Is Increased Stress Affecting Prenatal Attachment in High Risk Pregnancies?

  • Mehmet Bülbül ​Adiyaman University Faculty of Medicine
  • Berna Dilbaz ​Adiyaman University Faculty of Medicine
  • Saadet Boybay Koyuncu Adiyaman University Health Sciences High School
  • Yurdagül Yağmur Inonu University Nursing Faculty
Keywords: Anxiety, High-risk Pregnancy, Perceived Stress, Prenatal Attachment


Objectives: Stress and anxiety during pregnancy period might have a negative impact on mother-baby attachment. In this study, it was aimed to evaluate the effect of increased stress on prenatal attachment in high-risk pregnancies.

Material and methods: 195 pregnancies with high-risk pregnancy and 87 pregnancies without any risk factors were included in the study. The Perceived Stress Scale and Prenatal Attachment Inventory were applied to all patients in this study and the findings of healthy pregnant women were compared with women with high-risk pregnancy.

Results: Age (25,55±4,40 vs 28,99±5,65, p<0,001), gravida (2,02±1,18 vs 3,01±1,84, p<0,001), parity and number of living children of the high-risk pregnancy group were higher. Although the perceived stress level in high-risk pregnancy group was higher than the control group (17.37±5.98 vs 13,95±5.36, p<0.001), the prenatal attachment was similar in both groups. (p>0.005). When the factors affecting prenatal attachment in pregnancy were examined prenatal attachment was found to be lower in women older than 35 years (52,92±9,65 vs 57,75±9,56 p:0,005), who have  a higher number of pregnancies (r: -0,311, p<;0,001), a lower socio-economic level (49,89±11,02 vs 58,14±9,06 p<0,001), a lower level of education (r:0,139, p:0,020), who smoke (53,47±9,22 vs 58,04±9,61 p:0,001), and when the current pregnancy is unplanned (52,35±9,21 vs 58,57±9,39, p<0,001).

Conclusion: As a result, although the perceived stress increases in high-risk pregnancy it does not have a negative impact on the prenatal attachment.


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Author Biographies

Mehmet Bülbül, ​Adiyaman University Faculty of Medicine

Department of Obstetric and Gynecology

Berna Dilbaz, ​Adiyaman University Faculty of Medicine

Department of Obstetrics and Gynecology

Saadet Boybay Koyuncu, Adiyaman University Health Sciences High School

Department of Midwifery

Yurdagül Yağmur, Inonu University Nursing Faculty

Department of Women's Health and Disease Nursing


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How to Cite
Bülbül, M., Dilbaz, B., Boybay Koyuncu, S., & Yağmur, Y. (2018). Is Increased Stress Affecting Prenatal Attachment in High Risk Pregnancies?. Journal of Medical Practice and Review, 2(08). Retrieved from