Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.
Pediatr Res. 2022 Mar;91(4):853-861. doi: 10.1038/s41390-021-01751-9. Epub 2021 Oct 14.
The purpose of this study was to examine the association between mental health symptoms, along with psychological experiences and coronavirus disease 2019 (COVID-19) related concerns, and self-reported maternal-infant bonding experiences of postpartum women.
Using data collected from May 19 to August 17, 2020, this cross-sectional online study assessed 429 women to better understand the impact of the COVID-19 pandemic on women during the postpartum period. Enrolled respondents were asked to participate in a 30-45-min online survey about COVID-19-related experiences, pregnancy, stress, and well-being.
Postpartum women's depressive symptoms were related to lower quality maternal-infant bonding, but the anxiety symptoms were not associated with bonding. Maternal self-efficacy, but not social support, was associated with mothers' higher quality of maternal-infant bonding. COVID-19-related grief was significantly associated with lower quality bonding. On the other hand, COVID-19-related health worries were associated with higher quality of maternal-infant bonding.
We describe potential psychological risk factors to maternal-infant bonding among postpartum women during the pandemic period. To best support the medical and psychological well-being of the mothers and infants, enhanced interdisciplinary partnerships among perinatal healthcare professionals involved in primary and/or specialty care is needed.
Unique COVID-19-related health and grief concerns exist, with implications for maternal-infant bonding. Depression but not anxiety is associated with lower maternal-infant bonding. Caregiving confidence, but not social support, is associated with higher maternal-infant bonding. It is critical to screen for postpartum depression and COVID-19-related grief during maternal follow-up and pediatric visits. Study findings inform and prioritize pediatric interventions toward enhancing maternal-infant bonding during the COVID-19 era.
本研究旨在探讨心理健康症状以及与新型冠状病毒病 2019（COVID-19）相关的担忧相关的心理体验与产后妇女自我报告的母婴联系体验之间的关系。
本横断面在线研究使用 2020 年 5 月 19 日至 8 月 17 日收集的数据，评估了 429 名女性，以更好地了解 COVID-19 大流行对产后女性的影响。纳入的受访者被要求参与一项关于 COVID-19 相关经历、怀孕、压力和幸福感的 30-45 分钟在线调查。
产后妇女的抑郁症状与母婴联系质量较低有关，但焦虑症状与母婴联系无关。母亲自我效能感而非社会支持与母亲更高质量的母婴联系有关。与 COVID-19 相关的悲伤与母婴联系质量较低显著相关。另一方面，与 COVID-19 相关的健康担忧与母婴联系质量较高有关。
我们描述了在大流行期间产后妇女母婴联系的潜在心理危险因素。为了更好地支持母亲和婴儿的身心健康，需要加强初级和/或专科保健服务中参与的围产期保健专业人员之间的跨学科伙伴关系。
存在独特的 COVID-19 相关健康和悲伤问题，对母婴联系有影响。抑郁但不是焦虑与母婴联系质量较低有关。照顾信心而非社会支持与母婴联系质量较高有关。在母婴随访和儿科就诊期间，对产后抑郁症和 COVID-19 相关悲伤进行筛查至关重要。研究结果为在 COVID-19 时代加强母婴联系的儿科干预措施提供了信息并确定了优先事项。
