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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

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Effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding in the southeast of Iran

Zahra Moudi
  • Corresponding author
  • Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  • School of Nursing and Midwifery, Mashahie Sq., Zahedan, Iran, Phone: +98 9153411005, Fax: +985433442481
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Behjat Talebi / Mahnaz Shahraki Pour
  • Department of Biostatistics and Epidemiology, School of Health, Zahedan University of Medical Sciences, Hesabi Sq. Zahedan, Zahedan, Iran
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Published Online: 2017-11-23 | DOI: https://doi.org/10.1515/ijamh-2017-0092



Annually, about 16 million adolescent girls give birth, accounting for 11% of all births worldwide. Ninety-five percent of these births occur in low- and middle-income countries, and previous studies have addressed the need for parenting interventions in developing countries with limited health care resources to improve parenting behaviors.


To explore the effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding.


We enrolled 116 married pregnant adolescents.


This quasi-experimental study was conducted during August 22, 2016–February 3, 2017. The intervention group received three sessions of training on neonatal care, while the control group received the routine care. We evaluated parenting self-efficacy using the Perceived Maternal Parenting Self-Efficacy (PMP S-E) questionnaire, the mother-infant bonding using the Postpartum Bonding Questionnaire (PBQ) and social support by means of the Multidimensional Scale of Perceived Social Support (MSPSS). The participants were followed up for 1 month.


The mean ages of the intervention and the control groups were 16.37 ± 0.97 and 16.27 ± 1.12 years, respectively. The intervention group obtained higher self-efficacy and bonding scores compared to the control group. The logistic regression model showed that the second (evoking behaviors) and the third (reading behavior or signaling) subscales of the PMP S-E, the route of delivery and women’s educational levels could predict the mother-infant bonding scores.


Primigravid adolescents can benefit from brief interventions during pregnancy through improving their parenting self-efficacy and mother-infant bonding.

Keywords: adolescents; bonding; infant; parenting; pregnancy; self-efficacy.


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About the article

Received: 2017-05-26

Accepted: 2017-07-13

Published Online: 2017-11-23

Funding Sources: This work was supported by the Zahedan University of Medical Sciences (Grant No.: 7847, July 26, 2016).

Citation Information: International Journal of Adolescent Medicine and Health, 20170092, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0092.

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