Objective: The Relationship between preterm labor stress, fetal attachment and maternal role confidence in pregnant women with preterm labor, which was carried out in a descriptive form. Methods: The study objects were 121 pregnant women hospitalized for preterm labor at one university hospital and four women's hospitals in U metropolitan City. The data were based on the self-report questionnaires made between October 1st, 2012 and January 31, 2013. Results: The degree of preterm labor stress and maternal-fetal attachment of pregnant women with preterm labor were found to be higher than the middle, and the degree of maternal role confidence was found to be lower than the middle. There was a positive relation between preterm labor stress and maternal-fetal attachment(r=.197, p=.030). There was a positive relation between preterm labor stress and interaction with the fetus(r=-.185, p=.042). and role taking among the subscales of maternal-fetal attachment (r=.346, p=.001). There was a positive correlation, there was a positive relation between attribution characteristics and intention to the fetus among the subscales of maternal-fetal attachment and maternal role confidence (r=.254, p=.005). Conclusion: It is necessary to develop a nursing intervention program for reducing preterm labor stress and increasing maternal-fetal attachment in order to increase the maternal role confidence of preterm labor pregnant women, as well as a program that considers the characteristics that affect the degree of preterm labor stress, maternal-fetal attachment and maternal role confidence.