Relationships among fertility motivation,subjective well-being and maternal-fetal attachment:a latent class analysis
Objective To determine the potential categories of fertility motivation of pregnant women and examine the relationship be-tween fertility motivation and maternal-fetal attachment,as well as the mediating role of subjective well-being,aiming to provide references for improving maternal-fetal attachment.Methods A cross-sectional survey was conducted in 413 pregnant women during the mid-to-late second trimester using the Maternal Antenatal Attachment Scale,the General Well-Being Schedule,and the Fertili-ty Motivation Scale.The potential categories of fertility motivation were identified using latent class analysis,then the effects of different categories of fertility motivation on maternal-fetal attachment and the mediating effect of subjective well-being were ana-lyzed bymediation analysis.Results Fertility motivation of pregnant women could be classified into four latent categories:autono-mous(23.7%),controlled(23.7%),mixed(26.4%)and negative(26.2%).Mediation analysis revealed that,using the autono-mous type as the reference,the relative direct effects of controlled type and negative type on maternal-fetal attachment were signifi-cant(β=-0.519,-0.612,both P<0.05),and the relative indirect effect of subjective well-being was significant(β=-0.262,-0.221,both P<0.05),indicating a partial mediating role of subjective well-being.In contrast,the relative direct effect of the mixed type was not significant(β=0.176,P=0.117).However,the relative effect of subjective well-being was significant(β=-0.118,P<0.05),suggesting a complete mediating effect.Conclusion Pregnant women exhibit heterogeneous fertility motivation patterns,which have different effects on maternal-fetal attachment.The role of subjective well-being is also related to fertility moti-vation patterns.Precise interventions should be tailored for different groups based on these findings.
pregnant womenfertility motivationsubjective well-beingmaternal-fetal attachmentcontrolled typeau-tonomous typemixed typenegative type