en Midwifery Orginal research <p><span style="line-height:2;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Background:</i></b></span> <span lang="EN">Pregnancy brings significant changes in the marital relationship of couples, especially new first-time parent. Marital relationships change during pregnancy under the influence of psychological and physiological changes of pregnancy</span>. </span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Objectives:</i></b></span><b> </b><span lang="EN">The aim of this study was to determine the marital satisfaction status and its related factors in pregnant women in Semnan, Iran</span>.</span><br> <span style="color:#2980b9;"><b><i>Methods:</i></b></span><span style="color:black"> <span lang="EN">In this cross-sectional study, 281 pregnant women referred to the health centers of Semnan (Iran) were examined </span>in <span lang="EN">2019 </span>using<span lang="EN"> a cluster sampling method. ENRICH Marital Satisfaction (EMS) questionnaire was used to collect data</span> which <span lang="EN">higher score indicated higher marital satisfaction. Data were analyzed by SPSS26 </span>using<span lang="EN"> independent sample t-test and ANOVA</span>.</span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Results:</i></b> </span><span lang="EN">The mean (SD) of age was 28.96 (4.75) years. Only 11.4% of them had academic education and 31.7% were employed. The </span>mean (SD) total score of marital satisfaction was 59.98 (25.9). <span lang="EN">Among the factors related to marital satisfaction, the items of personality issues, communication and conflict resolution received the highest mean scores with 48.6, 38.7 and 38.4 respectively. </span>Also, 14.9% of women had very low marital satisfaction, 8.9% low, 24.2% moderate, 19.2% high, and 32.7% very high marital satisfaction. <span lang="EN">There is no statistically significant relationship between age, education and employment status with marital satisfaction (P-Value>0.05)</span>.</span><br> <span style="unicode-bidi:embed"><span style="color:#2980b9;"><b><i>Conclusion:</i></b></span> This study showed that the status of marital satisfaction in half of the pregnant women was moderate or low. <span lang="EN">Therefore, it seems necessary to carry out psychiatric interventions along with holding classes on marital communication skills, conflict resolution and sexual relations.</span></span></span></span></span><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></p> Marital Satisfaction, Pregnancy, Cross-Sectional Study 26 33 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-938-1&slc_lang=en&sid=1 Nilufar Safaie n_safaie@gmail.com 100319475328460013658 100319475328460013658 No Department of Internal Medicine, School of Medicine Semnan University of Medical Sciences, Semnan, Iran Elham Saffarieh saffariehelham2000@gmail.com 100319475328460013659 100319475328460013659 Yes Department of Obstetrics and Gynecology, School of Medicine, Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran Fatemeh Paknazar paknazar_fat@gmail.com 100319475328460013660 100319475328460013660 No Department of Epidemiology and Biostatistics, School of Medicine , Social Determinants of Health Research Center , Semnan University of Medical Sciences, Semnan, Iran Kamyar Mansori kamyarmansori@yahoo.com 100319475328460013661 100319475328460013661 No Department of Epidemiology, Social Determinants of Health Research Center , Zanjan University of Medical Sciences, Zanjan, Iran Fatemeh Ensafi ensafi_f@yahoo.com 100319475328460013662 100319475328460013662 No General Medicine, School of Medicine Semnan University of Medical Sciences, Semnan, Iran