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Postpartum bonding and association with depressive symptoms and prenatal attachment in women with fear of birth

Hildingsson, Ingegerd and Rubertsson, Christine LU (2022) In BMC Pregnancy and Childbirth 22. p.1-9
Abstract

BACKGROUND: Co-morbidity is prevalent in women with fear of birth. Depressive symptoms and lack of prenatal attachment might influence the postpartum bonding between the mother and the new-born.

AIM: To examine the underlying dimensions of the Postpartum Bonding Questionnaire and to investigate associations between depressive symptoms, prenatal attachment and postpartum bonding in women with fear of birth.

METHODS: A longitudinal study comprising 172 women with fear of birth. Data were collected by questionnaires in mid- and late pregnancy and two months after birth. The Edinburgh Postnatal Depressive Scale, Prenatal Attachment Inventory and Postpartum Bonding Questionnaire were investigated.

RESULTS: Two factors of... (More)

BACKGROUND: Co-morbidity is prevalent in women with fear of birth. Depressive symptoms and lack of prenatal attachment might influence the postpartum bonding between the mother and the new-born.

AIM: To examine the underlying dimensions of the Postpartum Bonding Questionnaire and to investigate associations between depressive symptoms, prenatal attachment and postpartum bonding in women with fear of birth.

METHODS: A longitudinal study comprising 172 women with fear of birth. Data were collected by questionnaires in mid- and late pregnancy and two months after birth. The Edinburgh Postnatal Depressive Scale, Prenatal Attachment Inventory and Postpartum Bonding Questionnaire were investigated.

RESULTS: Two factors of the Postpartum Bonding Questionnaire were identified: Factor 1 mirrored caring activities and the women's perceptions of motherhood, whereas Factor 2 reflected negative feelings towards the baby. The Postpartum Bonding Questionnaire was negatively correlated with the Prenatal Attachment Inventory and positively with The Edinburgh Postnatal Depressive Scale. Women with fear of birth and depressive symptoms both during pregnancy and postpartum showed the highest risk of impaired bonding after birth. Primiparity and being single were also associated with impaired bonding.

CONCLUSION: A focus on women's mental health during pregnancy is necessary in order to avoid the negative effects of impaired bonding on the infant. Depressive symptoms could be concurrent with fear of birth and, therefore, it is important to determine both fear of birth and depressive symptoms in screening procedures during pregnancy. Caregivers who meet women during pregnancy need to acknowledge prenatal attachment and thereby influence adaptation to motherhood.

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organization
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type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Adult, Cohort Studies, Depression/epidemiology, Fear/psychology, Female, Humans, Longitudinal Studies, Maternal-Fetal Relations/psychology, Mother-Child Relations/psychology, Object Attachment, Postpartum Period/psychology, Pregnancy, Surveys and Questionnaires, Sweden/epidemiology, Young Adult
in
BMC Pregnancy and Childbirth
volume
22
article number
66
pages
1 - 9
publisher
BioMed Central (BMC)
external identifiers
  • pmid:35078403
  • scopus:85123491304
ISSN
1471-2393
DOI
10.1186/s12884-021-04367-3
language
English
LU publication?
yes
additional info
© 2021. The Author(s).
id
a1504c13-026d-476e-91cb-6c609f0126fa
date added to LUP
2022-02-22 14:28:51
date last changed
2024-02-17 20:42:35
@article{a1504c13-026d-476e-91cb-6c609f0126fa,
  abstract     = {{<p>BACKGROUND: Co-morbidity is prevalent in women with fear of birth. Depressive symptoms and lack of prenatal attachment might influence the postpartum bonding between the mother and the new-born.</p><p>AIM: To examine the underlying dimensions of the Postpartum Bonding Questionnaire and to investigate associations between depressive symptoms, prenatal attachment and postpartum bonding in women with fear of birth.</p><p>METHODS: A longitudinal study comprising 172 women with fear of birth. Data were collected by questionnaires in mid- and late pregnancy and two months after birth. The Edinburgh Postnatal Depressive Scale, Prenatal Attachment Inventory and Postpartum Bonding Questionnaire were investigated.</p><p>RESULTS: Two factors of the Postpartum Bonding Questionnaire were identified: Factor 1 mirrored caring activities and the women's perceptions of motherhood, whereas Factor 2 reflected negative feelings towards the baby. The Postpartum Bonding Questionnaire was negatively correlated with the Prenatal Attachment Inventory and positively with The Edinburgh Postnatal Depressive Scale. Women with fear of birth and depressive symptoms both during pregnancy and postpartum showed the highest risk of impaired bonding after birth. Primiparity and being single were also associated with impaired bonding.</p><p>CONCLUSION: A focus on women's mental health during pregnancy is necessary in order to avoid the negative effects of impaired bonding on the infant. Depressive symptoms could be concurrent with fear of birth and, therefore, it is important to determine both fear of birth and depressive symptoms in screening procedures during pregnancy. Caregivers who meet women during pregnancy need to acknowledge prenatal attachment and thereby influence adaptation to motherhood.</p>}},
  author       = {{Hildingsson, Ingegerd and Rubertsson, Christine}},
  issn         = {{1471-2393}},
  keywords     = {{Adolescent; Adult; Cohort Studies; Depression/epidemiology; Fear/psychology; Female; Humans; Longitudinal Studies; Maternal-Fetal Relations/psychology; Mother-Child Relations/psychology; Object Attachment; Postpartum Period/psychology; Pregnancy; Surveys and Questionnaires; Sweden/epidemiology; Young Adult}},
  language     = {{eng}},
  pages        = {{1--9}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Pregnancy and Childbirth}},
  title        = {{Postpartum bonding and association with depressive symptoms and prenatal attachment in women with fear of birth}},
  url          = {{http://dx.doi.org/10.1186/s12884-021-04367-3}},
  doi          = {{10.1186/s12884-021-04367-3}},
  volume       = {{22}},
  year         = {{2022}},
}