ABSTRACT. Parents of children with congenital heart defects (CHD) experience distinctive stressors while coping with their child's condition. Using a cross-sectional survey, the current study examined coping patterns, spirituality reliance, and Internet utilization for information seeking and support in mothers whose children have CHD. Mothers (N = 175) completed the Coping Health Inventory for Parents, which measures 3 coping patterns, and the Spiritual Insight and Behavioral Scale. They also reported on Internet use and answered 3 open-ended questions. Understanding the medical situation and communication with other parents was the most used coping pattern among study participants, while maintaining self-esteem and psychological stability was the least utilized pattern. Regression analyses revealed that higher spirituality reliance was contributing to effective family integration and optimism, while frequent Internet use was associated with better understanding the medical situation and communication. Recommendations for further research to understand the complexity of coping in mothers of children with CHD are presented. Implications for supportive interventions to promote effective coping strategies for mothers of children with heart defects are discussed.