Evidence map›Paper›PMID 40022016›Full record

Trial reportBMC pregnancy and childbirth2025

The effect of maternal-fetal attachments skills training among unintended primigravida women: a randomized controlled trial.

Fahimeh Hasanzadeh, Seyede Zahra Jafari, Marzieh Akbarzadeh, Fatemeh Hosseini, Zahra Yazdanpanahi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fahimeh HasanzadehDepartment of Midwifery, Student Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0009-0002-6893-9164
Seyede Zahra JafariDepartment of Midwifery, Student Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0001-7466-0392
Marzieh AkbarzadehMaternal -fetal medicine research center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0002-4491-2437
Fatemeh HosseiniCommunity Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0002-5106-873X
Zahra YazdanpanahiMaternal -fetal medicine research center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. z_yazdanpanahi@yahoo.com.ORCID http://orcid.org/0000-0001-9050-9924

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAn unintended pregnancy can lead to an unfavorable relationship between the mother and infant and also include pregnancies that, although unintended, become wanted and may not have the same risks. This study aimed to investigate the effect of attachment training on maternal and fetal attachment in women with unintended pregnancy.

methodThis clinical trial study was conducted in 2019 on 84 women (two groups of 42 subjects) with unintended pregnancies (at least 28 weeks in the third trimester of pregnancy) in selected clinics affiliated with Shiraz University of Medical Sciences. Cranley's Maternal-Fetal Attachment Scale (MFAS) was completed before and after the intervention in both groups; a demographic information questionnaire was filled out and written consent forms were signed before the intervention in both groups. Then, attachment training classes were conducted for 6 sessions of 90 min in the intervention group, while the control group received only routine pregnancy care. Chi-square, Fisher and independent t-test were used to analyze the data.

findingsThe mean scores of maternal-fetal attachment before attachment training in the experimental (57. 24 ± 5.03) and control groups (57.29 ± 6.96) were not significantly different (P = 0.86). Based on the results of independent t-test, the mean scores of maternal-fetal attachment after training in the intervention (66.43 ± 1.76) and control (57.14 ± 5.03) groups were significantly different (P = 0.0001).

conclusionThe findings of this study showed the positive effect of education on the attachment behaviors of mothers with unintended pregnancies. Therefore, it is recommended that attachment skills training should be used in prenatal training programs.

trial registrationIran Randomized Clinical Trial Center registration IRCT20130710013940N5, Date of first trial registration: 2019.02.02.

Indexed as

Maternal-Fetal RelationsObject AttachmentPregnancy, UnplannedAdultFemaleGravidityHumansIranPregnancySurveys and QuestionnairesYoung AdultEducationMaternal–fetal attachmentTrainUnintended pregnancy

Identifiers

PMID40022016
PMCPMC11869609

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.