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Jan 2019, Vol 7, Issue 1
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Original Article
Maternal-Fetal Attachment and Its Socio-Demographic Determinants in Women with Unplanned Pregnancy
Fatemeh Ekrami1, Mojgan Mirghafourvand2, Sakineh Mohammad-Alizadeh Charandabi3, Jalil Babapour Kheyradin4
1Students’ Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
2Social Determinants of Health Research Centre, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
3Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
4Faculty of Psychology, Tabriz University of Medical Sciences, Tabriz, Iran

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Keywords : Maternal-fetal attachment, Unplanned, Pregnancy
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Objectives: Attachment to the fetus is formed before birth and stronger prenatal maternal-fetal attachment is related to more desirable prenatal and postpartum behaviors and cares and better acceptance of the parenting role. Therefore, the purpose of this study was to determine maternal-fetal attachment and its socio-demographic determinants among women with unplanned pregnancy.

Material and Methods: This descriptive-analytical cross-sectional study was conducted on a convenience sample of 200 women with unplanned pregnancy attending the maternity clinic of Alavi hospital (Ardebil, Iran) during 2016-17. In order to collect data, a socio-demographic questionnaire and the Maternal-Fetal Attachment Scale were completed through interviews. Data were analyzed using independent t-tests, one-way ANOVA and general linear model.

Results: The mean (standard deviation) maternal-fetal attachment score in women with unplanned pregnancy was 79.2 (11.2) ranged from 23to115. The mean attachment score was significantly higher in women with mistimed pregnancy [83.5 (9.0)] than in those with unwanted pregnancy [72.9 (11.0)]. The highest and lowest mean scores were observed in the “interaction with the fetus” [14.2 (3.3)] and the “role taking” [9.2 (3.0)] sub domains. According to the general linear model, only type of unplanned pregnancy (mistimed or unwanted) indicted a significant relationship with maternal-fetal attachment (p<0.001).

Conclusion: Unplanned pregnancy type had a significant association with maternal-fetal attachment. Moreover, mothers with unwanted pregnancies need greater counseling and support compared to those with mistimed pregnancies.

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