How risky pregnant women achieve positive antenatal experience: a cross‐sectional study of examination of the sense of coherence, prenatal distress, and pregnancy acceptance

Abstract

Rationale: Antenatal care incorporating a health‐promoting approach should focus on positive pregnancy experiences.This approach can bring pregnant women closer to the health dimension.Aims and Objectives: To examine the effects and explanatory power of sense of coherence and prenatal distress on pregnancyacceptance among high‐risk pregnancies.Methods: A descriptive cross‐sectional survey was conducted between April and October 2023. The sample included 219 high‐risk pregnant women who had high‐risk pregnancies and were admitted to prenatal clinics at a state hospital. t‐tests, ANOVA,Pearson's correlation coefficients, and hierarchical linear multiple regression were performed using IBM SPSS softwareversion 23.0.Results: This study indicated that high‐risk pregnant women exhibited moderate levels of sense of coherence (54.43 ± 7.49),high acceptance of pregnancy (24.53 ± 5.83), and low levels of prenatal distress (11.63 ± 4.96). The research findings showedthat acceptance of pregnancy was influenced by the wanted pregnancy status (β = 0.231, p = 0.002), prenatal distress (β = 0.275,p = 0.000), and sense of coherence levels of women (β = −0.206, p = 0.001). The explanatory power of the model was 34%(F = 5.250, p = 0.000).Conclusions: The research revealed a strong link between the acceptance of pregnancy and factors such as the desired status ofthe pregnancy, prenatal stress, and a sense of coherence. These findings highlight key psychosocial predictors of pregnancyacceptance in high‐risk pregnancies.