Cent Eur J Nurs Midw 2020, 11(3):121-129 | DOI: 10.15452/cejnm.2020.11.0022

Mother-infant bonding in the postpartum period and its predictors

Lucia Mazúchová1, Simona Kelčíková1, Andrea Porubská2, Nora Malinovská3, Marián Grendár4
2 Department of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia$1 2Department of Midwifery, Department of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia (student)
3 Department of Foreign Languages, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia
4 Bioinformatics Unit, Biomedical Center Martin, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Aim: The aim of the study was to assess bonding between a mother and her child with an emphasis on its predictors as well as to identify the women who are at risk of mother-infant bonding disorders.

Design: A quantitative cross-sectional study.

Methods: To collect the relevant data, the Postpartum Bonding Questionnaire (PBQ) was used to assess the following four factors: quality of mother-infant bond (F1); rejection and pathological anger (F2); infant-focused anxiety (F3); incipient abuse of infant (F4). The research sample consisted of 200 women who were 0–6 weeks after childbirth. The received data were analysed using descriptive statistics, the Robust ANOVA and the Wilcoxon two-sample test.

Results: We identified 9.5% at-risk women in the F1; 1.5% at-risk women in the F2; 3.5% at-risk women in the F3; and 5% at-risk women in the F4. The following statistically significant predictors were shown in relation to the F1: child planning; the F3: parity; skin-to-skin contact support after birth.

Conclusion: Possible predictors and the mothers who are at risk in relation to a secure attachment connection were identified, which is important in terms of preventive interventions on the part of midwives.

Keywords: attachment, bonding, infant, midwives, mothers, postpartum period, skin-to-skin contact

Received: March 18, 2020; Revised: August 13, 2020; Accepted: August 28, 2020; Published: September 7, 2020  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Mazúchová L, Kelčíková S, Porubská A, Malinovská N, Grendár M. Mother-infant bonding in the postpartum period and its predictors. Central European Journal of Nursing and Midwifery. 2020;11(3):121-129. doi: 10.15452/cejnm.2020.11.0022.
Download citation

References

  1. Banovcinova, L, Skodova, Z., & Jakubcikova, K. (2019). Predictors of increased depressive symptoms in the postpartum period. Kontakt, 21(1), 32-38. https://doi.org/10.32725/kont.2018.003 Go to original source...
  2. Barker, J., Daniels, A., O'Neal, K., & Van Sell, S. L. (2017). Maternal-newborn bonding concept analysis. International Journal of Nursing & Clinical Practices, 4(229). https://doi.org/10.15344/2394-4978/2017/229 Go to original source...
  3. Belsky, J., & Nezworski, T., M. (Eds.). (2015). Clinical implications of attachment. New York, NY: Routledge. Go to original source...
  4. Bernier, A., & Meins, E. (2008). A threshold approach to understanding the origins of attachment disorganization. Developmental Psychology, 44(4), 969-982. https://doi.org/10.1037/0012-1649.44.4.969 Go to original source... Go to PubMed...
  5. Bicking Kinsey C., & Hupcey J. E. (2013). State of the science of maternal-infant bonding: a principle-based concept analysis. Midwifery, 29(12), 1314-1320. https://doi.org/10.1016/j.midw.2012.12.019 Go to original source... Go to PubMed...
  6. Brisch, K. H. (2011). Bezpečná vzťahová väzba. Trenčín: Vydavateľstvo F. (in Slovak)
  7. Brockington, I. F., Oates, J., George, S., Turner, D., Vostanis, P., Sullivan, M., Loh, C., & Murdoch, C. (2001). A screening questionnaire for mother-infant bonding disorders. Archives of Womenʼs Mental Health, 3, 133-140. https://doi.org/10.1007/s007370170010 Go to original source...
  8. Brockington, I. F., Fraser, C., & Wilson, D. (2006). The Postpartum Bonding Questionnaire: a validation. Archives of Womenʼs Mental Health, 9(5), 233-242. https://doi.org/10.1007/s00737-006-0132-1 Go to original source... Go to PubMed...
  9. Bryanton, J., Gagnon, A. J., Hatem, M., & Johnston, C. (2008). Predictors of early parenting self-efficacy: results of a prospective cohort study. Nursing Research, 57(4), 252-259. https://doi.org/10.1097/01.NNR.0000313490.56788.cd Go to original source... Go to PubMed...
  10. Cyr, C., Euser, E. M., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2010). Attachment security and disorganization in maltreating and high-risk families: a series of meta-analyses. Development and Psychopathology, 22(1), 87-108. https://doi.org/10.1017/S0954579409990289 Go to original source... Go to PubMed...
  11. Dalbye, R., Calais, E., & Berg, M. (2011). Motherʼs experiencs of skin-to-skin care of healthy full-term newborns - a phenomenology study. Sexual & Reproductive Healthcare, 2(3), 107-111. https://doi.org/10.1016/j.srhc.2011.03.003 Go to original source... Go to PubMed...
  12. 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. Frontiers in Psychology, 5, 898. https://doi.org/10.3389/fpsyg.2014.00898 Go to original source... Go to PubMed...
  13. Dexter, C. A., Wong, K., Stacks, A. M., Beeghly. M., & Barnett, D. (2013). Parenting and attachment among low-income African American and Caucasian preschoolers. Journal of Family Psychology, 27(4), 629-638. https://doi.org/10.1037/a0033341 Go to original source... Go to PubMed...
  14. Dubber, S., Reck, C., Müller, M., & Gawlik, S. (2015). Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Archives of Womenʼs Mental Health, 18(2), 187-195. https://www.ncbi.nlm.nih.gov/pubmed/25088531 Go to original source... Go to PubMed...
  15. Fox, J., & Weisberg, S. (2011). An R Companion to applied regression (2nd ed.). Thousand Oaks CA: Sage.
  16. Gilissen, R., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & van der Veer, R. (2008). Parent-child relationship, temperament, and physiological reactions to fear-inducing film clips: Further evidence for differential susceptibility. Journal of Experimental Child Psychology, 99(3), 182-195. https://doi.org/10.1016/j.jecp.2007.06.004 Go to original source... Go to PubMed...
  17. Groh, A. M., Fearon, R. P., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Steele, R. D., & Roisman, G. I. (2014). The significance of attachment security for childrenʼs social competence with peers: a meta-analytic study. Attachment & Human Development, 16(2), 103-136. https://doi.org/10.1080/14616734.2014.883636 Go to original source... Go to PubMed...
  18. Hašto, J., Janovičová, G., & Rašmanová, M. (2014). Diskusia o význame popôrodného kontaktu matky a dieťaťa. Psychiatria - Psychoterapia - Psychosomatika, 21(2), 39-41. (in Slovak)
  19. Hendrych Lorenzová, E., Bártlová, S., & Ratislavová, K. (2018). Posouzení raného vztahu matka-dítě v komunitním prostředí. Pediatrie pro Praxi, 19(6), 332-336. (in Czech) Go to original source...
  20. Hervé, M. (2019). RVAideMemoire: testing and plotting procedures for biostatistics. R package version 0.9-72. https://CRAN.R-project.org/package=RVAideMemoire
  21. Hruby, R., Hasto, J., & Minarik, P. (2011). Attachment in integrative neuroscientific perspective. Neuro Endocrinology Letters, 32(2), 111-120. Go to PubMed...
  22. Hrubý, R. (2017). Depresia a včasné emočné, kognitívne a behavirálne regulácie. Martin: VEEM, s.r.o. (in Slovak)
  23. Kaneko, H., & Honjo, S. (2014). The psychometric properties and factor structure of the postpartum bonding questionnaire in Japanese mothers. Psychology, 5, 1135-1142. http://dx.doi.org/10.4236/psych.2014.59126 Go to original source...
  24. Karakoça, H., & Ozkanb, H. (2017). The relationship with prenatal attachment of psychosocial health status of pregnant women. International Journal of Health Sciences, 5(1), 36-46. https://doi.org/10.15640/ijhs.v5n1a6 Go to original source...
  25. Klaus, M. H., Kennell, J. H., & Klaus, P. H. (1995). Bonding: Buildings the foundations of secure attachment and independence. New York: Addison-Wesley.
  26. Kaščáková, N., & Hašto, J. (2018). Význam endogénneho oxytocínu pri prirodzenom vaginálnom pôrode a bondingu. Slovenská Gynekológia a Pôrodníctvo, 25(4), 197-203. (in Slovak)
  27. Koenen, K. C., & Widom, C. S. (2009). A prospective study of sex differences in the lifetime risk of posttraumatic stress disorder among abused and neglected children grown up. Journal of Traumatic Stress, 22(6), 566-574. https://doi.org/10.1002/jts.20478 Go to original source... Go to PubMed...
  28. Kommers, D. R., Truijens, S. E. M., Oei, S. G., Bambang Oetomo, S., & Pop, V. J. M. (2017). Antenatal mother-infant bonding scores are related to maternal reports of infant crying behaviour. Journal of Reproductive and Infant Psychology, 35(5), 480-492. https://doi.org/10.1080/02646838.2017.1354360 Go to original source... Go to PubMed...
  29. Madigan, S., Brumariu, L. E., Villani, V., Atkinson, L., & Lyons-Ruth, K. (2016) Representational and questionnaire measures of attachment: a meta-analysis of relations to child internalizing and externalizing problems. Psychological Bulletin, 142(4), 367-399. https://doi.org/10.1037/bul0000029 Go to original source... Go to PubMed...
  30. Mair, P., & Wilcox, R. (2018). WRS2: Wilcox robust estimation and testing. Go to original source...
  31. Mazúchová, L., Kelčíková, S., Vasilková, P., & Buchanec, J. (2016). Podpora bondingu po pôrode. Česko - Slovenská Pediatrie, 71(4), 196-201. (in Slovak)
  32. Mikulincer, M., & Shaver, P. R. (2010). Attachment in adulthood structure, dynamics, and change. New York, London: The Guilford Press.
  33. Muzik, M., Bocknek, E. L., Broderick, A., Richardson, P., Rosenblum, K. L., Thelen, K., & Seng, J. S. (2013). Mother-infant bonding impairment across the first 6 months postpartum: the primacy of psychopathology in women with childhood abuse and neglect histories. Archives of Womenʼs Mental Health, 16(1), 29-38. https://doi.org/10.1007/s00737-012-0312-0 Go to original source... Go to PubMed...
  34. Netsi, E., Pearson, R. M., Murray, L., Cooper, P., Craske, M. G., & Stein, A. (2018). Association of persistent and severe postnatal depression with child outcomes. JAMA Psychiatry, 75(3), 247-253. https://doi.org/10.1001/jamapsychiatry.2017.4363 Go to original source... Go to PubMed...
  35. Nicol-Harper, R., Harvey, A. G., & Stein, A. (2007). Interactions between mothers and infants: impact of maternal anxiety. Infant behavior & development, 30(1), 161-167. https://doi.org/10.1016/j.infbeh.2006.08.005 Go to original source... Go to PubMed...
  36. Paris, R., Bolton, R. E., & Weinberg, M. K. (2009). Postpartum depression, suicidality, and mother-infant interactions. Archives of Womenʼs Mental Health, 12(5), 309-321. https://doi.org/10.1007/s00737-009-0105-2 Go to original source... Go to PubMed...
  37. Phillips, R. (2013). Uninterrupted Skin-to-Skin Contact Immediately After Birth. Newborn & Infant Nursing Reviews, 13(2), 67-72. https://doi.org/10.1053/j.nainr.2013.04.001 Go to original source...
  38. Reck, C., Zietlow, A.-L., Müller, M., & Dubber, S. (2016). Perceived parenting stress in the course of postpartum depression: the buffering effect of maternal bonding. Archives of Womenʼs Mental Health, 19(3), 473-482. https://doi.org/10.1007/s00737-015-0590-4 Go to original source... Go to PubMed...
  39. Rossen, L., Hutchinson, D., Wilson, J., Burns, L., Olsson, C. A., Allsop, S., Elliott, E. J., Jacobs, S., Macdonald, J. A., & Mattick, R. P. (2016). Predictors of postnatal mother-infant bonding: the role of antenatal bonding, maternal substance use and mental health. Archives of Womenʼs Mental Health, 19(4), 609-622. https://doi.org/10.1007/s00737-016-0602-z Go to original source... Go to PubMed...
  40. Signorell, A., Aho, K., Alfons, A., Anderegg, N., Aragon, T., Arppe, A., Baddeley, A., Barton, K., Bolker, B., Borchers, H. W., Caeiro, F., Champely, S., Chessel, D., Chhay, L., Cummins, C., Dewey, M., Doran, H. C., Dray, S., Dupont, Ch., Eddelbuettel, D., Enos, J., ... & Zeileis, Z. (2019). DescTools: tools for descriptive statistics. R package version 0.99.27. https://cran.r-project.org/web/packages/DescTools/index.html
  41. R Core Team. (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria. https://www.R-project.org/
  42. Walsh, J., Hepper, E. G., & Marshall, B. J. (2014). Investigating attachment, caregiving, and mental health: a model of maternal-fetal relationships. BMC Pregnancy and Childbirth, 14(383). https://doi.org/10.1186/s12884-014-0383-1 Go to original source... Go to PubMed...
  43. Wang, C., Williams, K. E., Shahaeian, A., & Harrison, L. J. (2018). Early predictors of escalating internalizing problems across middle childhood. School Psychology, 33(2), 200-212. https://doi.org/10.1037/spq0000218 Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.