Attachment is a unique attribute between a mother and fetus that develops throughout the pregnancy. Maternal-fetal attachment's (MFA) significance to health and well being of the current pregnancy and future child growth is of great importance, because it not only affects the mother but can also affect the fetus as well. The purpose of the thesis was to determine the best nursing interventions to promote the outcome of positive maternal-fetal attachment. An integrative review of research was performed using CINAHL, Pre-CINAHL, MEDLINE, PsychINFO and Psycharticles. Search teams include 'prenatal', 'maternal-fetal' and 'attachment'. This review included literature available in English with a nursing subset between a 1999-2008 publication dates. Fourteen studies were examined with three categories of interventions emerging. These categories included the use of ultrasounds, education, and social support to promote MF A .. Nursing interventions that enhance MF A all appear to correspond to psychological well-being. Multiple approaches to accomplish this outcome are recommended.