Factors influencing maternal-fetal attachment in adolescent pregnant women: scoping review

Astika Astika; Endang Koni Suryaningsih; Anjarwati Anjarwati

doi:10.34011/jmp2k.v36i1.3446

Authors

Astika Astika Universitas ‘Aisyiyah Yogyakarta, Yogyakarta, Indonesia, Indonesia
Endang Koni Suryaningsih Universitas ‘Aisyiyah Yogyakarta, Yogyakarta, Indonesia, Indonesia
Anjarwati Anjarwati Universitas ‘Aisyiyah Yogyakarta, Yogyakarta, Indonesia, Indonesia

DOI:

https://doi.org/10.34011/jmp2k.v36i1.3446

Keywords:

adolescent pregnancy, influencing factors, maternal-fetal attachment

Abstract

Background: During pregnancy, one important aspect that needs to be considered is the formation of maternal-fetal attachment (MFA), which is the emotional bond that forms between a mother and her fetus during pregnancy. Maternal-fetal attachment begins to develop before the baby is born, even while it is still in the womb.

Objective: This study analyses scientific evidence related to factors that influence maternal-fetal attachment in adolescent pregnant women.

Methods: This review used the PRISMA-ScR diagram. Literature searches were conducted using three databases and one search engine, namely PubMed, ScienceDirect, Wiley Online Library, and Google Scholar. This review began in February 2025. Articles were assessed using the Critical Appraisal Skills Programme (CASP) checklist for cohort, cross-sectional, and qualitative studies, with inclusion criteria being original research articles, articles published between 2020-2025, in English, open access and available in full text, with a research focus on MFA in adolescent pregnancy, while exclusion criteria were paid articles and articles with only abstracts. From the 211 articles selected, 7 relevant articles were obtained, 6 quantitative articles and 1 qualitative article.

Results: the factors that influence maternal-fetal attachment in adolescent pregnant women are health practices during pregnancy, the mother's psychological condition, emotional and social support, sociodemographic and marital factors, pregnancy characteristics, and family and cultural background.

Conclusion: Maternal-fetal attachment in adolescent pregnancy is influenced by psychological, social, and contextual factors. Strengthening psychosocial support and promoting healthy behaviors are essential to improve attachment and maternal well-being.

References

[1] Kementrian Kesehatan RI, Buku Saku Merencanakan Kehamilan Sehat. Jakarta: Kementerian Kesehatan RI, 2021. [Online]. Available: https://repository.kemkes.go.id/book/874

[2] BPS, Kajian Fertilitas Remaja Umur 10-14 tahun di Indonesia Hasil Long form SP2020. Jakarta: Badan Pusat Statistik, 2023. [Online]. Available: https://www.bps.go.id/id/publication/2023/12/15/388847fe1848d4853c405201/kajian-fertilitas-remaja-umur-10-14-tahun-di-indonesia.html

[3] D. N. Ningrum, Gumiarti, and A. Toyibah, “Faktor Kehamilan Remaja,” Media Kesehat. Politek. Kesehat. Makassar, vol. XVI, no. 2, pp. 362–368, 2021, doi: https://doi.org/10.32382/medkes.v16i2.2447 362.

[4] C. Ramadana, Y. Arnita, and S. Atika, “Tingkat kelekatan ibu-bayi di kota banda aceh,” JIM FKep, vol. VII, no. 4, 2023.

[5] M. C. Gioia et al., “The relationship between maternal-fetus attachment and perceived parental bonds in pregnant women: Considering a possible mediating role of psychological distress,” Front. Psychol., vol. 13, no. January, pp. 1–11, 2023, doi: 10.3389/fpsyg.2022.1095030.

[6] E. K. Suryaningsih, N. Aryudaningrum, and N. D. Linh, “Maternal-fetal attachment during pregnancy at the Public Health Center,” Int. J. Heal. Sci. Technol., vol. 6, no. 1, pp. 36–44, 2024, doi: 10.31101/ijhst.v6i1.3720.

[7] M. C. Malm, I. Hildingsson, C. Rubertsson, I. Rådestad, and H. Lindgren, “Prenatal attachment and its association with foetal movement during pregnancy – A population based survey,” Women and Birth, vol. 29, no. 6, pp. 482–486, 2016, doi: 10.1016/j.wombi.2016.04.005.

[8] I. Akmalia and S. I. Rahayuningsih, “Attachment (kelekatan) ibu dan anak dengan perkembangan sosial emosional bayi,” J. Ilm. Mhs. Fak. Keperawatan, vol. 3, no. 1, pp. 365–370, 2018.

[9] J. McNamara, M. L. Townsend, and J. S. Herbert, “A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding,” PLoS One, vol. 14, no. 7, pp. 1–28, 2019, doi: 10.1371/journal.pone.0220032.

[10] G. Paoki and W. S. Ilmiah, “Hubungan Kehamilan Remaja dengan Kecemasan Persiapan Persalinan pada Ibu Hamil Trimester III di Puskesmas Amurang Timur,” vol. 5, 2025.

[11] M. I. S. Beluan, T. Budiati, H. Rahmah, and I. N. Rachmawati, “Dampak kehamilan remaja terhadap kesehatan, sosial, ekonomi, dan pendidikan: A systematic review,” Holistik J. Kesehat., vol. 19, no. 2, pp. 267–276, 2025, doi: 10.33024/hjk.v19i2.824.

[12] N. Rifelda, M. Mutmainnah, and E. Inventori, “Faktor-Faktor yang Mempengaruhi Maternal Fetal Attachment di Puskesmas Kenali Besar Kota Jambi,” Malahayati Nurs. J., vol. 6, no. 1, pp. 113–130, 2023, doi: 10.33024/mnj.v6i1.10303.

[13] H. Arksey and L. O’Malley, “Scoping studies: Towards a methodological framework,” Int. J. Soc. Res. Methodol. Theory Pract., vol. 8, no. 1, pp. 19–32, 2005, doi: 10.1080/1364557032000119616.

[14] R. Widiasih, R. D. Susanti, C. W. Mambang Sari, and S. Hendrawati, “Menyusun Protokol Penelitian dengan Pendekatan SETPRO: Scoping Review,” J. Nurs. Care, vol. 3, no. 3, pp. 171–180, 2020, doi: 10.24198/jnc.v3i3.28831.

[15] T. Hadian, S. Moosavi, S. Meedya, S. Mohammad-Alizadeh-Charandabi, E. Mohammadi, and M. Mirghafourvand, “Relationship of health practices with depression and maternal-fetal attachment in adolescent pregnant women: A prospective study,” Arch. Psychiatr. Nurs., vol. 35, no. 5, pp. 465–471, 2021, doi: 10.1016/j.apnu.2021.06.011.

[16] Z. İ. Sonkaya, G. Dağlar, D. Çakir, and A. T. Taşkömür, “Prenatal Attachment and Related Factors in Adolescent Pregnant Women,” Int. J. Comput. Exp. Sci. Eng., vol. 9, no. 2, pp. 42–49, 2023, doi: 10.22399/ijcesen.1278600.

[17] M. Ghorbani, A. Keramat, S. Goli, E. Abasi, and N. Eskandari, “Comparison of Mental Health and Foetal Attachment in Adolescent and Non-adolescent Pregnancies,” J. Clin. Diagnostic Res., pp. 5–8, 2020, doi: 10.7860/jcdr/2020/44346.13788.

[18] Damla and Murat, “Prenatal attachment, anxiety and depression in pregnant adolescents and the emotional availability of their parents,” Anadolu Psikiyatr. Derg., vol. 21, no. 2, pp. 181–189, 2020, doi: 10.5455/apd.56516.

[19] V. Alavala and N. M. De Genna, “Maternal-antenatal attachment in young pregnant women: Social support, mentors, and fear of childbirth,” PLoS One, vol. 20, no. 7 July, pp. 1–17, 2025, doi: 10.1371/journal.pone.0319449.

[20] N. Y. Medina, R. C. Edwards, Y. Zhang, and S. L. Hans, “A longitudinal investigation of young mothers’ prenatal attachment, depressive symptoms, and early parenting behaviour,” J. Reprod. Infant Psychol., vol. 40, no. 2, pp. 196–211, 2022, doi: 10.1080/02646838.2021.1886257.

[21] M. Pattanasombutsook, B. Punthmatharith, S. Chunuan, M. V, and M. E. Graham, “Prenatal Attachment Among Thai Pregnant Adolescents :,” vol. 40, no. 1, pp. 1–14, 2020.

[22] CASP (Critical Appraisal Skills Programme), “CASP Checklist: Cohort Studies,” Casp Uk, pp. 1–6, 2024.

[23] CASP, “CASP Checklist: For Descriptive/Cross-Sectional Studies,” pp. 1–5, 2024.

[24] C. Q. Checklist, “CASP Checklist for Qualitative Research,” Crit. Apprais. Ski. Program., pp. 1–6, 2018, [Online]. Available: www.casp-uk.net

[25] S. Prihandini and L. Primana, “Faktor-Faktor yang Memengaruhi Hubungan Kelekatan Ibu terhadap Janin dalam Kandungan,” Bul. Psikol., vol. 27, no. 2, p. 125, 2019, doi: 10.22146/buletinpsikologi.47960.

[26] J. Puspasari, L. Larasati, and R. Winarti, “Family Support Affect Bonding Attachment of Baby and Adolescent Mother,” J. Kesehat. Pasak Bumi Kalimantan, vol. 6, no. 2, p. 230, 2024, doi: 10.30872/j.kes.pasmi.kal.v6i2.10795.

[27] E. Wahyuntari, T. H. Listyaningrum, and S. Istiyati, “Factors Affecting Paternal Fetal Attachment,” Int. J. Childbirth, vol. 10, no. 1, pp. 45–51, 2020, doi: 10.1891/IJCBIRTH-D-19-00022.

[28] K. Wilson-Mitchell, J. Bennett, and R. Stennett, “Psychological health and life experiences of pregnant adolescent mothers in Jamaica,” Int. J. Environ. Res. Public Health, vol. 11, no. 5, pp. 4729–4744, 2014, doi: 10.3390/ijerph110504729.