Document Type : Original Article


1 Phd Candidate of Sexual and Reprouductive Health, Department of Midwifery, Faculty of Medicine, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

2 Midwifery, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Department of Midwifery, School of Nursing and Midwifery, Neyshabur University of Medical Sciences, Neyshabur, Iran

4 Msc of Mideifery, School of Nursing and Midwifery, Neyshabour University of Medical Sciences, Neyshabour, Iran

5 PhD Candidate in Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: Maternal attachment to the fetus is a term used to describe the emotional relationship
between mother and fetus. This emotional connection increases during pregnancy and is reflected
in her feelings, perceptions, and behaviors. Mindfulness is important as one of the factors affecting
the mental health of people during pregnancy. Therefore, the present study was conducted to
determine the relationship between the dimensions of mindfulness and maternal attachment to the
fetus during pregnancy.
MATERIALS AND METHODS: The present study was performed on 500 pregnant mothers referred
to health centers affiliated to Isfahan University of Medical Sciences. The samples were entered into
the study by available sampling method and if they had inclusion criteria and no exclusion criteria.
The research instruments were the Fetal Attachment Questionnaire and the Bauer Mindfulness
Questionnaire. The collected data were analyzed by SPSS software version 22.
RESULTS: The results of the data showed that there was no significant relationship between the
overall score of mindfulness and the overall score of maternal attachment to the fetus (P = 0.62).
While from the dimensions of mindfulness such as “action with awareness” there was a significant
negative relationship (P = 0.03) with maternal attachment to the fetus and a significant positive
relationship “observation” with maternal attachment to the fetus (P = 0.03).
CONCLUSION: According to the results of this study, there is a relationship between maternal
attachment to the fetus during pregnancy and a number of dimensions of mindfulness. For this
purpose, since mindfulness can increase the mother’s interactions with the fetus, and this interaction
begins during pregnancy and with the mother’s attachment to the fetus, it is important to pay attention
to this.


1. Simpson KR, Creehan PA. Perinatal Nursing. 4th ed. UK,
Philadelphia: Lippincott Williams & Wilkins; 2013.
2. Berek JS. In: Ghazijahani B, Zonuzi A, Bahrami N, editors. Berek
& Novak’s Gynecology. Tehran: Golban Publishers; 2013.
3. Torshizi M, Sharifzadeh GH. Maternal‑fetal attachment and
associated factors in pregnant women referred to Birjand health
centers. J Birjand Univ Med Sci 2013;20 (3):279‑287.
4. Parsa P, Saiedzadeh N, Roshanai G, Masoumi SZ. The effct
of training on maternal‑fetal attchment (MfA) in nulliparous
Women: A randomized clinical trial. Avicenna J Nurs Midwifery
Care. 2016; 24 (1):24‑30.
5. Bouchard G. Th role of psychosocial variables in prenatal
attchment: An examination of moderational effcts. J Reproduct
Infant Psychol 2011;29:197‑207.
6. Toosi M, Akbarzadeh M, Sharif F. Effect of attachment training
on anxiety and attachment behaviors of first‑time mothers. Hayat
7. Akbarzadeh M, Toosi M, Zare N, Sharif F. Effect of learning
attachment behaviors on anxiety and maternal fetal attachment
in fist pregnant women. Mashhad Evid Based Care J 2011;1:21‑33.
8. Ruschel P, Zielinsky P, Grings C, Pimentel J, Azevedo L,
Paniagua R, et al. Maternal‑fetal attachment and prenatal diagnosis
of heart disease. Eur J Obstet Gynecol Reprod Biol 2014;174:70‑5.
9. Maas AJ, Vreeswijk CM, Braeken J, Vingerhoets AJ, van Bakel HJ.
Determinants of maternal fetal attachment in women from a
community‑based sample. J Reprod Infant Psychol 2014;32:5‑24.
10. Alhusen JL, Gross D, Hayat MJ, Rose L, Sharps P. The role
of mental health on maternal‑fetal attachment in low‑income
women. J Obstet Gynecol Neonatal Nurs. 2012;41(6):E71‑E81. doi:
10.1111/j. 1552‑6909.2012.01385.x.
11. Pakizeh A. Investigation of the effectiveness of mindfulness and
emotion regulation on general health among Yasoyj high school
female students. Educ Dev Jundishapur 2015;6:158‑64.
12. Monajem A, Ebrahimi MS. The relationship between metacognitive
beliefs and practice mindfulness and acceptances and commitment
with general health in students. J Police Med 2017;6:31‑42.
13. Duncan LG, Bardacke N. Mindfulness‑based childbirth and
parenting education: Promoting family mindfulness during the
perinatal period. J Child Fam Stud 2010;19:190‑202.
14. Krongold KS. Mindfulness‑Based Prenatal Care and Postnatal
Mother‑Infant Relationships. California Institute of Integral
Studies, 2011;288:3474222
15. Dunn C, Hanieh E, Roberts R, Powrie R. Mindful pregnancy
and childbirth: Effects of a mindfulness‑based intervention on
women’s psychological distress and well‑being in the perinatal
period. Arch Womens Ment Health 2012;15:139‑43.
16. Sivak K. Mindfulness‑based cognitive therapy for pregnant
women with previous difficult postpartum mood: A mixed
methods exploratory study. SJNMP 2019;5(3):83‑94.
17. Sawyer Cohen J. Mindfulness and self‑compassion in the
transition to motherhood: a prospective study of postnatal mood
and attachment. In: Unpublished PhD. Thesis. Psychology:
Columbia University; 2010.
18. Creswell JD. Mindfulness interventions. Annu Rev Psychol
19. Tang R, Braver TS. Towards an individual differences perspective
in mindfulness training research: Theoretical and empirical
considerations. Front Psychol 2020;11:818.
20. Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using
self‑report assessment methods to explore facets of mindfulness.
Assessment 2006;13:27‑45.
21. Hofmann SG, Gómez AF. Mindfulness‑based interventions for
anxiety and depression. Psychiatr Clin North Am 2017;40:739‑49.
22. Boyd JE, Lanius RA, McKinnon MC. Mindfulness‑based
treatments for posttraumatic stress disorder: A review of the
treatment literature and neurobiological evidence. J Psychiatry
Neurosci 2018;43:7‑25.
23. Wachs K, Cordova JV. Mindful relating: Exploring mindfulness
and emotion repertoires in intimate relationships. J Marital Fam
Ther 2007;33:464‑81.
24. Ghasemipour Y, Ghorbani N. Mindfulness and basic psychological
needs among patients with coronary heart disease. Iran J
Psychiatry Clin Psychol 2010;16:154‑62.
25. Taavoni S, Ahadi M, Ganji T, Hosseini F. Comparison of maternal
fetal attachment between primgravidas and multigravidas women
with past history of fetal or neonatal death. IJN 2008;21:53‑61.
26. Taffazoli M, Montakhab Asadi M, Aminyazdi S, Shakeri M. The
relationship between maternal‑fetal attachment and mother‑infant
attachment behaviors in primiparous women referring to
Mashhad health care centers. J Midwifery Reprod Health
27. Haghighat F, Moradi AR, Mazaheri MA, Hantoushzade Z,
Allahyari AA, Pasandide A. The effect of Iranian‑Islamic mindful
motherhood training on maternalfetal attachment. Iran J Nurs
28. Snyder R, Shapiro S, Treleaven D. Attachment theory and
mindfulness. J Child Fam Stud 2012;21:709‑17.
29. Muzik M, Hamilton SE, Lisa Rosenblum K, Waxler E, Hadi Z.
Mindfulness yoga during pregnancy for psychiatrically at‑risk
women: Preliminary results from a pilot feasibility study.
Complement Ther Clin Pract 2012;18:235‑40.
30. Gholami M, Moallem SA Afshar M, Etemad L, Karimi G. Maternal
exposure to silymarin leads to phatological changes in mouse
foetuses. Pharmacologyonline 2015;2;38‑43.
31. Gholami M, Moallem SA, Afshar M, Etemad L, Karimi G.
Gestational Exposure to Silymarin Increases Susceptibility of
BALB/c Mice Fetuses to Apoptosis. Avicenna J Med Biotechnol.