The Effect of Religious Belief on the Attitudes of Pregnant’s Toward the Fetal Health

  • Emre DemirEmail author
  • Engin Yıldırım
Original Paper


The purpose of this study is to identify the effect of religious beliefs on the attitudes of pregnant women toward the health of the fetus. Pregnancy, one of the important periods of life, is a special period in terms of affecting both the mother’s and the baby’s health. Health beliefs and attitudes are the factors that have effects on mother–baby death rates (mortality)—which is one of the most important criteria showing health level of societies. However, the literature has limited number of studies on this issue. Volunteer participants who applied to the Gynecology and Obstetrics Polyclinic were administered a questionnaire in order to identify the frequency of performing worship practices. Women’s beliefs about their roles in determining their fetus’s health were measured using Fetal Health Locus of Control (FHLC) scale. FHCL scale is composed of 3 sub-scales which include Internality Locus of Control (FHLC-I), Chance Locus of Control (FHLC-C), and Powerful Others Locus of Control (FHLC-P). Non-normally distributed scale scores were analyzed with Mann–Whitney U test for two independent groups and Kruskal–Wallis test for three independent groups. The scores obtained from all the sub-scales of the FHLC scale according to the praying groups were statistically significant (p = 0.008, p < 0.001, p < 0.001, respectively). The sub-scale scores were not statistically significant according to the tendency of giving alms (p = 0.269, p = 0.695, p = 0.079, respectively). The FHLC-I and FHLC-P scores did not indicate differences according to the tendency of going to pilgrimage (p = 0.914, p = 0.578), but FHLC-C scores were significantly higher in those who tended to go to pilgrimage (p = 0.004). There was a significant relationship between the tendency of performing prayer and going to pilgrimage and attitudes toward performing double–triple tests and oral glucose tolerance test (p = 0.002, p = 0.035, respectively). Religious beliefs were influential on the attitudes of pregnant women toward the health of the fetal. Gynecologists should consider patients’ religious belief sensitivity while recommending them screening tests or planning their medication.


Fetal health Pregnant Religious rituals Religious belief Worship practices 


Compliance with Ethical Standards

Conflict of interest

Author Demir declares that he has no conflict of interest. Author Yıldırım declares that he has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. American College of Obstetricians and Gynecologists. (2016). Practice Bulletin No. 162: Prenatal diagnostic testing for genetic disorders. Obstetrics and Gynecology, 127(5), e108.CrossRefGoogle Scholar
  2. American Diabetes Association. (2017). Management of diabetes in pregnancy. Diabetes Care, 40, S114–S119.CrossRefGoogle Scholar
  3. Casanueva, E., Pfeffer, F., Drijanski, A., Fernández-Gaxiola, A. C., Gutiérrez-Valenzuela, V., & Rothenberg, S. J. (2003). Iron and folate status before pregnancy and anemia during pregnancy. Annals of Nutrition & Metabolism, 47(2), 60–63.CrossRefGoogle Scholar
  4. Centers for Disease Control and Prevention (CDC) Update on overall prevalence of major birth defects–Atlanta, Georgia, 1978–2005. (2008). MMWR Morb Mortal Wkly Rep. 57(1):1–5.Google Scholar
  5. Chitayat, D., Matsui, D., Amitai, Y., Kennedy, D., Vohra, S., Rieder, M., et al. (2016). Folic acid supplementation for pregnant women and those planning pregnancy: 2015 update. The Journal of Clinical Pharmacology, 56(2), 170–175.CrossRefGoogle Scholar
  6. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale: L. Erlbaum Associates.Google Scholar
  7. Correa, A., Bardenheier, B., Elixhauser, A., Geiss, L. S., & Gregg, E. (2015). Trends in prevalence of diabetes among delivery hospitalizations, United States, 1993–2009. Maternal and Child Health Journal, 19(3), 635–642.CrossRefGoogle Scholar
  8. Coştu, Y. (2009). Approach to religion by the normative and popular: “A test on the Religious Orientation Scale”. Journal of Divinity Faculty of Hitit University, 8(15), 119–139.Google Scholar
  9. Demir, E. (2019). The evolution of spirituality, religion and health publications: Yesterday, today and tomorrow. Journal of Religion and Health, 58(1), 1–13.CrossRefGoogle Scholar
  10. Duyan, V., Özcan, S., & Cömert-Okutucu, A. (2012). Fetal Health Locus of Control scale: Reliability and validity study. Journal of Society & Social Work, 23(1), 13–23.Google Scholar
  11. Ehrenberg, H. M., Durnwald, C. P., Catalano, P., & Mercer, B. M. (2004). The influence of obesity and diabetes on the risk of cesarean delivery. American Journal of Obstetrics and Gynecology, 191, 969–974.CrossRefGoogle Scholar
  12. Kharb, S., Singh, A., Bala, J., Gahlawat, P., & Nanda, S. (2018). Prospective study on role of folic acid and vitamin B12 in early pregnancy and spontaneous abortion. Biomedical and Biotechnology Research Journal (BBRJ), 2(4), 265.Google Scholar
  13. Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.CrossRefGoogle Scholar
  14. Labs, S. M., & Wurtele, S. K. (1986). Fetal Health Locus of Control scale: Development and validation. Journal of Consulting and Clinical Psychology, 54, 814–819.CrossRefGoogle Scholar
  15. Malone, F. D., Canick, J. A., Ball, R. H., Nyberg, D. A., Comstock, C. H., Bukowski, R., et al. (2005). First-trimester or second trimester screening, or both, for Down’s syndrome. First- and Second-Trimester Evaluation of Risk (FASTER) Research Consortium. New England Journal of Medicine, 353, 2001–2011.CrossRefGoogle Scholar
  16. Muslu, Ü., & Demir, E. (2019). The effect of religious beliefs on the attitude of aesthetic surgery operation in Islam. Journal of Religion and Health, 1, 10. Scholar
  17. Rosenstein, M. G., Cheng, Y. W., Snowden, J. M., Nicholson, J. M., Doss, A. E., & Caughey, A. B. (2012). The risk of stillbirth and infant death stratified by gestational age in women with gestational diabetes. American Journal of Obstetrics and Gynecology, 206(309), e1–e7.Google Scholar
  18. Schreiber, C. A., & Traxler, S. (2015). State of family planning. Clinical Obstetrics and Gynecology, 58(2), 392–408.CrossRefGoogle Scholar
  19. Zaganjor, I., Sekkarie, A., Tsang, B. L., Williams, J., Razzaghi, H., et al. (2016). Describing the prevalence of neural tube defects worldwide: A systematic literature review. PLoS ONE, 11(4), e0151586.CrossRefGoogle Scholar

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Biostatistics, Faculty of MedicineHitit UniversityÇorumTurkey
  2. 2.Department of Obstetrics and Gynecology, Faculty of MedicineHitit UniversityÇorumTurkey

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