Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study
Introduction: A healthy lifestyle during pregnancy is crucial for improving maternal and infant outcomes. Maternal-fetal attachment and maternal prenatal depression have been identified as factors influencing maternal lifestyle during pregnancy. This study aimed to investigate the relationship betwe...
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Elsevier
2025-01-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398424004019 |
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| author | Rufidah Maulina Su-Chen Kuo Chieh-Yu Liu Yu Ying Lu Siti Khuzaiyah Rafael A. Caparros-Gonzalez |
| author_facet | Rufidah Maulina Su-Chen Kuo Chieh-Yu Liu Yu Ying Lu Siti Khuzaiyah Rafael A. Caparros-Gonzalez |
| author_sort | Rufidah Maulina |
| collection | DOAJ |
| description | Introduction: A healthy lifestyle during pregnancy is crucial for improving maternal and infant outcomes. Maternal-fetal attachment and maternal prenatal depression have been identified as factors influencing maternal lifestyle during pregnancy. This study aimed to investigate the relationship between maternal-fetal attachment, maternal prenatal depression, and a healthy lifestyle among pregnant women. Methods: A cross-sectional study was conducted among 224 pregnant women in their third trimester, attending an antenatal appointment at a community health center in Surakarta, Indonesia, from July to September 2019. Results: Bivariate analysis revealed significant associations between education (p = 0.024), religion (p = 0.026), employment (p = 0.012), income (p = 0.016), parity (p = 0.026), maternal depression (p < 0.01), maternal-fetal attachment (p < 0.001), and a health-promoting lifestyle. However, factors such as age, living arrangement, gestational age, a planned pregnancy, previous miscarriages, pre-pregnancy diseases, pre-pregnancy complications, and a private health insurance showed no significant associations. Hierarchical multiple linear regression indicated that maternal-fetal attachment (p < 0.05) and maternal depression (p < 0.001) were the only predictors of pregnant women's health-promoting lifestyles (R2 = 0.373, ΔR = 0.251). Conclusion: Maternal-fetal attachment and maternal prenatal depression are key predictors of adopting a health-promoting lifestyle during pregnancy. These findings highlight the importance of maternal psychological well-being as part of a comprehensive antenatal care. |
| format | Article |
| id | doaj-art-ee96e32c82cf4e23850dbca7896318c4 |
| institution | Kabale University |
| issn | 2213-3984 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-ee96e32c82cf4e23850dbca7896318c42025-01-05T04:27:59ZengElsevierClinical Epidemiology and Global Health2213-39842025-01-0131101904Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional studyRufidah Maulina0Su-Chen Kuo1Chieh-Yu Liu2Yu Ying Lu3Siti Khuzaiyah4Rafael A. Caparros-Gonzalez5Midwifery Study Program, Medical Faculty, Sebelas Maret University, Indonesia, Ir Sutami Street, No 36A, Surakarta, Central Java, 51172, IndonesiaThe National Union of Midwives Association, TaiwanDepartment of Health Care Management at the National Taipei University of Nursing and Health Sciences, 365 Ming-de Rd, Beitou District 112, Taipei, TaiwanDepartment of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming-de Rd, Beitou District 112, Taipei, TaiwanMidwifery Program, Faculty of Health Sciences, Universitas Muhammadiyah Pekajangan Pekalongan, Indonesia; Corresponding author.Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain; Facultad de Ciencias de la Salud, Departamento de Enfermería, Universidad de Granada, Granada, SpainIntroduction: A healthy lifestyle during pregnancy is crucial for improving maternal and infant outcomes. Maternal-fetal attachment and maternal prenatal depression have been identified as factors influencing maternal lifestyle during pregnancy. This study aimed to investigate the relationship between maternal-fetal attachment, maternal prenatal depression, and a healthy lifestyle among pregnant women. Methods: A cross-sectional study was conducted among 224 pregnant women in their third trimester, attending an antenatal appointment at a community health center in Surakarta, Indonesia, from July to September 2019. Results: Bivariate analysis revealed significant associations between education (p = 0.024), religion (p = 0.026), employment (p = 0.012), income (p = 0.016), parity (p = 0.026), maternal depression (p < 0.01), maternal-fetal attachment (p < 0.001), and a health-promoting lifestyle. However, factors such as age, living arrangement, gestational age, a planned pregnancy, previous miscarriages, pre-pregnancy diseases, pre-pregnancy complications, and a private health insurance showed no significant associations. Hierarchical multiple linear regression indicated that maternal-fetal attachment (p < 0.05) and maternal depression (p < 0.001) were the only predictors of pregnant women's health-promoting lifestyles (R2 = 0.373, ΔR = 0.251). Conclusion: Maternal-fetal attachment and maternal prenatal depression are key predictors of adopting a health-promoting lifestyle during pregnancy. These findings highlight the importance of maternal psychological well-being as part of a comprehensive antenatal care.http://www.sciencedirect.com/science/article/pii/S2213398424004019PregnancyPrenatal careCross-sectional studiesDepressionLife Style |
| spellingShingle | Rufidah Maulina Su-Chen Kuo Chieh-Yu Liu Yu Ying Lu Siti Khuzaiyah Rafael A. Caparros-Gonzalez Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study Clinical Epidemiology and Global Health Pregnancy Prenatal care Cross-sectional studies Depression Life Style |
| title | Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study |
| title_full | Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study |
| title_fullStr | Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study |
| title_full_unstemmed | Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study |
| title_short | Does attachment and prenatal depression affect maternal health-promoting lifestyle during pregnancy? A cross-sectional study |
| title_sort | does attachment and prenatal depression affect maternal health promoting lifestyle during pregnancy a cross sectional study |
| topic | Pregnancy Prenatal care Cross-sectional studies Depression Life Style |
| url | http://www.sciencedirect.com/science/article/pii/S2213398424004019 |
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