Kontakt 2021, 23(2):126-132 | DOI: 10.32725/kont.2021.018
Mother-infant bonding and its associated factors during postpartum periodSocial Sciences in Health - Original article
- 1 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Midwifery, Martin, Slovak Republic
- 2 Comenius University in Bratislava; Jessenius Faculty of Medicine in Martin, Department of Foreign Languages, Martin, Slovak Republic
- 3 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Bioinformatics Unit, Biomedical Center Martin, Martin, Slovak Republic
Aim: The aim of the study was to determine the relationship between the selected factors (age, education, parity, child planning, skin-to-skin contact (SSC) support, breastfeeding, partner support satisfaction, a child with an illness, risk of depression) and their influence on postpartum mother-infant bonding (MIB) in Slovak women.
Methods: A cross-sectional study was used. To collect the relevant data, the Postpartum Bonding Questionnaire (PBQ) and Edinburgh Postnatal Depression Scale (EPDS) were used. The questionnaires were supplemented by research variables essential for the evaluation of the links between these items and the MIB. The study sample consisted of 204 women (mean age 30.9 ± 4.8 years) who were 6 weeks after childbirth. The received data were analysed using descriptive statistics, the Wilcoxon two-sample test, the Kruskal-Wallis test, and the Regression modelling.
Results: A lower quality mother-infant relationship was demonstrated in mothers with higher education, with unsupported postpartum SSC, dissatisfied with partner support, as well as in mothers at risk of depression. According to the regression model, a statistically significant correlation was demonstrated between the PBQ score and the EPDS score (p < 0.0001).
Conclusions: Identification of MIB risk factors with an emphasis on screening for the mother's mental state is considered to be a key factor in designing early interventions to improve the quality of pregnancy, motherhood and childhood.
Keywords: Mother-infant bonding; Postnatal depression; Postpartum bonding; Postpartum period; Quality of mother-infant interaction
Grants and funding:
This study was supported by the project VEGA (research grant agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic) under contract no. VEGA1/0211/19.
Received: January 4, 2021; Revised: March 19, 2021; Accepted: April 8, 2021; Prepublished online: April 15, 2021; Published: May 5, 2021 Show citation
References
- Abdulghani N, Edvardsson K, Amir LH (2018). Worldwide prevalence of mother-infant skin-to-skin contact after vaginal birth: A systematic review. PLoS One 13(10): e0205696. DOI: 10.1371/journal.pone.0205696.
Go to original source...
Go to PubMed... - Bernard K, Hostinar CE, Dozier M (2019). Longitudinal associations between attachment quality in infancy, C-reactive protein in early childhood, and BMI in middle childhood: preliminary evidence from a CPS-referred sample. Attach Hum Dev 21(1): 5-22. DOI: 10.1080/14616734.2018.1541513.
Go to original source...
Go to PubMed... - Bowlby J (1969). Attachment and loss: Vol. I. New York: Basic Books, 428 p.
- Bowlby J (1980). Attachment and loss: Vol III. Loss sadness and depression. New York, NY: Basic Books, 355 p.
- Brisch KH (2011). Bezpečná vzťahová väzba. Trenčín: Vydavateľstvo F, 150 p.
- Brockington IF, Fraser C, Wilson D (2006). The Postpartum Bonding Questionnaire: a validation. Arch Womens Ment Health 9(5): 233-242. DOI: 10.1007/s00737-006-0132-1.
Go to original source...
Go to PubMed... - Bryanton J, Gagnon AJ, Hatem M, Johnston C (2008). Predictors of early parenting self-efficacy: results of a prospective cohort study. Nursing Research 57(4): 252-259. DOI: 10.1097/01.NNR.0000313490.56788.cd.
Go to original source...
Go to PubMed... - Cox JL, Holden JM, Sagovsky R (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150(6): 782-786. DOI: 10.1192/bjp.150.6.782.
Go to original source...
Go to PubMed... - Daglar G, Nur N (2018). Level of mother-baby bonding and influencing factors during pregnancy and postpartum period. Psychiatr Danub 30(4): 433-440. DOI: 10.24869/psyd.2018.433.
Go to original source...
Go to PubMed... - De Falco S, Emer A, Martini L, Rigo P, Pruner S, Venuti P (2014). Predictors of mother-child interaction quality and child attachment security in at-risk families. Front Psychol 20(5): 898. DOI: 10.3389/fpsyg.2014.00898.
Go to original source...
Go to PubMed... - Delavari M, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M (2018). The Relationship of Maternal-Fetal Attachment and Postpartum Depression: A Longitudinal Study. Arch Psychiatr Nurs 32(2): 263-267. DOI: 10.1016/j.apnu.2017.11.013.
Go to original source...
Go to PubMed... - Dubber S, Reck C, Müller M, Gawlik S (2015). Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health 18(2): 187-195. DOI: 10.1007/s00737-014-0445-4.
Go to original source...
Go to PubMed... - Eklund A (2016). beeswarm: The Bee Swarm Plot, an Alternative to Stripchart. R package version 0.2.3. [online] [cit. 2020-11-05]. Available from: https://CRAN.R-project.org/package=beeswarm
- Ekrami F, Mohammad-Alizadeh Charandabi S, Babapour Kheiroddin J, Mirghafourvand M (2020). Effect of counseling on maternal-fetal attachment in women with unplanned pregnancy: a randomized controlled trial. J Reprod Infant Psychol 38(2): 151-165. DOI: 10.1080/02646838.2019.1636943.
Go to original source...
Go to PubMed... - Falceto OG, Giugliani ER, Fernandes CL (2012). Problematic parent-infant relationships in two-parent families: prevalence and risk factors in a Brazilian neighborhood. Trends Psychiatry Psychother 34(3): 139-146. DOI: 10.1590/S2237-60892012000300005.
Go to original source...
Go to PubMed... - Fasanghari M, Kordi M, Asgharipour N (2019). Effect of maternal role training program based on Mercer theory on maternal self-confidence of primiparous women with unplanned pregnancy. J Educ Health Promot 8: 4. DOI: 10.4103/jehp.jehp_202_17.
Go to original source...
Go to PubMed... - Fuchs A, Möhler E, Reck C, Resch F, Kaess M (2016). The early mother-to-child bond and its unique prospective contribution to child behavior evaluated by mothers and teachers. Psychopathology 49(4): 211-216. DOI: 10.1159/000445439.
Go to original source...
Go to PubMed... - Hendrych Lorenzová E, Boledovičová M, Kašová L (2016). Péče komunitní porodní asistentky o šestinedělku s poporodní depresí. Pediatr praxi 17(5): 322-325. DOI: 10.36290/ped.2016.072.
Go to original source... - Hong YR, Park JS (2012). Impact of attachment, temperament and parenting on human development. Korean J Pediatr 55(12): 449-454. DOI: 10.3345/kjp.2012.55.12.449.
Go to original source...
Go to PubMed... - Hrubý R (2017). Depresia a včasné emočné, kognitívne a behavirálne regulácie. Martin: VEEM, s.r.o., 275 p.
- Huizink AC, Menting B, De Moor MHM, Verhage ML, Kunseler FC, Schuengel C, Oosterman M (2017). From prenatal anxiety to parenting stress: a longitudinal study. Arch Womens Ment Health 20(5): 663-672. DOI: 10.1007/s00737-017- 0746-5.
Go to original source... - Hyun-Ju C, Sue K (2011). Effects of maternal role practice education on becoming a mother. Korean J Women Health Nurs 17(1): 52-63. DOI: 10.4069/kjwhn.2011.17.1.52.
Go to original source... - Jamshidimanesh M, Astaraki L, Behboodi Moghadam Z, Taghizadeh Z, Haghani H (2013). Maternal-Fetal Attachment and its Associated Factors. Hayat 18(5): 33-45.
- Kinsey CB, Baptiste-Roberts K, Zhu J, Kjerulff KH (2014). Birth-related, psychosocial, and emotional correlates of positive maternal-infant bonding in a cohort of first-time mothers. Midwifery 30(5): 188-194. DOI: 10.1016/j.midw.2014.02.006.
Go to original source...
Go to PubMed... - Kommers DR, Truijens SEM, Oei SG, Bambang Oetomo S, Pop VJM (2017). Antenatal mother-infant bonding scores are related to maternal reports of infant crying behaviour. J Reprod Infant Psychol 35(5): 480-492. DOI: 10.1080/02646838.2017.1354360.
Go to original source...
Go to PubMed... - Lehnig F, Nagl M, Stepan H, Wagner B, Kersting A (2019). Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study. BMC Pregnancy Childbirth 19(1): 278. DOI: 10.1186/s12884-019-2426-0.
Go to original source...
Go to PubMed... - Linde K, Lehnig F, Nagl M, Kersting A (2020). The association between breastfeeding and attachment: A systematic review. Midwifery 81: 102592. DOI: 10.1016/j.midw.2019.102592.
Go to original source...
Go to PubMed... - Lutkiewicz K, Bieleninik Ł, Cieślak M, Bidzan M (2020). Maternal-Infant Bonding and Its Relationships with Maternal Depressive Symptoms, Stress and Anxiety in the Early Postpartum Period in a Polish Sample. Int J Environ Res Public Health 17(15): 5427. DOI: 10.3390/ijerph17155427.
Go to original source...
Go to PubMed... - Matthies LM, Müller M, Doster A, Sohn C, Wallwiener M, Reck C, Wallwiener S (2020). Maternal-fetal attachmentprotects against postpartum anxiety: the mediating role of postpartum bonding and partnership satisfaction. Arch Gynecol Obstet 301(1): 107-117. DOI: 10.1007/s00404-019-05402-7.
Go to original source...
Go to PubMed... - Mazúchová L, Kelčíková S, Porubská A, Malinovská N, Grendár M (2020). Mother-infant bonding in the postpartum period and its predictors. Cent Eur J Nurs Midw 11(3): 121-129. DOI: 10.15452/cejnm.2020.11.0022.
Go to original source... - McNamara J, Townsend ML, Herbert JS (2019). A systemic review of maternal wellbeing and its relationship with maternal fetal attachment and early postpartum bonding. PLoS One 14(7): e0220032. DOI: 10.1371/journal.pone.0220032.
Go to original source...
Go to PubMed... - Mohebati LM, Caulfield LE, Martinez H (2014). How much does your baby cry? Expectations, patterns and perceptions of infant crying in Mexico. Bol Med Hosp Infant Mex 71(4): 202-210. DOI: 10.1016/j.bmhimx.2014.08.002.
Go to original source...
Go to PubMed... - Moore ER, Anderson GC, Bergman N, Dowswell T (2012). Early skin to skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 5(5): CD003519. DOI: 10.1002/14651858.CD003519.pub3
Go to original source...
Go to PubMed... - Netsi E, Pearson RM, Murray L, Cooper P, Craske MG, Stein A (2018). Association of Persistent and Severe Postnatal Depression with Child Outcomes. JAMA Psychiatry 75(3): 247-253. DOI: 10.1001/jamapsychiatry.2017.4363.
Go to original source...
Go to PubMed... - Nieto L, Lara MA, Navarrete L (2017). Prenatal Predictors of Maternal Attachment and Their Association with Postpartum Depressive Symptoms in Mexican Women at Risk of Depression. Matern Child Health J 21(6): 1250-1259. DOI: 10.1007/s10995-016-2223-6.
Go to original source...
Go to PubMed... - Nóblega M, Bárrig P, Fourment K (2019). Maternal Care and Attachment Security in Preschool Children. Psic Teor e Pesq 35: e3534. DOI: 10.1590/0102.3772e3534.
Go to original source... - Örün E, Yalçin SS, Mutlu B (2013). Relations of maternal psychopathologies, social-obstetrical factors and mother-infant bonding at 2-month postpartum: a sample of Turkish mothers. World J Pediatr 9(4): 350-355. DOI: 10.1007/s12519-013-0432-2.
Go to original source...
Go to PubMed... - Pereira PK, Lima LA, Legay LF, de Cintra Santos JF, Lovisi GM (2012). Maternal mental disorders in pregnancy and the puerperium and risks to infant health. World J Clin Pediatr 1(4): 20-23. DOI: 10.5409/wjcp.v1.i4.20.
Go to original source...
Go to PubMed... - Petri E, Palagini L, Bacci O, Borri C, Teristi V, Corezzi C, et al. (2018). Maternal-foetal attachment independently predicts the quality of maternal-infant bonding and post-partum psychopathology. J Matern Fetal Neonatal Med 31(23): 3153-3159. DOI: 10.1080/14767058.2017.1365130.
Go to original source...
Go to PubMed... - Phillips, R (2013). The Sacred Hour: Uninterrupted Skin-to-Skin Contact Immediately After Birth. Newborn Infant Nurs Rev 13(2): 67-72. DOI: 10.1053/j.nainr.2013.04.001.
Go to original source... - R Core Team (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. [online] [cit. 2020-11-05]. Available from: https://www.R-project.org/
- Salehi K, Kohan S (2017). Maternal-fetal attachment: what we know and what we need to know. Int J Pregn Chi Birth 2(5): 146-148. DOI: 10.15406/ipcb.2017.02.00038.
Go to original source... - Sjoberg DD, Curry M, Hannum M, Whiting K, Zabor EC, Drill E, et al. (2020). gtsummary: Presentation-Ready Data Summary and Analytic Result Tables. R package version 1.3.3. [online] [cit. 2020-11-05]. Available from: https://CRAN.R-project.org/package=gtsummary
- Zeifman DM, St James-Roberts I (2017). Parenting the Crying Infant. Curr Opin Psychol 15: 149-154. DOI: 10.1016/j.copsyc.2017.02.009.
Go to original source...
Go to PubMed...
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