{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:26:30Z","timestamp":1790699190426,"version":"4.1.0"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Rationale<\/jats:title><jats:p>Antenatal care incorporating a health\u2010promoting approach should focus on positive pregnancy experiences. This approach can bring pregnant women closer to the health dimension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To examine the effects and explanatory power of sense of coherence and prenatal distress on pregnancy acceptance among high\u2010risk pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A descriptive cross\u2010sectional survey was conducted between April and October 2023. The sample included 219 high\u2010risk pregnant women who had high\u2010risk pregnancies and were admitted to prenatal clinics at a state hospital. <jats:italic>t<\/jats:italic>\u2010tests, ANOVA, Pearson's correlation coefficients, and hierarchical linear multiple regression were performed using IBM SPSS software version 23.0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study indicated that high\u2010risk pregnant women exhibited moderate levels of sense of coherence (54.43\u2009\u00b1\u20097.49), high acceptance of pregnancy (24.53\u2009\u00b1\u20095.83), and low levels of prenatal distress (11.63\u2009\u00b1\u20094.96). The research findings showed that acceptance of pregnancy was influenced by the wanted pregnancy status (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.231, <jats:italic>p<\/jats:italic>\u2009=\u20090.002), prenatal distress (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.275, <jats:italic>p\u2009<\/jats:italic>=\u20090.000), and sense of coherence levels of women (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.206, <jats:italic>p\u2009<\/jats:italic>=\u20090.001). The explanatory power of the model was 34% (<jats:italic>F<\/jats:italic>\u2009=\u20095.250, <jats:italic>p<\/jats:italic>\u2009=\u20090.000).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The research revealed a strong link between the acceptance of pregnancy and factors such as the desired status of the pregnancy, prenatal stress, and a sense of coherence. These findings highlight key psychosocial predictors of pregnancy acceptance in high\u2010risk pregnancies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70255","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T10:26:10Z","timestamp":1755771970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How Risky Pregnant Women Achieve Positive Antenatal Experience: A Cross\u2010Sectional Study of Examination of the Sense of Coherence, Prenatal Distress, and Pregnancy Acceptance"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0872-2043","authenticated-orcid":false,"given":"Ayse","family":"Deliktas Demirci","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecological Nursing, Faculty of Nursing Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7669-8818","authenticated-orcid":false,"given":"Mine","family":"Oruc","sequence":"additional","affiliation":[{"name":"Department of Midwifery, Faculty of Health Sciences Antalya Science University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merve","family":"Kochan Aksoy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecological Nursing, Faculty of Nursing Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7479-833X","authenticated-orcid":false,"given":"Kamile","family":"Kabukcuoglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecological Nursing, Faculty of Nursing Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12999"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03284-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2019.102625"},{"key":"e_1_2_10_5_1","unstructured":"World Health Statistics 2023:Monitoring Health for the SDGs Sustainable Development Goals(World Health Organization 2023). 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