinin o kadar düşük olduğunu göstermiştir. İnfertil grupta ise ABBÖ ve EPDS ortala puanları arasında ise bir ilişki belirlenmemiştir (p > 0.05).
Sonuç: Kültürel ve etnik çeşitliliğin bulunduğu daha büyük gruplarda infertile hikayesi olan kadınlarda olası karıştırıcı faktörlerin hesaba katılarak, postpartum depresyon ve anne bebek bağlanma ilişkinin değerlendirildiği çalışmalara ihtiyaç bulunmaktadır.
References
- REFERENCES.
Akizuki, Y., & Kai, I. (2008). Infertile Japanese women’s perception of positive and negative social interactions within their social networks. Human Reproduction, 23(12), 2737–2743.
- Akyuz, A., Seven, M., Devran, A., & Demiralp, M. (2010). Infertility History is it a risk factor for postpartum depression in Turkish women?. The Journal of perinatal & neonatal nursing, 24(2), 137-145.
- Ataman, U., & Arslan, P. (2010). Doğal gebelikler ile infertilite tedavisi sonucu oluşan gebeliklerde psiko-sosyal bakım gereksinimleri. [Psycho-social Care Needs in Pregnancies Experienced Naturally and Pregnancies with as a Result of Infertility Treatment]. Sosyal Politika Çalışmaları Dergisi, 23(23), 75-86.
- American Psyhiatric Associaiton, Postpartum Depression, Available https://www.psychiatry.org/patients-families/postpartum-depression/what ispostpartum-depression (18.02.2021).
- Barker, J., Daniels, A., O’Neal1, K., & Van Sell, S.L. (2017). Maternal-Newborn Bonding Concept Analysis. International Journal of Nursing & Clinical Practices, 4, 229.
https://doi.org/10.15344/2394-4978/2017/229.
- Bernstein, J., Lewis, J., & Seibel, M. (1994). Effect of Previous Infertility on Maternal-Fetal Attachment,
- Coping Styles, and Self-Concept During Pregnancy. Journal Of Women's Health, 3 (2), 125-133.
- Chen, C.J., Chen, Y., Sung, H, Chen, C.J., Chen, Y.C., Sung, H.C., Kuo, P.C., & Wang, C.H. (2011). Perinatal attachment in naturally pregnant and infertility-treated pregnant women in Taiwan. Journal of
Advanced Nursing, 67(10), 2200-2208. https://doi: 10.1111/j.1365-2648.2011.05665.x
- Çankaya, S., Yılmaz, S.D., Can, R., & Kodaz, N.D. (2017). Postpartum depresyonun maternal bağlanma üzerine etkisi. [Effect of postpartum depression on maternal attachment]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 4, 232-240.
- Courtney, D., L., & Prasad, M.R. (2014). Association between infertility treatment and symptoms of postpartum depression. Fertility and Sterility, 102 (5), 1416-1421. https://doi.org/10.1016/j.fertnstert.2014.07.1247
- Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782-786.
- Deatsman, S., Vasilopoulos, T., & Rhoton-Vlasak, A. (2016). Age and Fertility: A Study on Patient Awareness. JBRA Assisted Reproduction, 20(3), 99-106. https://doi:10.5935/15180557.20160024
- Donarelli, Z., Lo Coco, G., Gullo, S., Marino, A., Volpes, A., & Allegra, A. (2012). Are attachment dimensions associated with infertility-related stress in couples undergoing their first IVF treatment? A study on the individual and cross-partner effect. Human Reproduction, 27(11), 3215-3225. https://doi: 10.1093/humrep/des307
- Dornelles, L.M., MacCallum, F., Lopes, R.C., Piccinini, C.A., & Passos, E.P. (2014). Living each week as unique. Maternal fears in assisted reproductive technology pregnancies. Midwifery, 115-120. https://doi.org/10.1016/j.midw.2013.12.005
- Engindeniz, A.N., Küey, L., & Kültür, S. (1997). Edinburgh doğum sonrası depresyon ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. [Edinburgh Postpartum Depression Scale Turkish form validity and reliability study]. Bahar Sempozyumları 1, Psikiyatri Derneği Yayınları, Ankara, 51-52 (in Turkish).
- Forman, D.R., O'Hara, M.W., Stuart, S., Gorman, L.L., Larsen, K.E., & Coy, K.C. (2007). Effective treatment for postpartum depression is not sufficient to improve the developing mother-child relationship. Development and Psychopathology, 191, 585–602. https://doi: 10.10170S0954579407070289
- Gressier, F., Letranchant, A., Cazas, O., Sutter-Dallay, A.L., Falissard, B., & Hardy, P. (2015). medically assisted conception: a systematic review and meta-analysis. Human Reproduction, 30 (11), 2575–2586. https://doi: 10.1093/humrep/dev207;
- Gourounti, K. (2016). Psychological stress and adjustment in pregnancy following assisted reproductive technology and spontaneous conception: A systematic review. Women Health, 56(1), 98-118. https://doi: 10.1080/03630242.2015.1074642.
- Haliloğlu, S., Sağlam, Z.A., & Toprak, D. (2013). İnfertilite polikliniğine başvuran kadın hastaların sosyodemografik özelliklerinin değerlendirilmesi. [Evaluation of the sociodemographic characteristics of women patients admitted to infertility outpatient clinic]. Smyrna Tıp Dergisi,15, 1-7.
- Hasanpoor-Azghdy S.B., Simbar, M., & Vedadhir, A. (2014). The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study. The Iranian Journal of Reproductive Medicine, 12(2), 131-138.
- Hess, R.F., Ross, R., Gililland, J.L. (2018). Infertility, psychological distress, and coping strategies among women in Mali, West Africa: a mixed‐ methods study. African Journal of Reproductive Health, 22, 60‐ 72. https://doi.org/ 10.29063/ajrh2018/v22i1.6
- Hughes, P., Turton, P., Hopper, E., McGauley, G.A., & Fonagy, P. (2001). Disorganised Attachment Behaviour among Infants Born Subsequent to Stillbirth. Journal of Child Psychology and Psychiatry, 42, 791–801.
https://data.tuik.gov.tr/Bulten/Index?p=Evlenme-ve-Bosanma-Istatistikleri-2019-33708 (14.03.2021)
- Karakulak, H.A., & Alparslan, Ö. (2016). Anne-bebek bağlanma ölçeğinin Türk toplumuna uyarlanması: Aydın örneği. [Adaptation of Mother to Infant Bonding Scale to The Turkish Society: Aydın Sample]. Journal of Contemporary Medicine, 6(3), 188-199.
- Keser, Ö.N., Boyacıoğlu, N.E., & Dinç, H. (2017). Postpartum depression prevalence and risk factors in Turkey: A systematic review and meta-analysis, Archive Psiciatrih Nursing, 31(4),420-428.
- Koçyiğit, O.T. (2012). İnfertilite ve sosyo-kültürel etkileri. [nfertility and its socio‐ cultural impacts]. İnsanbilim Dergisi, 1(1), 27–37.
- Lee, S.H., Liu, L.C., Kuo, P., & Lee, M.S. (2011). Postpartum depression and correlated factors in women who received in vitro fertilization treatment. Journal of Midwifery Womens Health, 56(4), 347-352.
- Lehnig, F., Nagl, M., Stepan, H., Wagner, B., & Kersting, A. (2019). A Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study. BMC Pregnancy and Childbirt, (19), 278.
- Listijono, D.R., Mooney, S., & Chapman, M. (2014). A comparative analysis of postpartum maternal mental health in women following spontaneous or ART conception. Journal of Psychosom Obstet Gynaecol, 35(2), 51-54. https://doi: 10.3109/0167482X.2014.911281).
- Lynch, C.D., & Prasad, M.R. (2014). Association between infertility treatment and symptoms of postpartum depression, Fertility and Sterility, 102(5),1416-1421.
- Martin, J.A., Hamilton, B.E., Osterman, M.J., Curtin, S.C., & Matthews, T.J. (2015). Births: Final data for 2013. Natl Vital Stat Rep., 64,1-65.
- Moehler, E., Brunner, R., Wiebel, A., Reck, C., & Resch, F. (2006). Maternal depressive symptoms in the postnatal period are associated with long-term impairment of motherchild bonding. Arch Womens Ment Health, 9, 273-278. https://doi: 10.1007/s00737-006-0149- 5
- Monti, F., Agostoni, F., Fagandini, P., Battista, La Sala G., & Blickstein, I. (2009). Depressive symptoms during late pregnancy and early parenthood following assisted reproductive technology. Fertil Steril, 91(3), 851-857. https://doi.org/10.1016/j.fertnstert.2008.01.021
- Murray, L. (1992). The Impact of Postnatal Depression on Infant Development. J. Child Psychol. Psychiatry, 33, 543-561.
- Nieto, L., Lara, M.A., & Navarrete, L. (2017). Prenatal predictors of maternal attachment and their association with postpartum depressive symptoms in mexican women at risk of depression.
Matern Child Health J., 21(6), 1250-1259. https://doi: 10.1007/s10995-016-2223-6
- O’Hara, M.W., & McCabe, J.E. (2013). Postpartum Depression: Current Status and Future Directions. Annu. Rev. Clin. Psychol., 9, 379-407.
- Olshansky, E., & Sereika, S. (2005). The transition from pregnancy to postpartum in previously infertile women: a focus on depression. Arch Psychiatr Nurs., 19(6), 273-280.
- Özşahin, Z., Akça, E., Gökbulut, N. (2020). Postpartum depresyon düzeyi ile maternal bağlanma arasındaki ilişki. [The Relationship between Postpartum Depression Level and Maternal Attachment]. Journal of Inonu University Health Services Vocational School, 8(3), 2147-7892. https://doi: 10.33715/inonusaglik.757249
- Ranjbar, F., Behboodi, M.Z., Borimnejad, L., Ghaffari, R.S., & Akhondi, M.M. (2015). Experiences of infertile women seeking assisted pregnancy in Iran: a qualitative study, Jour of Repro Infer, 16, 221- 228. https:// doi: 10.18502 / ijrm.v18i1.6203
- Ross, L.E., McQueen, K., Vigod, S., & Dennis, C.L. (2011). Risk for postpartum depression associated with assisted reproductive technologies and multiple births: a systematic review. Hum Reprod Update, 17(1), 96-106. https://doi: 10.1093/humupd/dmq025
- Sahin, M.B., & Gursoy, E. (2020). The social and psychological consequences of women getting pregnant with fertility treatment: A qualitative study, Perspect Psychiatr Care, 1- 10.
Safaei, N.A., Vakili, M.M., Ebrahimi, L., & Kharaghani, R. (2018). Demographics and the correlation between irrational parenthood cognitions and marital relationship quality in infertile women in Zanjan province in 2016. Perspect Psychiatr Care, 1-6. https://doi.org/10.1111/ppc. 12298
- Sexty, R.E., Hamadneh, J., Rösner, S., Strowitzki, T., Ditzen, B., Toth, B., & Wischmann, T. (2016). Cross‐ cultural comparison of fertility specific quality of life in German, Hungarian and Jordanian couples attending a fertility center. Health Qual Life Outcomes, 14,27. https://doi.org/10.1186/s12955‐ 016‐ 0429‐ 3
- Sliwerski, A., Kossakowska, K., Jarecka, K., Switalska, J., & Batorowicz E.B. (2020). The effect of maternal depression on infant attachment: A systematic review.