SYSTEMATIC REVIEW: GIZI DAN PSIKOSOSIAL MEMBENTUK IKATAN IBU DAN JANIN

Abstract

Background: Maternalnfetal attachment is a psychological construct that influences maternal health and pregnancy outcomes. Evidence indicates that nutritional status, partner support, and antenatal mental health contribute to this bond; however, findings remain dispersed without synthesis. This study aims to identify and analyze nutritional and psychosocial factors associated with maternalnfetal attachment. Methods: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were searched in PubMed, Scopus, and ScienceDirect using keywords maternal–fetal attachment, nutrition, psychosocial, and pregnancy. Studies published from 2015 to 2025 were selected using inclusion and exclusion criteria and appraised with the Joanna Briggs Institute Critical Appraisal Tool. Data were extracted and narratively synthesized by similarities in variables and outcomes. Results: Most reported that micronutrient intake, partner support, positive emotion regulation, and lower antenatal anxiety were significantly associated with higher maternal–fetal attachment scores. Multicomponent interventions combining nutritional strategies with psychosocial counseling demonstrated stronger effects than single-component approaches. Conclusion: Nutritional and psychosocial factors play a pivotal role in shaping maternal–fetal attachment. Strengthening the integration of nutrition-focused care and structured emotional support within antenatal services is warranted to holistically enhance maternal and fetal health.