#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Postpartum mother-infant bonding from the aspect of preventing child maltreatment


Authors: L. Mazúchová 1;  S. Kelčíková 1;  E. Maskálová 1;  M. Grendár 2;  J. Buchanec 3
Authors‘ workplace: Ústav pôrodnej asistencie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Slovensko 1;  Martinské centrum pre biomedicínu, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Slovensko 2;  Klinika detí a dorastu, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin, Slovensko 3
Published in: Čes-slov Pediat 2021; 76 (5): 246-256.
Category: Original Papers

Overview

Objective: The objective of the study was to identify the risk mother and examine the relationship between selected variables (age, education, parity, skin-to-skin contact (SSC) support, partner support satisfaction, a child with an illness, risk of depression and family financial security) with postpartum mother-infant bonding.

Methods: The research was designed as a cross-sectional study. The study sample consisted of 204 women (mean age 30.9±4.8 years) who were 6 weeks after childbirth. The Postpartum Bonding Questionnaire (PBQ) and Edinburgh Postnatal Depression Scale (EPDS) were used. The questionnaire was supplemented by research variables, which were analyzed in relation to four factors of PBQ, which examined quality of mother-infant bond (F1); rejection and pathological anger (F2); infant-focused anxiety (F3); incipient abuse of infant (F4). The prenatálnereceived data were analysed using descriptive statistics, the Wilcoxon two-sample test, the Kruskal-Wallis test and the Fisher test.

Results: When examining mother-infant bonding with PBQ, we identified 8.82% of at-risk mothers in the F1; 0.49% in the F2, 1.96% in the F3 and in the F4 0.49% risk mothers were identified. Using the EPDS scale the risk of depression was identified 22.72% of the women. The following statistically significant variables shown in relation to the F1 education (p=0.001), partner support satisfaction (p=0.016) and risk of depression (p=0.001), to the F2 risk of depression (p=0.001) and family financial security (p=0.026), to the F3 education (p=0.022), parity (p=0.037), SSC support (p=0.001), partner support satisfaction (p=0.050), risk of depression (p=0.001) and family financial security (p=0.002) and to the F4 SSC support (p=0.047), risk of depression (p=0.002) and family financial security (p=0.028).

Conclusion: Identification of risk mothers in relation to a secure attachment with an emphasis on determining its related variables, can be important in preventing maltreatment, which needs to be addressed through early intervention in multidisciplinary cooperation.

Keywords:

prevention – postpartum mother-infant bonding – child maltreatment – secure attachment – quality of the bond – risk mothers


Sources

1. Leeb RT, Lewis T, Zolotor AJ. A review of physical and mental health consequences of child abuse and neglect and implications for practice. Am J Lifestyle Med 2011; 5 (5): 454–468.

2. Zeanah CH., Humphreys KL. Child abuse and neglect. J Am Acad Child Adolesc Psychiatry 2018; 57 (9): 644.

3. Hong YR, Park JS. Impact of attachment, temperament and parenting on human development. Korean J Pediatr 2012; 55 (12): 449–454.

4. Salehi K, Kohan S. Maternal-fetal attachment: what we know and what we need to know. Int J Pregn & Chi Birth 2017; 2 (5): 146–148.

5. Hrubý R. Depresia a včasné emočné, kognitívne a behavirálne regulácie. Martin: VEEM, s.r.o., 2017: 1– 275.

6. Petri E, Palagini L, Bacci O, et al. Maternal-foetal attachment independently predicts the quality of maternal-infant bonding and post-partum psychopathology. J Matern Fetal Neonatal Med 2018; 31 (23): 3153–3159.

7. Klaus MH, Kennell JH, Klaus PH. Bonding: Buildings the Foundations of Secure Attachment and Independence. New York: Addison-Wesley, 1995: 1–268.

8. Hašto J, Janovičová G, Rašmanová M. Diskusia o význame popôrodného kontaktu matky a dieťaťa. Psychiatria – Psychoterapia – Psychosomatika 2014; 21 (2): 39–41.

9. Mazúchová L, Kelčíková S, et al. Podpora bondingu po pôrode. Čes-slov Pediat 2016; 71 (4): 196–201.

10. Hendrych Lorenzová E, Bártlová S, Ratislavová K. Posouzení raného vztahu matka – dítě v komunitním prostředí. Pediatr praxi 2018; 19 (6): 332–336.

11. Lutkiewicz K, Bieleninik Ł, Cieślak M, et al. 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 2020; 17 (15): 5427.

12. Nakano M, Upadhyaya S, Chudal R, et al. Risk factors for impaired maternal bonding when infants are 3 months old: a longitudinal population based study from Japan. BMC Psychiatry 2019; 19 (1): 87.

13. Hill R, Flanagan J. The maternal-infant bond: Clarifying the concept. Int J Nurs Knowl 2019; 31 (1):14–18.

14. Obikane E, Watanabe K, Nishi D. et al. Association between personal values in adolescence and impaired bonding relationship with children. BMC Psychol 2020; 8 (98).

15. Lehnig F, Nagl M, Stepan H, et al. A. Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study. BMC Pregnancy Childbirth 2019; 19 (1): 278.

16. Brockington IF, Fraser C, Wilson D. The Postpartum Bonding Questionnaire: a validation. Arch Womens Ment Health 2006; 9 (5): 233–242.

17. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987; 150 (6): 782–786.

18. Falceto OG, Giugliani ER, Fernandes CL. Problematic parent-infant relationships in two-parent families: prevalence and risk factors in a Brazilian neighborhood. Trends Psychiatry Psychother 2012; 34 (3): 139–146.

19. Karayağız Ş, Aktan T, Karayağız LZ. Parental attachment patterns in mothers of children with anxiety disorder. Children (Basel) 2020; 7 (5): 46.

20. Riem MM, Bakermans-Kranenburg MJ, van Ijzendoorn MH, et al. Attachment in the brain: adult attachment representations predict amygdala and behavioral responses to infant crying. Attach Hum Dev 2012; 14 (6): 533–551.

21. Mikulincer M, Shaver PR. An attachment perspective on psychopathology. World Psychiatry 2012; 11 (1):11–15.

22. Winston R, Chicot R. The importance of early bonding on the long-term mental health and resilience of children. London J Prim Care (Abingdon) 2016; 8 (1): 12–14.

23. Kaneko H, Honjo S. The psychometric properties and factor structure of the postpartum bonding questionnaire in Japanese mothers. Psychology 2014; 5: 1135–1142. http://dx.doi. org/10.4236/psych.2014.59126

24. Gášparová Z. Typy vzťahovej väzby a ich vplyv na psychický vývin detí. Prohuman 2017; 8 (5). https://prohuman. sk/ psychologia/typy-vztahovej-vazby-a-ich-vplyv-na-psychickyvyvin- deti.

25. Sidor A, Thiel-Bonney C, Kunz E, et al. Das exzessive Schreien bei 5 Monate alten Säuglingen und prä-, peri- und postnatale Belastungen ihrer Mütter in einer Hoch-Risiko-Stichprobe. Z Kinder Jugendpsychiatr Psychother 2012; 40 (4): 239–250.

26. Oldbury S, Adams K. The impact of infant crying on the parent- infant relationship. Community Pract 2015; 88 (3): 29–34.

27. Aron EN. Vysoko citliví lidé. Olomouc: Fontána, 2020: 1– 414.

28. Dubber S, Reck C, Müller M, et al. Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health 2015; 18 (2): 187–195.

29. Cyr C, Euser EM, Bakermans-Kranenburg MJ, et al. Attachment security and disorganization in maltreating and high-risk families: a series of meta-analyses. Dev Psychopathol 2010; 22 (1): 87–108.

30. Kinsey CB, Baptiste-Roberts K, Zhu J, et al. Birth-related, psychosocial, and emotional correlates of positive maternal-infant bonding in a cohort of first-time mothers. Midwifery 2014; 30 (5): 188–194.

31. Razurel C, Bruchon-Schweitzer M, Dupanloup A, et al. Stressful events, social support and coping strategies of primiparous women during the postpartum period: a qualitative study. Midwifery 2011; 27 (2): 237–242.

32. Suetsugu Y, Honjo S, Ikeda M, et al. The Japanese version of the postpartum bonding questionnaire: examination of the reliability, validity, and scale structure. J Psychosom Res 2015; 79 (1): 55–61.

33. Dalbye R, Calais E, Berg M. Mothers‘ experiences of skin-to-skin care of healthy full-term newborns – -a phenomenology study. Sex Reprod Healthc 2011; 2 (3): 107–111.

34. Phillips R. Uninterrupted skin-to-skin contact immediately sfter birth. Newborn Infant Nurs Rev 2013; 13 (2): 67–72.

35. Moore ER, Anderson GC, Bergman N, et al. Early skin to skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2012; 5 (5): CD003519.

36. Matthies LM, Müller M, Doster A, et al. Maternal-fetal attachment protects against postpartum anxiety: the mediating role of postpartum bonding and partnership satisfaction. Arch Gynecol Obstet 2020; 301 (1): 107–117.

37. Valúchová N, Dobríková P, Slaný J, et al. Vzťahová väzba a chronické ochorenie u detí. Čes-slov Pediat 2020; 75 (3): 164–170.

38. Hendrych Lorenzová E, Boledovičová M, Kašová L. Péče komunitní porodní asistentky o šestinedělku s poporodní depresi. Pediatr praxi 2016; 17 (5): 322–325.

39. Muzik M, Bocknek EL, Broderick A, et al. Mother–infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories. Arch Womens Ment Health 2013; 16: 29–38.

40. Goyal D, Gay C, Lee KA. How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Womens Health Issues 2010; 20 (2): 96–104.

Labels
Neonatology Paediatrics General practitioner for children and adolescents
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#