Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study

Purpose Coronavirus disease 2019 (COVID-19) has spread widely throughout the world, causing psychological problems such as fear, anxiety, and stress. During the COVID-19 pandemic, pregnant women have been concerned about both their own health and the health of their fetuses, and these concerns could...

Full description

Bibliographic Details
Main Authors: Hyeryeong Yoon, Hyunkyung Choi
Format: Article
Language:English
Published: Korean Society of Women Health Nursing 2023-03-01
Series:Korean Journal of Women Health Nursing
Subjects:
Online Access:http://www.kjwhn.org/upload/pdf/kjwhn-2023-02-21-3.pdf
_version_ 1797692876084215808
author Hyeryeong Yoon
Hyunkyung Choi
author_facet Hyeryeong Yoon
Hyunkyung Choi
author_sort Hyeryeong Yoon
collection DOAJ
description Purpose Coronavirus disease 2019 (COVID-19) has spread widely throughout the world, causing psychological problems such as fear, anxiety, and stress. During the COVID-19 pandemic, pregnant women have been concerned about both their own health and the health of their fetuses, and these concerns could negatively affect maternal-fetal attachment. Thus, this study aimed to explore the level of COVID-19 stress, resilience, and maternal-fetal attachment among pregnant women during the COVID-19 pandemic, and to identify factors influencing maternal-fetal attachment. Methods In total, 118 pregnant women past 20 weeks gestation were recruited from two maternity clinics in Daegu, Korea, to participate in this descriptive correlational study during COVID-19. The factors influencing maternal-fetal attachment were analyzed using hierarchical multiple regression analysis. Results The mean scores for COVID-19 stress, resilience, and maternal-fetal attachment were 57.18±10.32 out of 84, 67.32±15.09 out of 100, and 77.23±9.00 out of 96, respectively. Nulliparous pregnant women reported greater maternal-fetal attachment than multiparous pregnant women (p=.003). Religious pregnant women also reported greater maternal-fetal attachment than non-religious pregnant women (p=.039). Resilience (β=.29, p=.002), COVID-19 stress (β=.20, p=.030) and parity (β=–.17, p=.047) were factors influencing maternal-fetal attachment, and these factors explained 26.4% of the variance in maternal-fetal attachment (F=10.12, p<.001). Conclusion Converse to common sense, COVID-19 stress exerted a positive influence on maternal-fetal attachment in pregnant women during the COVID-19 pandemic. Healthcare providers need to recognize the positive influence of COVID-19 stress and implement intervention strategies to strengthen resilience in pregnant women to improve maternal-fetal attachment.
first_indexed 2024-03-12T02:33:55Z
format Article
id doaj.art-8990a4b58bb249d087b3d9ab349639ec
institution Directory Open Access Journal
issn 2287-1640
2093-7695
language English
last_indexed 2024-03-12T02:33:55Z
publishDate 2023-03-01
publisher Korean Society of Women Health Nursing
record_format Article
series Korean Journal of Women Health Nursing
spelling doaj.art-8990a4b58bb249d087b3d9ab349639ec2023-09-05T01:52:54ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402093-76952023-03-01291556510.4069/kjwhn.2023.02.21.3993Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional studyHyeryeong Yoon0Hyunkyung Choi1 College of Nursing, Kyungpook National University, Daegu, Korea College of Nursing, Kyungpook National University, Daegu, KoreaPurpose Coronavirus disease 2019 (COVID-19) has spread widely throughout the world, causing psychological problems such as fear, anxiety, and stress. During the COVID-19 pandemic, pregnant women have been concerned about both their own health and the health of their fetuses, and these concerns could negatively affect maternal-fetal attachment. Thus, this study aimed to explore the level of COVID-19 stress, resilience, and maternal-fetal attachment among pregnant women during the COVID-19 pandemic, and to identify factors influencing maternal-fetal attachment. Methods In total, 118 pregnant women past 20 weeks gestation were recruited from two maternity clinics in Daegu, Korea, to participate in this descriptive correlational study during COVID-19. The factors influencing maternal-fetal attachment were analyzed using hierarchical multiple regression analysis. Results The mean scores for COVID-19 stress, resilience, and maternal-fetal attachment were 57.18±10.32 out of 84, 67.32±15.09 out of 100, and 77.23±9.00 out of 96, respectively. Nulliparous pregnant women reported greater maternal-fetal attachment than multiparous pregnant women (p=.003). Religious pregnant women also reported greater maternal-fetal attachment than non-religious pregnant women (p=.039). Resilience (β=.29, p=.002), COVID-19 stress (β=.20, p=.030) and parity (β=–.17, p=.047) were factors influencing maternal-fetal attachment, and these factors explained 26.4% of the variance in maternal-fetal attachment (F=10.12, p<.001). Conclusion Converse to common sense, COVID-19 stress exerted a positive influence on maternal-fetal attachment in pregnant women during the COVID-19 pandemic. Healthcare providers need to recognize the positive influence of COVID-19 stress and implement intervention strategies to strengthen resilience in pregnant women to improve maternal-fetal attachment.http://www.kjwhn.org/upload/pdf/kjwhn-2023-02-21-3.pdfcovid-19covid-19 stress syndromematernal-fetal relationspregnant womenpsychological resilience
spellingShingle Hyeryeong Yoon
Hyunkyung Choi
Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study
Korean Journal of Women Health Nursing
covid-19
covid-19 stress syndrome
maternal-fetal relations
pregnant women
psychological resilience
title Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study
title_full Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study
title_fullStr Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study
title_full_unstemmed Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study
title_short Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study
title_sort factors influencing maternal fetal attachment in pregnant women during the covid 19 pandemic a cross sectional study
topic covid-19
covid-19 stress syndrome
maternal-fetal relations
pregnant women
psychological resilience
url http://www.kjwhn.org/upload/pdf/kjwhn-2023-02-21-3.pdf
work_keys_str_mv AT hyeryeongyoon factorsinfluencingmaternalfetalattachmentinpregnantwomenduringthecovid19pandemicacrosssectionalstudy
AT hyunkyungchoi factorsinfluencingmaternalfetalattachmentinpregnantwomenduringthecovid19pandemicacrosssectionalstudy