Rossen Larissa, Hutchinson Delyse, Wilson Judy, Burns Lucinda, Allsop Steve, Elliott Elizabeth J, Jacobs Sue, Macdonald Jacqui A, Olsson Craig, Mattick Richard P
National Drug and Alcohol Research Centre, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Faculty of Health, School of Psychology, Centre for Social and Early Emotional Development, Deakin University, Geelong, Victoria, Australia.
Am J Perinatol. 2017 Jul;34(8):808-817. doi: 10.1055/s-0037-1599052. Epub 2017 Feb 17.
Mother-infant bonding provides the foundation for secure attachment through the lifespan and organizes many facets of infant social-emotional development, including later parenting. To describe maternal bonding to offspring across the pregnancy and postnatal periods, and to examine a broad range of sociodemographic and psychosocial predictors of the maternal-offspring bond. Data were drawn from a sample of 372 pregnant women participating in an Australian population-based longitudinal study of postnatal health and development. Participants completed maternal bonding questionnaires at each trimester and 8 weeks postnatal. Data were collected on a range of sociodemographic and psychosocial factors. Bonding increased significantly through pregnancy, in quality and intensity. Regression analyses indicated that stronger antenatal bonding at all time points (trimesters 1 through 3) predicted stronger postnatal bonding. Older maternal age, birth mother being born in a non-English speaking country, mother not working full time, being a first-time mother, breast-feeding problems, and baby's crying behavior all predicted poorer bonding at 8 weeks postpartum. These novel findings have important implications for pregnant women and their infant offspring, and for health care professionals working in perinatal services. Importantly, interventions to strengthen maternal-fetal bonding would be beneficial during pregnancy to enhance postnatal bonding and infant health outcomes.
母婴联结为贯穿一生的安全依恋奠定基础,并组织婴儿社会情感发展的多个方面,包括日后的养育方式。描述孕期和产后母亲与后代的联结情况,并研究母婴联结的广泛社会人口学和心理社会预测因素。数据取自参与澳大利亚一项基于人群的产后健康与发展纵向研究的372名孕妇样本。参与者在孕期各阶段及产后8周完成母婴联结问卷。收集了一系列社会人口学和心理社会因素的数据。孕期母婴联结在质量和强度上均显著增强。回归分析表明,在所有时间点(孕早期至孕晚期)更强的产前联结预示着更强的产后联结。母亲年龄较大、生母出生在非英语国家、母亲非全职工作、初为人母、母乳喂养问题以及婴儿的哭闹行为均预示着产后8周时母婴联结较差。这些新发现对孕妇及其婴儿后代以及从事围产期服务的医护人员具有重要意义。重要的是,在孕期采取加强母婴联结的干预措施将有助于增强产后联结及改善婴儿健康状况。