School of Behavioral Sciences, Academic College of Tel-Aviv-Yafo, Tel-Aviv, Israel; Department of Psychiatry, University of Michigan, Ann Arbor, MI, United States.
School of Behavioral Sciences, Academic College of Tel-Aviv-Yafo, Tel-Aviv, Israel.
Midwifery. 2021 Apr;95:102942. doi: 10.1016/j.midw.2021.102942. Epub 2021 Feb 9.
Full rooming-in, that is, mother and baby staying together for 24 hours per day after birth in the hospital, has been suggested as beneficial for positive maternal bonding. However, it has never been studied directly. We aimed to examine the association of full versus partial rooming-in and maternal bonding to her infant during the post-childbirth hospital stay.
Longitudinal questionnaire study.
Maternity ward of a large tertiary health care center in Israel.
The sample consisted of postpartum women (N = 293) in a maternity ward of a tertiary health care center who were fully or partially rooming-in.
Questionnaires were administered at two time points, immediately after childbirth (T1; days 1-4) and 2 months postpartum (T2). The Childbirth Experience Questionnaire (CEQ), breastfeeding questions, and the Postpartum Bonding Questionnaire (PBQ) were administered at T1; the PBQ was repeated at T2. Regression analysis revealed that the rooming-in mode did not significantly predict bonding at 1-4 days postpartum. However, the rooming-in mode was a significant predictor of bonding at two months postpartum only for women who practiced the rooming-in mode they had initially planned (Beta = 0.12, p < .05), while controlling for other demographic as well as obstetric variables. Women who chose and practiced partial rooming-in manifested more bonding difficulties than those who chose and practiced full rooming-in. These distinctions in bonding were not manifested when including in the analysis women who partially rooming-in, but not in accordance with their intentions.
Mother-infant bonding may be optimally supported when women's pre-labor desires to participate in full rooming-in are fulfilled.
Hospital staff should be aware of the mothers' intentions regarding full rooming-in requests and make sincere efforts to accommodate and support their wishes.
全母婴同室，即婴儿出生后每天 24 小时与母亲在医院同室，有人建议这种方式有利于母婴积极建立联系。然而，这种方式从未被直接研究过。我们旨在检查母婴同室（完全或部分）与母亲在产后住院期间与婴儿的联系之间的关联。
纵向问卷调查研究。
以色列一家大型三级保健中心的产科病房。
样本由一家三级保健中心产科病房的母婴同室（完全或部分）的产后妇女（N=293）组成。
在两个时间点（T1；产后第 1-4 天）和产后 2 个月（T2）立即进行问卷调查。在 T1 时使用分娩经历问卷（CEQ）、母乳喂养问题和产后联系问卷（PBQ）进行评估；在 T2 时重复 PBQ。回归分析显示，母婴同室模式在产后 1-4 天与联系关系不显著相关。然而，母婴同室模式仅对最初计划采用母婴同室模式的女性在产后 2 个月时与联系关系具有显著预测力（Beta=0.12，p<.05），同时控制了其他人口统计学和产科变量。选择并实践部分母婴同室的女性比选择并实践完全母婴同室的女性表现出更多的联系困难。当将部分母婴同室但不符合其意图的女性纳入分析时，并未表现出这些联系上的差异。
当产妇在分娩前渴望参与完全母婴同室时，母婴联系可能得到最佳支持。
医院工作人员应了解母亲对全母婴同室请求的意图，并真诚努力满足和支持她们的愿望。
