The Relationship between Pregnancy-related Anxiety and Maternal-fetal Attachment among Primigravida


  • Anjarwati Anjarwati Midwifery Department, Universitas ‘Aisyiyah, Yogyakarta, Indonesia
  • Endang Koni Suryaningsih Midwifery Department, Universitas ‘Aisyiyah, Yogyakarta, Indonesia



Pregnancy-related anxiety, Maternal-fetal attachment, Mothers, Indonesian


BACKGROUND: Many studies support the hypothesis that pregnancy-related anxiety (PRA) is strongly linked to postpartum depression, preterm births, low birth weight, fetal growth restriction, pregnancy complications, and negative infant outcomes. PRA has also been associated with mother-fetal bond during pregnancy that a special relationship between the mother and infant and growth beyond before the infant is born. Although extensive studies on PRA and maternal-fetal attachment (MFA) have been carried out, little attention on these issues is done in the Indonesian context.

AIM: To fill such a gap, the present study aimed to investigate the relationship between maternal PRA and MFA.

METHODS: Expectant mothers who visit their antenatal care in the primary health community services at Yogyakarta participated in this study. They were recruited using a purposive sampling technique based on the criteria: (a) The 1st time pregnancy, (b) in the late stage of pregnancy, (c) have no complication, (d) mother at any age range, and (e) mother at any education level. G-power with effect size 0.15 has used to determine the number of samples, 84 people. Statistical analysis Pearson correlation has been applied and calculates the t relationship between two variables. General linier model analysis conducted the contribution of demographic variables to PRA and MFA.

RESULTS: There is a significant relationship between maternal anxiety during pregnancy and MFA (p < 0.001) and a significant correlation between PRA and maternal age. However, there were no correlation between MFA and demographic variables.

IMPLICATION FOR PRACTICE: Findings study provides the crucial information as the new approach to enhance the quality of care of mother’s and infant’s health during pregnancy as well as to promote maternal mental health.


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How to Cite

Anjarwati A, Koni Suryaningsih E. The Relationship between Pregnancy-related Anxiety and Maternal-fetal Attachment among Primigravida. Open Access Maced J Med Sci [Internet]. 2021 Aug. 31 [cited 2022 Oct. 1];9(G):47-51. Available from:



Nursing in Gynecology and Obstetrics