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Background The purpose of this study is to examine the effects of pregnancy stress, maternal-fetal attachment, and social support on prenatal depression among high-risk pregnant women. This research aims to provide foundational data to assist in preventing prenatal depression in high-risk pregnant women within the nursing field. Methods A study was conducted on 141 high-risk pregnant women diagnosed as high-risk and hospitalized, who were less than 37 weeks pregnant. The study investigated pregnancy stress, maternal-fetal attachment, social support, and general characteristics. The collected data were analyzed using the SPSS WIN 22.0 software, employing methods, such as frequency, percentage, standard deviation, t-test, one-way ANOVA, Pearson's correlation coefficient, Scheffé test, and hierarchical multiple regression analysis. Results The participants showed a positive correlation between prenatal depression and pregnancy stress (r= 0.51, p < 0.001) and negative correlations with maternal-fetal attachment (r=- 0.38, p < 0.001) and social support (r=- 0.50, p < 0.001). Regression analysis revealed that the relationship with the spouse (β=-0.42, p= 0.006), a family history of depression (β= 0.35, p < 0.001), pregnancy stress (β= 0.30, p < 0.001), and maternal-fetal attachment (β=- 0.15, p = 0.033) significantly influenced prenatal depression in that order, with an explanatory power of 52% (F=16.04, p <0.001). Conclusion In managing prenatal depression in high-risk pregnant women, it is essential to identify individuals with strained relationships with their spouses or a family history of depression. Furthermore, implementing educational and nursing intervention programs designed to reduce pregnancy stress and encourage maternal-fetal attachment behaviors is crucial.
Choe et al. (Tue,) studied this question.