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Jan 2019, Vol 7, Issue 1
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Original Article
Maternal-Fetal Attachment and its Sociodemographic Determinants in Women With Unplanned Pregnancy
Fatemeh Ekrami1, Mojgan Mirghafourvand2, Sakineh Mohammad-Alizadeh Charandabi3, Jalil Babapour Kheyradin4
1Student 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, Tabriz, Iran

IJWHR 2019; 7: 106-111
DOI: 10.15296/ijwhr.2019.17
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Keywords : Maternal-fetal attachment, Unplanned, Pregnancy
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Objectives: Attachment to the fetus is formed before the birth and stronger prenatal maternal-fetal attachment is related to more desirable prenatal and postpartum behaviors and cares as well as better acceptance of the parenting role. Therefore, this study aimed to determine maternal-fetal attachment and its socio-demographic determinants among women with an unplanned pregnancy.

Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on a convenience sample of 200 women with unplanned pregnancies attending the maternity clinic of Alavi hospital (Ardebil, Iran) during 2016-2017. To collect the data, a socio-demographic questionnaire and the maternal-fetal attachment scale (MFAS) were completed through the interviews. Data were analyzed using independent t tests, one-way ANOVA, and the general linear model.

Results: The mean (standard deviation) of maternal-fetal attachment score in women with an unplanned pregnancy was 79.2 (11.2) ranging from 23 to 115. The mean attachment score was significantly higher in women with a mistimed pregnancy [83.5 (9.0)] than in those with an 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, respectively. Based on the general linear model, only the type of unplanned pregnancy (mistimed or unwanted) indicated a significant relationship with maternal-fetal attachment (P < 0.001).

Conclusions:Based on the results, the type of unplanned pregnancy had a significant association with maternal-fetal attachment. Moreover, mothers with unwanted pregnancies needed greater counseling and support compared to those with mistimed pregnancies.

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