Skip to main content

Advertisement

Log in

Mother-to-Infant Emotional Involvement at Birth

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Objectives To study mother-to-infant emotional involvement at birth, namely factors (socio-demographics, previous life events, type of delivery, pain at childbirth, support from partner, infant characteristics, early experiences with the newborn, and mother’s mood) that interfere with the mother’s positive, negative and not clear emotions toward the newborn. Methods The Bonding Scale (an extended Portuguese version of the ‘New Mother-to-Infant Bonding Scale’) and the Edinburgh Postnatal Depression Scale were administrated during the first after delivery days to 315 mothers recruited at Júlio Dinis Maternity Hospital (MJD, Porto, Portugal). Results A worse emotional involvement with the newborn was observed when the mother was unemployed, unmarried, had less than grade 9, previous obstetrical/psychological problems or was depressed, as well as when the infant was female, had neonatal problems or was admitted in the intensive care unit. Lower total bonding results were significantly predicted when the mother was depressed and had a lower educational level; being depressed, unemployed and single predicted more negative emotions toward the infant as well. No significant differences in the mother-to-infant emotional involvement were obtained for events related to childbirth, such as type of delivery, pain and partner support, or early experiences with the newborn; these events do not predict mother’s bonding results either. Conclusion The study results support the need for screening and supporting depressed, unemployed and single mothers, in order to prevent bonding difficulties with the newborn at birth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Winnicott, D. (1957). The child, the family, and the outside world classics in child development. USA: Winnicott.

    Google Scholar 

  2. Klaus, M. H., & Kennell, J. H. (1976). Maternal-infant bonding. Saint Louis: The C. V. Mosby Company.

    Google Scholar 

  3. Kennell, J. H., Trause, M. A., & Klaus, M. H. (1975). Evidence for a sensitive period in the human mother. In Ciba Foundation (Ed.), Parent-infant interaction (pp. 87–102), Vol 33. Amsterdam: Association Scientific Publishers.

  4. Stern, D. (1995). The motherhood constellation. New York, NY: Harper Collins.

    Google Scholar 

  5. George, C., & Solomon, J. (1999). Attachment and caregiving: The caregiving behavioral system. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 649–667). New York, NY: The Guilford Press.

    Google Scholar 

  6. Bowlby, J. (1958). The nature of the child’s tie to his mother. International Journal of Psychoanalytic, 39, 350–373.

    CAS  Google Scholar 

  7. Klaus, M. H., Kennell, J. H., & Klaus, P. H. (1995). Bonding: Building the Foundations of Secure Attachment and Independence. USA: Addison Wesley Publishing Company.

    Google Scholar 

  8. Fleming, A. S., O’Day, D. H., & Kraemer, G. W. (1999). Neurobiology of mother-infant interactions: Experience and central nervous system plasticity across development and generations. Neuroscience Biobehavioral Review, 235, 6736–6785.

    Google Scholar 

  9. Eibl-Eibesfeldt, I. (1971). Love and Hate: The natural history of behavior patterns. New York, NY: Holt, Rinehart, & Winston, Inc.

    Google Scholar 

  10. Richards, M. P. M. (1971). Social interaction in the first weeks of human life. Psychiatric Neurology Neurochirurgia, 74, 35–42.

    CAS  Google Scholar 

  11. Figueiredo, B., Costa, R., Marques, A., Pacheco, A., & Pais, A. (2007). Mother and father-to-infant initial emotional involvement. Early Child Development and Care, 177(5), 521–532.

    Article  Google Scholar 

  12. Fleming, A. S., Rubble, D., Krieger, H., & Wong, P. Y. (1997). Hormonal and experiential correlates of maternal responsiveness during pregnancy and the puerperium in human mothers. Hormone and Behavior, 31, 145–158.

    Article  CAS  Google Scholar 

  13. Taylor, A., Atkins, R., Kumar, R., Adams, D., & Glover, V. (2005). Mother-to-infant bonding scale: Links with early maternal mood. Archives of Women’s Mental Health, 81, 45–51.

    Article  Google Scholar 

  14. Figueiredo, B., Marques, A., Costa, R., Pacheco, A., & Pais, A. (2005). Bonding: Escala para avaliar o envolvimento emocional dos pais com o bebé. Psychological, 40, 133–154.

    Google Scholar 

  15. Fleming, A. S., Ruble, D. N., Flett, G., & Shaul, D. L. (1988). Postpartum adjustment in first-time mothers: Relations between mood, maternal attitudes and mother infant interactions. Development Psychology, 241, 71–81.

    Article  Google Scholar 

  16. Troy, N. W. (1993). Early contact and maternal attachment among women using public health care facilities. Applied Nursing Research, 64, 161–166.

    Article  Google Scholar 

  17. Troy, N. W. (1995). The time of first holding of the infant and maternal self-esteem related to emotions of maternal attachment. Women Health, 223, 59–72.

    Google Scholar 

  18. Chalmers, B., Samarskaya, M. E., Tkatchenko, E., & Wallington, T. (1998). Women’s perceptions of birth in St Petersburg, Russian Federation. Journal of Reproductive Infant Psychology, 16, 243–258.

    Article  Google Scholar 

  19. MacFarlane, J. A., Smith, D. M., & Garrow, D. H. (1978). The relationship between mother and neonate. In S. Kitzinger & J. A. Davis (Eds.), The place of birth. New York, NY: Oxford University Press.

    Google Scholar 

  20. Newton, N., & Newton, M. (1962). Mother’s reaction to their newborn babies. Journal of the American Medical Association, 181, 206–210.

    PubMed  CAS  Google Scholar 

  21. Robson, K. S., & Kumar, R. (1980). Delayed onset of maternal affection after childbirth. The British Journal of Psychiatry, 136, 347–353.

    Article  PubMed  CAS  Google Scholar 

  22. Robson, K. S., & Moss, H. (1970). Patterns and determinants of maternal attachment. Journal of Pediatric, 77, 976–985.

    Article  CAS  Google Scholar 

  23. Insel, T. R. (1992). Oxytocin—A neuropeptide for affiliation: evidence from behavioral, receptor autoradiographic, and comparative studies. Psychoneuroendocrinology, 171, 3–35.

    Article  Google Scholar 

  24. Insel, T. R. (1997). A neurobiological basis of social attachment. American Journal of Psychiatry, 1546, 726–735.

    Google Scholar 

  25. Neumann, I. D. (2003). Brain mechanisms underlying emotional alterations in the peripartum period in rats. Depression and Anxiety, 17(3), 111–121.

    Article  PubMed  Google Scholar 

  26. Isabella, R. A. (1994). Origins of maternal role satisfaction and its influences upon maternal interactive behavior and infant-mother attachment. Infant Behavior and Development, 17, 381–387.

    Article  Google Scholar 

  27. Isabella, R. A., & Belsky, J. (1985). Marital change during the transition to parenthood and security of infant-parent attachment. Journal of Family Issues, 64, 505–522.

    Article  Google Scholar 

  28. Edelstein, R. S., Alexander, K. W., Shaver, P. R., Schaaf, J. M., Quas, J. A., Lovas, G. S., & Goodman, G. S. (2004). Adult attachment style and parental responsiveness during a stressful event. Attachment & Human Development, 61, 31–52.

    Article  Google Scholar 

  29. Slade, A., Belsky, J., Aber, J. L., & Phelps, J. L. (1999). Mothers’ representations of their relationships with their toddlers: Links to adult attachment and observed mothering. Development of Psychology, 353, 611–619.

    Article  Google Scholar 

  30. Krpan, K. M., Coombs, R., Zinga, D., Steiner, M., & Fleming, A. S. (2005). Experiential and hormonal correlates of maternal behavior in teen and adult mothers. Hormones and Behavior, 471, 112–122.

    Article  CAS  Google Scholar 

  31. Feldman, R., Weller, A., Leckman, J. F., Kuint, J., & Eidelman, A. (1999). The nature of the mother’s tie to her infant: Maternal bonding under conditions of proximity, separation and potential loss. Journal of Child Psychology and Psychiatry, 406, 929–939.

    Article  Google Scholar 

  32. Kumar, R. C. (1997). “Anibody’s child”: Severe disorders of mother-to-infant bonding. The British Journal Psychiatry, 171, 175–181.

    Article  CAS  Google Scholar 

  33. Carek, D. J., & Capelli, A. J. (1981). Mother’s reactions to their newborn infants. Journal of the American Academy of Child Psychiatry, 20, 16–31.

    Article  PubMed  CAS  Google Scholar 

  34. Robson, K. S. (1967). The role of eye-eye contact in maternal infant attachment. Journal of Child Psychology Psychiatry, 8, 13–25.

    Article  CAS  Google Scholar 

  35. Cummins, L. H., Scrimshaw, S. C. M., & Engle, P. L. (1988). Views of cesarean birth among primiparous women of Mexican origin in Los Angeles. Birth, 15, 164–170.

    Article  PubMed  CAS  Google Scholar 

  36. DiMatteo, M. R., Morton, S. C., Lepper, H. S., Damush, T. M., Carney, M. F., Pearson, M., & Kahn, K. L. (1996). Cesarean childbirth and psychosocial outcomes: A meta-analysis. Health Psychology, 154, 303–324.

    Article  Google Scholar 

  37. Garel, M., Lelong, N., & Kaminski, M. (1987). Psychological consequences of caesarean childbirth in primiparas. Journal of Psychosomaic Obstetrics and Gynecology, 63, 197–209.

    Article  Google Scholar 

  38. Marut, J. S., & Mercer, R. T. (1979). Comparison of primiparas’ perceptions of vaginal delivery and cesarean births. Nursing Research, 285, 260–266.

    Google Scholar 

  39. Tulman, L. J. (1986). Initial handling of newborn infants by vaginal delivery and cesarean-delivered mothers. Nursing Research, 35, 296–300.

    Article  PubMed  CAS  Google Scholar 

  40. Kearney, M. H., Cronenwett, L. R., & Reinhart, R. (1990). Caesarean delivery and breastfeeding outcomes. Birth, 17, 97–103.

    Article  PubMed  CAS  Google Scholar 

  41. Taylor, A., Littlewood, J., Adams, D., Doré, C., & Glover, V. (1994). Serum cortisol levels are related to moods of elation and dysphoria in new mothers. Psychiatry Research, 54, 241–247.

    Article  PubMed  CAS  Google Scholar 

  42. Ransjo-Arvidson, A. B., Matthiesen, A. S., Lilja, G., Nissen, E., Widstrom, A. M., & Uvnas-Moberg, K. (2001). Maternal analgesia during labor disturbs newborn behavior: Effects on breastfeeding, temperature, and crying. Birth, 281, 5–12.

    Article  Google Scholar 

  43. Sepkoski, C. M., Lester, B. M., Ostheimer, G. W., & Brazelton, T. B. (1992). The effects of maternal epidural anesthesia on neonatal behavior during the first month. Development Medical and Child Neurology, 3412, 1072–1080.

    Google Scholar 

  44. Huckabay, L. M. (1999). The effect on bonding behavior of giving a mother her premature baby’s picture. Scholarly Inquiry for Nursing Practice, 134, 349–362.

    Google Scholar 

  45. Widstrom, A. M., Wahlberg, V., Matthiesen, A. S., Eneroth, P., Uvnas-Moberg, K., Werner, S., & Winberg, J. (1990). Short-term effects of early suckling and touch of the nipple on maternal behaviour. Early Human Development, 213, 153–163.

    Article  Google Scholar 

  46. Gomes-Pedro, J., Bento de Almeida, J., Silveira da Costa, C., & Barbosa, A. (1984). Influence of early mother-infant contact on dyadic behaviour during the first month of life. Development Medical and Child Neurology, 265, 657–664.

    Google Scholar 

  47. Simpson, J. A. (1999). Attachment theory in modern evolutionary perspective. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment (pp. 115–140). New York, NY: Guilford Press.

    Google Scholar 

  48. Lee, R. E. (1995). Women look at their experience of pregnancy. Infant Mental Health Journal, 163, 192–205.

    Article  Google Scholar 

  49. Field, T. (1990). Infancy. Cambridge: Harvard University Press.

    Google Scholar 

  50. Lozoff, B., Jordan, B., & Malone, S. (1988). Childbirth in cross-cultural perspective. Marriage & Family Review, 123–124, 35–60.

    Article  Google Scholar 

  51. Brazelton, T. B., & Cramer, B. G. (1990). Earliest relationship: Parents, infants, and the drama of early attachment. New York: Addison-Wesley Publishing.

    Google Scholar 

  52. Figueiredo, B., Costa, R., Pacheco, A., Conde, A., & Teixeira, C. (2007). Anxiété, dépression et investissement émotionnel de l’enfant pendant la grossesse. Devenir, 19(3), 243–260.

    Article  Google Scholar 

  53. Lawson, K. L., & Turriff-Jonasson, S. I. (2006). Maternal serum screening and psychosocial attachment to pregnancy. Journal of Psychosomatic Research, 60(4), 371–378.

    Article  PubMed  Google Scholar 

  54. Righetti, P. L., Dell’Avanzo, M., Grigio, M., & Nicolini, U. (2005). Maternal/paternal antenatal attachment and fourth-dimensional ultrasound technique: A preliminary report. The British Journal of Psychiatry, 96, 129–137.

    CAS  Google Scholar 

  55. Niven, C. (1988). Labor pain: Long-term recall and consequences. Journal of Reproductive Infant Psychology, 6, 83–87.

    Article  Google Scholar 

  56. Thune-Larsen, K. B., & Moller-Pedersen, K. (1988). Childbirth experience and postpartum emotional disturbance. Journal of Reproductive Infant Psychology, 64, 229–240.

    Article  Google Scholar 

  57. Augusto, A., Kumar, R., Calheiros, J. M., Matos, E., & Figueiredo, E. (1996). Post-natal depression in an urban area of Portugal: Comparision of childbearing women and matches controls. Psychological Medicine, 26, 135–141.

    PubMed  CAS  Google Scholar 

  58. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782–786.

    Article  PubMed  CAS  Google Scholar 

  59. Figueiredo, B. (1997). Postpartum depression, mother-infant interaction and child development, Unpublished doctoral dissertation, Minho University, Braga.

  60. Areias, M. E., Kumar, R., Barros, H., & Figueiredo, E. (1996). Comparative incidence of depression in women and men, during pregnancy and after childbirth. Validation of the Edinburgh Postnatal Depression Scale in Portuguese mothers. The British Journal of Psychiatry, 169(1), 30–35.

    Article  PubMed  CAS  Google Scholar 

  61. Dragonas, T. G. (1992). Greek fathers’ participation in labor and care of the infant. Scandinavian Journal of Caring Science, 63, 151–159.

    Google Scholar 

  62. Klaus, M. H., & Kennell, J. H. (1992). Pregnancy, birth and the first days of life. In M. D. Levine, W. B. Carey, & A. C. Crocker (Eds.), Developmental-behavioral pediatrics (pp. 16–26). Philadelphia, PA: WB Saunders Co.

  63. Brown, J. V., Bakeman, R., Snyder, P. A., Fredrickson, W. T., Morgan, S. T., & Hepler, R. (1975). Interactions of black inner-city mothers with their newborn infants. Child Development, 463, 677–686.

    Article  Google Scholar 

  64. Craig, S., Tyson, J. E., Samson, J., & Lasky, R. E. (1982). The effect of early contact on maternal perception of infant behavior. Early Human Development, 62, 197–204.

    Article  Google Scholar 

Download references

Acknowledgments

We would like to thank the mothers that participated in this study. This research was supported by a grant from the Human Development and Health Service of the Calouste Gulbenkian Foundation (Ref.48914) and a grant from the Bial Foundation (Ref.58/02).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bárbara Figueiredo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Figueiredo, B., Costa, R., Pacheco, A. et al. Mother-to-Infant Emotional Involvement at Birth. Matern Child Health J 13, 539–549 (2009). https://doi.org/10.1007/s10995-008-0312-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-008-0312-x

Keywords

Navigation