The Correlation between Spiritual Health and Maternal-Fetal Attachment Behaviors in Pregnant Women Referring to the Health Centers in Qazvin, Iran

Document Type: Original Article


1 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

2 Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

3 Department of Psychology, School of Humanities, Imam Hossein University, Tehran, Iran


Background: Spiritual health and maternal-fetal attachment behaviors are considered as beneficial
coping strategies used to adapt to pregnancy. The present study was conducted to determine the
correlation between spiritual health and maternal-fetal attachment behaviors in pregnant women
referring to health centers in Qazvin.
Methods: The present descriptive correlational study was conducted on 200 pregnant women referring to health centers in Qazvin, in 2015. A multi-stage sampling was carried out and data were collected in a self-report manner, using the Persian version of Spiritual Well-Being scale developed by Paloutzian and Ellison, Persian version of Cranley’s maternal-fetal attachment scale, and a demographic and midwifery questionnaire. Data were analyzed in SPSS-20, using Pearson’s correlation coefficient and the multivariate linear regression. PResults: The mean scores of attachment and spiritual health were 95.91±8.92 and 104.15±10.59,
respectively. A weak positive correlation was observed between attachment behaviors and spiritual
health (P<0.001, r=0.40). Regression analysis showed that spiritual health (P<0.001, β=0.40), religious health (P<0.001, β=0.30), and existential health (P<0.001, β=0.43) could predict the maternal-fetal attachment behaviors.
Conclusion: The results showed that a higher spiritual health was associated with an increase in
maternal-fetal attachment behaviors. These results suggest the importance of strengthening spirituality during pregnancy as an effective strategy for increasing the attachment behaviors.


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