Mother–infant bonding in the postpartum period: assessment of the impact of pre-delivery factors in a clinical sample

Farré-Sender, Borja; Torres, Anna; Gelabert, Estel; Andrés, Susana Marqués; Roca, A.; Lasheras, Gracia; Valdés, Manuel; García-Esteve, Lluïsa

doi:10.1007/s00737-017-0785-y

Cited by 72 publications

(48 citation statements)

References 85 publications

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“…In this study, the frequency of self-reported depressive and anxious mood in pregnancy were 5.0% and 11.8%, respectively, which are similar to the result of 11.3% for anxiety in pregnancy found in Ma's study [11] and the result of 4.5% for depression in pregnancy found in He's study [12], but lower than the result in Borja's study [13]. Literature review showed that there is a greater discrepancy in the reported prevalence of depression (from 3.5% to 29.0%) [14,15] and anxiety (from 9.1% to 59.5 %) [16,17] among the population of pregnant women.…”

Section: Discussionsupporting

confidence: 85%

Mother-infant bonding during the early postnatal period in a sample of Chinese primiparous mothers

Zhang¹,

Xiong²,

Luo³

et al. 2019

Proceedings of the 2019 5th International Conference on Humanities and Social Science Research (ICHSSR 2019)

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This study aims to investigation the mother-infant bonding impairment among Chinese primiparous mothers in the early postpartum period. Totally, there were 119 primiparous mothers were conveniently recruited at the 42 days postpartum from a local hospital in Wuhan, China. Data on the social-demographic characteristics, clinical information, prenatal depressive and anxious mood, and mother-infant bonding were collected using a self-designed basic information questionnaire and the Chinese-version of Postpartum Bonding Questionnaire(C-PBQ). The results showed that the total score of C-PBQ was 14.62±10.35. The prevalence of reported mild bonding disturbances and potential rejections of infants were 21.8% and 1.68%, respectively, while no one reported explicit rejections. During pregnancy, only 5.0% of women experienced depressive mood, while 11.8% with anxiety. Although a higher score of C-PBQ was observed in women with prenatal anxiety compared to those without (P<0.05), no significant effects of anxiety during pregnancy on the mother-infant bonding was found based on the regression analysis. Therefore, close attention should be paid to mother-infant bonding impairment for Chinese new mother in the early postpartum period. Investigating methods to enhance perinatal maternal bonding and reducing anxiety in pregnancy is needed.

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Section: Discussionsupporting

confidence: 85%

Mother-infant bonding during the early postnatal period in a sample of Chinese primiparous mothers

Zhang¹,

Xiong²,

Luo³

et al. 2019

Proceedings of the 2019 5th International Conference on Humanities and Social Science Research (ICHSSR 2019)

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“…Whereas the majority of previous studies did not distinguish between different types of maltreatment, the current study explored diverse forms, taking into account their co-occurrence. Thus far, Farré-Sender et al [27] have examined one single type of childhood maltreatment showing that maternal emotional abuse was a significant predictor of postpartum MIB impairment, which was not replicated in the current study. The analysis of only one type of childhood maltreatment could have led to an overestimation of its influence due to the common interrelations with other types of childhood maltreatment like emotional neglect [15].…”

Section: Discussioncontrasting

confidence: 83%

“…Furthermore, the variations of the study findings might be due to different study populations. Farré-Sender et al [27] conducted their study in a clinical population, whereas the current study was conducted in a general population.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, little is known about specific effects of different types of childhood maltreatment on postpartum MIB. To date, only one study focused separately on maternal emotional abuse in childhood as an important predictor of postpartum MIB disturbances in a clinical sample of mothers [27]. However, as traumatic childhood experiences are interrelated and tend to co-occur [15, 28, 29], it is necessary to include different types of maltreatment in order to assess to what extent other maltreatment forms may account for this association.…”

Section: Introductionmentioning

confidence: 99%

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Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study

Lehnig

Nagl

Stepan

et al. 2019

BMC Pregnancy Childbirth

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Background After delivery, some women experience impairment of their mother-infant bonding (MIB), which can lead to long-term disturbances of the mother-child relationship and the child’s social-emotional development. Little is known about the association between early maternal bonding problems and mothers’ own adverse childhood experiences, even though the hypothesis of the intergenerational transmission of caregiving indicates continuity in parenting quality across generations. Therefore, the current study aimed at examining the relationship between maternal childhood maltreatment and postpartum MIB, controlling for the role of postpartum mental health. Methods From February 2014 to March 2015, 725 women completed self-report measures 2 months postpartum. Maternal childhood maltreatment was assessed with the Childhood Trauma Questionnaire, postpartum depression with the Revised Beck Depression Inventory, postpartum anxiety with the Symptom Checklist-90-Revised, and postpartum MIB with the abridged version of the Postpartum Bonding Questionnaire. Data were analysed using a hierarchical regression analysis. Results Almost 46% of the included women reported at least one type of childhood maltreatment with emotional neglect being most prevalent. 13% displayed at least mild postpartum depressive symptomatology and 20% scored above the 75 th percentile for postpartum anxiety. In the final regression model, which explained 29% of variance, higher severity of maternal emotional neglect in childhood, higher levels of postpartum depression and higher education were significantly related to more postpartum MIB impairment. In contrast, higher severity of maternal physical neglect was significantly associated with less postpartum MIB impairment. Conclusions This study is the first to explore the relationship between diverse types of maternal childhood maltreatment and postpartum MIB, adjusting for postpartum mental health. Maternal experiences of emotional neglect and postpartum depressive symptoms could serve as indicators to identify and support mothers with heightened risk for bonding problems, but results need to be validated in longitudinal studies.

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“…We therefore tested the association between manic symptoms and bonding in the PP group only. Analyses were adjusted for maternal age and primiparity [16,[37][38][39]. We report coefficients and their confidence intervals.…”

Section: Discussionmentioning

confidence: 99%

Mother-to-Infant Bonding in Women with Postpartum Psychosis and Severe Postpartum Depression: A Clinical Cohort Study

Gilden

Molenaar

Smit

et al. 2020

JCM

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Mother-to-infant bonding is important for long-term child development. The aim of this study was to investigate bonding in women admitted to a Mother and Baby Unit with postpartum depression (PD, n = 64) and postpartum psychosis (PP, n = 91). Participants completed the Postpartum Bonding Questionnaire (PBQ), the Edinburgh Postnatal Depression Scale (EPDS) and the Young Mania Rating Scale (YMRS) weekly during admission. At admission, 57.1% of women with PD had impaired bonding, compared to only 17.6% of women with PP (p-value < 0.001). At discharge, only 18.2% of women with PD and 5.9% of women with PP still experienced impaired bonding (p-value = 0.02). There was a strong association between decrease of depressive and manic symptoms and improved bonding over an eight-week admission period. In a small group of women (5.7%) impaired bonding persisted despite being in remission of their psychiatric disorder. The results from our study show that impaired bonding is a more present and evidently severe problem in postpartum depression but not so much in postpartum psychosis. Treatment of depressive symptoms will improve bonding in almost all women, but clinicians should assess if impaired bonding is still present after remission because for a small group special care and treatment focused on bonding might be required.

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Mother–infant bonding in the postpartum period: assessment of the impact of pre-delivery factors in a clinical sample

Cited by 72 publications

References 85 publications

Mother-infant bonding during the early postnatal period in a sample of Chinese primiparous mothers

Mother-infant bonding during the early postnatal period in a sample of Chinese primiparous mothers

Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study

Mother-to-Infant Bonding in Women with Postpartum Psychosis and Severe Postpartum Depression: A Clinical Cohort Study

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