Postpartum bonding: the impact of stressful life events during pregnancy.

J Matern Fetal Neonatal Med

Division of Perinatal Medicine, Policlinico Abano Terme, Abano Terme, Italy.

Published: December 2022

Objective: We aimed to determine if and to what extent a woman's exposure to stressful life events were associated with impaired maternal bonding by using a sample of high-income Italian women.

Methods: In the second day postpartum, 425 healthy puerperae responded to Life Experiences Survey (LES), Mother-to-Infant Bonding Scale (MBS), and to the Edinburgh Postnatal Depression Scale (EPDS).

Results: Analysis revealed that the stressful life events scored by LES were a significantly predictor of impaired bonding as measured by MIBS ( = 0.04;  = 3.45;  < .001) and of postpartum depression symptoms as measured by EPDS total score ( = 0.32;  = 4.86;  < .001) as well as its subscales ( = 0.059;  = 4.99;  < .001), ( = 0.03;  = 5.72;  < .001), and ( = 0.05;  = 6.53;  < .001). Moreover, the partial correlation between EPDS total score and MIBS accounting for LES positive and negative scores was statistically significant ( = 0.208;  = 332;  < .001).

Conclusion: The findings emphasize the importance of identifying mothers with negative experiences toward pregnancy and delivery to address possible interventions beyond hospital-based antenatal care to improve bonding and maternal mental outcomes.

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http://dx.doi.org/10.1080/14767058.2021.1937986DOI Listing

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