Evidence map›Paper›PMID 42078553›Full record

ArticleHealth science reports2026

Psychosocial Predictors of Maternal-Fetal Attachment in Anxious Pregnancies: A Study Among Women With Prior Miscarriages.

Iqra Javaid, Muhammad Ameeq, Muhammad Muneeb Hassan, Alpha Kargbo, Muhammad Daud Butt, Saadia Zia

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Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Iqra JavaidPunjab Thalassaemia & Other Genetic Disorders Prevention and Research Institute Bahawalpur Victoria Hospital Bahawalpur Pakistan.ORCID https://orcid.org/0009-0005-0684-003X
Muhammad AmeeqDepartment of Statistics TheIslamia University Bahawalpur Pakistan.ORCID https://orcid.org/0000-0002-3677-2075
Muhammad Muneeb HassanDepartment of Statistics TheIslamia University Bahawalpur Pakistan.ORCID https://orcid.org/0000-0002-1989-2622
Alpha KargboDepartment of Physical & Natural Science University of the Gambia Serekunda Gambia.ORCID https://orcid.org/0000-0002-8248-2511
Muhammad Daud ButtSchool of Pharmaceutical Sciences Universiti Sains Malaysia Penang USM Malaysia.ORCID https://orcid.org/0000-0001-5050-8011
Saadia ZiaDepartment of Psychology University of Southern Punjab Multan Pakistan.ORCID https://orcid.org/0000-0003-2269-5635

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Maternal mental health influences the key psychological process of maternal-fetal attachment (MFA) during pregnancy. Women with a history of miscarriage are at increased risk of prenatal anxiety and depression, which may affect their emotional bond with the fetus. Evidence on how anxiety and depression influence MFA in high-risk pregnancies is inconsistent, particularly in low-income settings such as Pakistan, where prenatal mental health research is limited. Aims: This study aimed to examine the association between prenatal anxiety and prenatal depression with maternal-fetal attachment and its dimensions among pregnant women with a history of miscarriage and to explore differences based on selected demographic and psychosocial factors. Methods: A cross-sectional study was conducted at Bahawalpur Victoria Hospital, Pakistan, from October 2024 to December 2024. A total of 523 third-trimester pregnant women with prior miscarriages were recruited using purposive sampling. Prenatal depression, anxiety, and maternal-fetal attachment were assessed using the EPDS, SAS, and MAAS, respectively. Independent sample Results: Prenatal anxiety was significantly and positively associated with maternal-fetal attachment and its subdimensions, whereas prenatal depression showed no such association. Regression analysis confirmed anxiety as a significant predictor of attachment quality and total MFA scores, whereas depression was non-significant. Planned pregnancy, marital satisfaction, employment, sleep disturbances, and younger maternal age were associated with stronger maternal-fetal attachment and higher anxiety. Conclusion: Prenatal anxiety, but not depression, is positively associated with maternal-fetal attachment among women with a history of miscarriage. These findings emphasize the importance of the early identification and management of prenatal anxiety and highlight the need for culturally appropriate mental health interventions to support maternal well-being and mother-fetus bonding in high-risk pregnancies.

Indexed as

anxietymental healthmiscarriagesparental depressionpregnant women

Identifiers

PMID42078553
PMCPMC13129234

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