Purpose: This study investigates factors that influence pregnancy stress among immigrant pregnant women. Methods: Data were collected from 163 immigrant pregnant women who visited 2 hospitals located in J-do. Data were analyzed by de-scriptive statistics, t-test, ANOVA, Scheffe test; multiple comparison test, and step-wise multiple regression analysis using the SPSS WIN 23.0 program. Results: Pregnancy stress for immigrant pregnant women was found to be negatively corre-lated with self-esteem, marital intimacy, spousal support, and familial support. Stepwise multiple regression analysis showed that 34.0% of variance for pregnancy stress was significantly accounted for by spousal support, current pregnancy (planned), and daily time spent conversing with the spouse. The most significant factor influencing pregnancy stress was determined to be spousal support. Conclusion: Our results indicate the need to develop intervention programs for spouses to participate in prenatal programs, education to carry out agreed family plans, social systems and support to reduce pregnancy stress for unplanned pregnancies, and an intervention program to improve the spouse's communication skills.
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