Level of Mother-Baby Bonding and Influencing Factors During Pregnancy and Postpartum Period

Dağlar, Gülseren; Nur, Naim

doi:10.24869/psyd.2018.433

Cited by 63 publications

(77 citation statements)

References 26 publications

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“…Many authors underline that low maternal prenatal attachment is associated with low prenatal maternal fetus representations and self-care [25][26][27][28][29] and low postnatal attachment until 24 months postpartum [30][31][32][33][34][35][36][37][38][39]. Additionally, poor parental prenatal attachment has been connected to behavioral and conduct problems, lower cognitive development, and negative socioemotional regulations in early childhood [40][41][42].…”

Section: Introductionmentioning

confidence: 99%

Prenatal Attachment and Perinatal Depression: A Systematic Review

Rollé

Giordano

Santoniccolo

et al. 2020

IJERPH

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Pregnancy is a period of complex bio-psychological changes, during which the development of an attachment bond to the fetus takes on a central role. Depressive symptoms are common during this period. Both symptoms of depression and low levels of prenatal attachment are related to negative outcomes in caregivers and infants. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement, this systematic review analyzes and systematizes 41 studies concerning the association between prenatal attachment and perinatal depression. The majority of the studies reported a significant association between the two. Specifically, prenatal depressive symptoms were found to be negatively associated with prenatal attachment. Furthermore, lower levels of prenatal attachment were related to higher postnatal depressive symptoms, although fewer studies assessed this association. While these results were found across different populations, conflicting findings emerged, suggesting they should be interpreted with caution, particularly in male samples and in non-normative pregnancies (e.g., high-risk pregnancies, medically assisted pregnancies, and pregnancies with previous perinatal losses). These results are clinically important for the perinatal screening process and for implementing preventive and treatment programs. However, future studies are needed to further confirm and generalize these results.

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Section: Introductionmentioning

confidence: 99%

Prenatal Attachment and Perinatal Depression: A Systematic Review

Rollé

Giordano

Santoniccolo

et al. 2020

IJERPH

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“…Model 1 was adjusted for age only. In Model 2, we further adjusted the following, which may potentially confound the association between ART and LMIB: maternal age, the babies' sex, incidence of insults from partner during pregnancy, incidence of quarreling within couples during pregnancy, maternal history of depression and anxiety, maternal education and familial economic status, since these factors have been considered to affect mother‐to‐infant bonding in perinatal or post‐partum period, and related to maternal psychological distress among those who received ART . These variables were selected from those listed in Table .…”

Section: Methodsmentioning

confidence: 99%

Assisted reproductive technologies are slightly associated with maternal lack of affection toward the newborn: The Japan Environment and Children's Study

Yoshimasu

Miyauchi

Satô

et al. 2020

J of Obstet and Gynaecol

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Aim To evaluate the association between use of assisted reproductive technology (ART) and mother‐to‐infant bonding. Methods Using nationwide birth cohort study with periodical follow‐ups for mothers and children during pregnancy and at 1 year after delivery, mothers were classified following three groups; infertility group with ART: 2792 mothers; infertility group with non‐ART treatment (ovulation induction and intrauterine insemination): 3835 mothers and unaided pregnancy group: 78 726 mothers. Data on maternal and child health as well as basic characteristics were collected via medical records and self‐administered questionnaires. The Japanese version of Mother‐to‐Infant Bonding Scale was used to evaluate maternal bonding style. To evaluate the association between ART and maternal bonding toward babies, multivariate analysis was used with adjustment for potential confounders such as babies' sex, socio‐economic status and history of maternal mental disorders. Results Multivariate logistic regression analysis indicated that ART was slightly but significantly associated with an increased risk of maternal lack of affection toward their newborn (adjusted odds ratio 1.10, 95% confidence interval 1.02–1.20), while non‐ART was significantly associated with both maternal lack of affection and anger/rejection toward the newborn. No substantial association was observed between ART and overall Mother‐to‐Infant Bonding Scale score (adjusted odds ratio 1.03, 95% confidence interval 0.94–1.12). Very slight negative correlations were observed between poor mother‐to‐infant bonding and good infant mental and physical development at both 6 months and 1 year. Conclusion ART may exert a negative influence on maternal emotion after delivery, but this does not have strong correlation with child development evaluated by mothers.

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“…Catherine's quality-stress model showed that relationship templates dominated by fear or lack of security, such as insecure attachment, may become a personality trait, making women more vulnerable to perinatal depression than those without this trait [10]. The level of prenatal attachment affects maternal-infant attachment after delivery [11]. A study of 165 pregnant women in Poland found that a pregnant woman's type of attachment affects her image as a mother and her connection with her fetus [12].…”

Section: Introductionmentioning

confidence: 99%

Mediating role of prenatal depression in attachment and maternal-fetal attachment in women who receive prenatal education

Zhang

Wang

Yuan

et al. 2020

Preprint

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Background Prenatal depression and attachment are factors that affect the establishment of an intimate relationship between a mother and fetus, and prenatal education plays an important role in helping pregnant women adapt to a maternal role and changes during pregnancy. The study explored differences in prenatal depression and maternal-fetal attachment (MFA) scores between a prenatal education group and no prenatal education group, as well as the effects of maternal depression scores and attachment dimensions on maternal intimacy with the fetus. Methods The Edinburgh Postnatal Depression Scale (EPDS), Experience of Close Relationship (ECR) scale, Maternal Antenatal Attachment Scale (MAAS) and a general data scale were used to investigate 222 pregnant women who received prenatal education and 118 pregnant women who did not receive prenatal education in the third trimester of pregnancy. An exploratory analysis was performed to analyze the effects of depression score and attachment on MFA in pregnant women who received prenatal education. Results The results showed that pregnant women who received prenatal education had higher MFA and lower depression scores than those who did not receive prenatal education, and prenatal depression partially mediated the relationship between attachment avoidance and MFA quality. Conclusions Women who received prenatal education had low prenatal depression scores and high MFA. Maternal depression and attachment avoidance may affect the emotional bond between mother and fetus and should be taken seriously; they can be prevented by prenatal education and early intervention.

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Level of Mother-Baby Bonding and Influencing Factors During Pregnancy and Postpartum Period

Cited by 63 publications

References 26 publications

Prenatal Attachment and Perinatal Depression: A Systematic Review

Prenatal Attachment and Perinatal Depression: A Systematic Review

Assisted reproductive technologies are slightly associated with maternal lack of affection toward the newborn: The Japan Environment and Children's Study

Mediating role of prenatal depression in attachment and maternal-fetal attachment in women who receive prenatal education

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