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Mother–infant bonding in the postpartum period: assessment of the impact of pre-delivery factors in a clinical sample

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Abstract

This study aims to examine the extent to which a variety of pre-delivery factors (demographic, reproductive, psychological, psychiatric, and psychopathological) predict disturbances in mother–infant bonding (MIB) in the postpartum period. Two hundred fifty-one pregnant women enrolled at a public perinatal psychiatric service were assessed between the first and second trimester of pregnancy and at 6–7 weeks after delivery. During pregnancy, the psychological risk factors were assessed with the Vulnerable Personality Style Questionnaire, the Marital Adjustment Scale, the Early Trauma Inventory, and the General Health Questionnaire. To detect psychopathology, the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory were used. At the postpartum evaluation, MIB was measured by the Postpartum Bonding Questionnaire. The results of the final regression model showed that emotional abuse in childhood, family psychiatric history, previous psychiatric hospitalization, and anxiety during pregnancy were significant predictors of MIB disturbances in postpartum, explaining 10.7% of the variance. The evaluation of women’s risk factors in pregnancy is important in order to prevent MIB disturbances and thus to ensure the welfare of mothers and their babies.

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Acknowledgements

The authors would like to thank Bruma Palacios and Bea Gonzalez for their assistance in this study.

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Authors and Affiliations

  1. Perinatal Psychiatry Program, Department of Psychiatry and Clinical Psychology, Hospital Clinic, C/ Sabino de Arana 1, 08028, Barcelona, Spain

    Borja Farré-Sender, Anna Torres, Susana Andrés, Alba Roca & Lluïsa Garcia-Esteve

  2. Department of Psychiatry, Psychology and Psychosomatics, Dexeus University Hospital, Barcelona, Spain

    Borja Farré-Sender & Gracia Lasheras

  3. Institute of Biomedical Research August Pi i Sunyer (IDIBAPS), Barcelona, Spain

    Anna Torres & Lluïsa Garcia-Esteve

  4. Vulnerability, Psychopathology and Gender research group (SGR2014/1411), Generalitat de Catalunya, Catalonia, Spain

    Anna Torres, Manuel Valdés & Lluïsa Garcia-Esteve

  5. Department of Psychiatry and Clinical Psychology, Hospital Clinic, University of Barcelona, Barcelona, Spain

    Anna Torres & Manuel Valdés

  6. Neuropsychopharmacology Programme, IMIM-Hospital del Mar, Barcelona, Spain

    Estel Gelabert

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  1. Borja Farré-Sender
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Correspondence to Borja Farré-Sender.

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Farré-Sender, B., Torres, A., Gelabert, E. et al. Mother–infant bonding in the postpartum period: assessment of the impact of pre-delivery factors in a clinical sample. Arch Womens Ment Health 21, 287–297 (2018). https://doi.org/10.1007/s00737-017-0785-y

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