Prenatal expectations and other psycho-social factors as risk factors of postnatal bonding disturbance.
| Autor: | Rusanen E; Open University, University of Helsinki, Helsinki, Finland.; Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland., Vierikko E; Faculty of Social Sciences, Tampere University, Tampere, Finland., Kojo T; Social and Family Services, Family Counselling, Oulu, Finland., Lahikainen AR; School of Social Sciences and Humanities, University of Tampere, Tampere, Finland., Pölkki P; Department of Social Sciences, University of Eastern Finland, Kuopio, Finland., Paavonen EJ; Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.; Pediatric Research Center, Child Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. |
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| Jazyk: | angličtina |
| Zdroj: | Infant mental health journal [Infant Ment Health J] 2021 Sep; Vol. 42 (5), pp. 655-671. Date of Electronic Publication: 2021 Sep 10. |
| DOI: | 10.1002/imhj.21941 |
| Abstrakt: | The mother's bond to her baby starts to develop during pregnancy, and it is related to the baby's attachment. We study how the mother's prenatal expectations of her unborn baby, the mother's adult relationships, and postnatal psycho-social factors (stress, depression, and anxiety) are related to the risk of bonding disturbance. The study comprised 1398 mothers and their unborn babies assessed both during pregnancy and when the babies were 3 months old (47.7% girls). The mother's risk of bonding disturbance was investigated using Brockington's Postpartum Bonding Questionnaire. According to the results, 71 (5.1%) of all the mothers in the study had a risk of a bonding disturbance. In a final adjusted logistic regression model, the most important risk factors were the mother's inability to form positive expectations about relationships with the baby during the third trimester of pregnancy (AOR = 7.78, p ≤ .001), maternal postnatal stress (AOR = 4.95, p ≤ .001) and maternal postnatal depression (AOR = 3.46, p ≤ .01). The results challenge healthcare professionals to screen pregnant mothers to identify at-risk groups for post-partum bonding disturbances. Intervention programs to prevent the development of bonding disturbances, and thus their possible serious consequences for children's development, should be considered. (© 2021 The Authors. Infant Mental Health Journal published by Wiley Periodicals LLC on behalf of Michigan Association for Infant Mental Health.) |
| Databáze: | MEDLINE |
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