Abstract：
BACKGROUND: Antenatal imaging provides clinical information regarding fetal growth and development. The additional benefit afforded by imaging for expectant parents in developing an emotional connection (bond) to the unborn baby is also acknowledged. However, the relationship between imaging and bonding is not fully understood, particularly where there are differing parental and pregnancy circumstances, for example use of advanced imaging techniques or the prenatal diagnosis of a congenital fetal condition. This study aimed to explore the role of antenatal imaging in enhancing the developing parent-fetal bond in first-time parents.
METHODS: A descriptive, qualitative methodology was used. Semi-structured telephone interviews were conducted with first-time expectant parents attending a London hospital for clinical ultrasound (n = 20) or research MRI (n = 8) imaging during pregnancy. The sample included parents receiving specialist antenatal care for a diagnosed fetal cardiac condition (n = 8). Thematic analysis was conducted.
RESULTS: The analysis generated three themes: 1) Our baby, our scan too; 2) Destination parenthood; and 3) Being in the dark, then finding the light. These themes highlight the important, but transient role of antenatal imaging in enhancing parent-fetal bonding, as well as the differing care needs of expectant parents. The integral role of healthcare professionals in providing a personalised, supportive, imaging experience to facilitate bonding is also reflected.
CONCLUSIONS: Adopting parent-centred care approaches which involve expectant parents in fetal imaging influences bonding by helping parents to consider the reality of their impending parenthood. Knowledge acquired during scans is used to create an identity for the unborn baby, which parents can develop an emotional connection to.
CONCLUSIONS: To optimise the potential for enhanced parent-fetal bonding, care provision in fetal imaging should be tailored to the individual needs of expectant parents.
METHODS: A descriptive, qualitative methodology was used. Semi-structured telephone interviews were conducted with first-time expectant parents attending a London hospital for clinical ultrasound (n = 20) or research MRI (n = 8) imaging during pregnancy. The sample included parents receiving specialist antenatal care for a diagnosed fetal cardiac condition (n = 8). Thematic analysis was conducted.
RESULTS: The analysis generated three themes: 1) Our baby, our scan too; 2) Destination parenthood; and 3) Being in the dark, then finding the light. These themes highlight the important, but transient role of antenatal imaging in enhancing parent-fetal bonding, as well as the differing care needs of expectant parents. The integral role of healthcare professionals in providing a personalised, supportive, imaging experience to facilitate bonding is also reflected.
CONCLUSIONS: Adopting parent-centred care approaches which involve expectant parents in fetal imaging influences bonding by helping parents to consider the reality of their impending parenthood. Knowledge acquired during scans is used to create an identity for the unborn baby, which parents can develop an emotional connection to.
CONCLUSIONS: To optimise the potential for enhanced parent-fetal bonding, care provision in fetal imaging should be tailored to the individual needs of expectant parents.
摘要：
背景：产前成像可提供有关胎儿生长发育的临床信息。成像为准生父母在与未出生的婴儿建立情感联系（纽带）方面提供的额外好处也得到了承认。然而,成像和键合之间的关系还没有完全理解，特别是在父母和怀孕情况不同的情况下，例如使用先进的成像技术或先天性胎儿疾病的产前诊断。本研究旨在探讨产前影像学在增强初次父母发展中的亲胎联系中的作用。
方法：描述性，采用定性方法。对在伦敦医院就诊的首次准父母进行了半结构化电话采访，以在怀孕期间进行临床超声检查（n=20）或研究MRI（n=8）成像。样本包括接受诊断为胎儿心脏病的专科产前护理的父母（n=8）。进行了专题分析。
结果：分析产生了三个主题：1）我们的孩子，我们的扫描也是；2)目的地父母身份；和3)在黑暗中，然后找到光。这些主题突出了重要的，但是产前成像在增强亲胎结合中的短暂作用，以及预期父母的不同护理需求。医疗保健专业人员在提供个性化、支持,便于粘接的成像经验也得到了体现。
结论：采用以父母为中心的护理方法，包括准生父母在胎儿成像中，通过帮助父母考虑即将成为父母的现实，影响了联系。在扫描过程中获得的知识用于为未出生的婴儿创建身份，父母可以与之建立情感联系。
结论：为了优化增强亲胎结合的潜力，胎儿成像中的护理应根据预期父母的个人需求量身定制。
方法：描述性，采用定性方法。对在伦敦医院就诊的首次准父母进行了半结构化电话采访，以在怀孕期间进行临床超声检查（n=20）或研究MRI（n=8）成像。样本包括接受诊断为胎儿心脏病的专科产前护理的父母（n=8）。进行了专题分析。
结果：分析产生了三个主题：1）我们的孩子，我们的扫描也是；2)目的地父母身份；和3)在黑暗中，然后找到光。这些主题突出了重要的，但是产前成像在增强亲胎结合中的短暂作用，以及预期父母的不同护理需求。医疗保健专业人员在提供个性化、支持,便于粘接的成像经验也得到了体现。
结论：采用以父母为中心的护理方法，包括准生父母在胎儿成像中，通过帮助父母考虑即将成为父母的现实，影响了联系。在扫描过程中获得的知识用于为未出生的婴儿创建身份，父母可以与之建立情感联系。
结论：为了优化增强亲胎结合的潜力，胎儿成像中的护理应根据预期父母的个人需求量身定制。
