Induced abortion has no psychological effect on early parental self-efficacy and psychological well-being: The Steps to the Healthy Development and Well-being of Children study.

STEPS study abortion first-time mothers parenting psychological well-being self-efficacy termination of pregnancy

Journal

Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343

Informations de publication

Date de publication:
04 2021
Historique:
revised: 16 07 2020
received: 25 01 2020
accepted: 26 07 2020
pubmed: 24 9 2020
medline: 29 4 2021
entrez: 23 9 2020
Statut: ppublish

Résumé

An association between a history of induced abortion and psychological well-being post-abortion has been demonstrated in recently published studies, which is contrary to the findings of existing known high-quality studies. An evaluation was conducted to determine whether a history of abortion affected the psychological well-being and parental self-efficacy of first-time mothers and their partners; this assessment was performed when the child was aged 18 months. Questionnaires were administered to 492 first-time mothers, 37 of whom had a history of abortion, and their partners (n = 436). Women with previous miscarriages, ectopic pregnancies, and deliveries were excluded. The women were allocated to an abortion group or a comparison group, depending on each woman's abortion history obtained from medical birth registry data. Psychological well-being, which encompassed social and emotional loneliness, marital satisfaction, social phobia, and depression, was evaluated as a predictor of maternal and paternal self-efficacy within the two groups. The analysis was conducted using multi-group structural equation modeling. Induced abortion was not predictive of maternal or paternal well-being or parental self-efficacy. Overall, maternal and paternal psychological well-being was predictive of parental self-efficacy when an assessment was performed, regardless of an abortion history. After testing the invariance of multi-group models, psychological well-being was similarly found to predict parental self-efficacy in both the abortion history and comparison groups. These findings suggest that the psychological well-being of parents is an important predictor of maternal and paternal self-efficacy during toddlerhood. Abortion history was not demonstrated to negatively impact the psychological well-being of parents with respect to their capacity for parental self-efficacy.

Identifiants

pubmed: 32964429
doi: 10.1111/aogs.13980
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

751-757

Informations de copyright

© 2020 Nordic Federation of Societies of Obstetrics and Gynecology.

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Auteurs

Susanna Holmlund (S)

Department of Public Health, University of Turku, Turku, Finland.
Säkylä-Köyliö Municipal Primary Health Care Center, Säkylä, Finland.
Department of Obstetrics and Gynecology, University of Turku, Turku, Finland.
Satakunta hospital district, Pori, Finland and Turku Institute for Child and Youth Research, University of Turku, Turku, Finland.

Niina Junttila (N)

Department for Teacher Education, University of Turku, Turku, Finland.
Center for Education and Research on Social and Health Services, University of Turku, Turku, Finland.

Minna Aromaa (M)

Department of Public Health, University of Turku, Turku, Finland.
Outpatient Clinic of Children and Adolescents, Turku, Finland.

Hannele Räihä (H)

Department for Teacher Education, University of Turku, Turku, Finland.
Department of Psychology, University of Turku, Turku, Finland.
Turku Institute for Child and Youth Research, University of Turku, Turku, Finland.

Juha Mäkinen (J)

Department of Obstetrics and Gynecology, University of Turku, Turku, Finland.
Department of Obstetrics and Gynecology, Turku University Hospital, Turku, Finland.

Päivi Rautava (P)

Department of Public Health, University of Turku, Turku, Finland.
Center for Education and Research on Social and Health Services, University of Turku, Turku, Finland.
Turku Institute for Child and Youth Research, University of Turku, Turku, Finland.
Turku Clinical Research Center, Turku University Hospital, Turku, Finland.

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