An examination of the impact of maternal fetal attachment, postpartum depressive symptoms and parenting stress on maternal sensitivity

2019 ◽  
Vol 54 ◽  
pp. 99-107 ◽  
Author(s):  
Ana Luisa B.T. B.T. Dau ◽  
Laura S. Callinan ◽  
Megan V. Smith
2013 ◽  
Vol 23 (56) ◽  
pp. 311-320 ◽  
Author(s):  
Patricia Alvarenga ◽  
Maria Virginia Machado Dazzani ◽  
Eulina da Rocha Lordelo ◽  
Cristiane Ajnamei dos Santos Alfaya ◽  
Cesar Augusto Piccinini

This longitudinal study investigated the impact of maternal mental health, including postpartum depression, and of maternal-fetal attachment, on maternal sensitivity when babies were eight months old. The study included 38 mother-infant dyads. The women answered the SRQ-20 and the Maternal-Fetal Attachment Scale in the third trimester of pregnancy, and the BDI, for evaluation of postpartum depression in the first month following birth. Maternal sensitivity was examined through an observation of mother-child interaction when babies were eight months old. The multiple regression model considering the three factors explained 18.6% of the variance in sensitivity, and only maternal-fetal attachment was a significant predictor. The results indicate the importance of interventions to promote the bond of pregnant women with their babies, which may even minimize possible harmful effects of postpartum depression on mother-child interaction.


2020 ◽  
Vol 17 (2) ◽  
pp. 141-148
Author(s):  
Rebecca A. Schlaff ◽  
Meghan Baruth ◽  
Faith C. LaFramboise ◽  
Samantha J. Deere

Background: Relationships among moderate to vigorous physical activity (MVPA), body satisfaction, and postpartum depressive symptoms are not well understood. The purpose of this study is to examine the (1) impact of postpartum body satisfaction and changes in MVPA on postpartum depressive symptoms and (2) moderating effect of changes in MVPA over time on the relationship between postpartum body satisfaction and depressive symptoms. Methods: Participants (N = 269) self-reported body satisfaction, MVPA (prepregnancy through postpartum), and postpartum depressive symptoms. Differences in MVPA at 3 time points (prepregnancy, third trimester, and postpartum) were calculated to create change scores. Main effects and interactions (body satisfaction × MVPA change) were examined using multiple regression. Results: A majority of the sample did not meet MVPA recommendations at all time points. All body satisfaction measures were inversely related to postpartum depressive symptoms (P = .01 to <.001). MVPA change did not predict postpartum depressive symptoms (P = .43–.90) or moderate the relationship between body satisfaction and postpartum depressive symptoms (P = .14–.94). Conclusions: Given the relationship between postpartum body satisfaction and depressive symptoms, intervention research should include strategies that promote positive postpartum body image; clinicians should consider screening for body dissatisfaction. Although not a predictor or moderator, pregnancy and postpartum MVPA promotion should continue, as it has numerous other benefits.


1995 ◽  
Vol 4 (4) ◽  
pp. 375-380 ◽  
Author(s):  
CYNTHIA CHAZOTTE ◽  
MARGARET COMERFORD FREDA ◽  
MICHAL ELOVITZ ◽  
JOAN YOUCHAH

2019 ◽  
Vol 55 (5) ◽  
pp. 621-634 ◽  
Author(s):  
Selina Nath ◽  
Rebecca M. Pearson ◽  
Paul Moran ◽  
Susan Pawlby ◽  
Emma Molyneaux ◽  
...  

Abstract Purpose Maternal depression has been associated with bonding difficulties and lower maternal sensitivity in observed mother–infant interactions. However, little research has examined the impact of disordered personality traits in mothers on these outcomes. We investigated the association between disordered personality traits in mothers measured during pregnancy and postnatal (a) self-reported bonding with infant; (b) observational mother–infant interactions. Methods Five hundred fifty-six women were recruited during early pregnancy and subsequently followed up at mid-pregnancy (approximately 28 weeks’ gestation) and when infants were aged approximately 3 months (n = 459). During early pregnancy, data were collected on disordered personality traits (using the Standardised Assessment of Personality Abbreviated Scale) and depressive symptoms (using the Edinburgh Postnatal Depression Scale). At 3 months postpartum, self-reported perceived bonding (using the Postpartum Bonding Questionnaire) were collected. A sub-sample of women additionally provided observational mother–infant interaction data (n = 206) (coded using the Child–Adult Relationship Experimental Index). Results Higher disordered personality traits was not associated with maternal perceptions of bonding impairment, but was associated with reduced maternal sensitivity during observational mother–infant interactions [adjusted for age, education, having older children, substance misuse prior to pregnancy, infant sex and gestational age: coefficient = − 0.28, 95% CI = − 0.56 to − 0.00, p < 0.05]. After adjusting for depressive symptoms, the association was attenuated [coefficient = − 0.19, 95% CI = − 0.48 to 0.11, p = 0.217]. Conclusions Mothers with disordered personality traits did not perceive themselves as having bonding impairments with their infants but were less sensitive during observed interactions, though depressive symptoms attenuated this relationship. Both depression and disordered personality traits need to be addressed to optimize mother–infant interactions.


Author(s):  
Eva Back Madsen ◽  
Johanne Smith‐Nielsen ◽  
Ida Egmose ◽  
Theis Lange ◽  
Mette Skovgaard Væver

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Doi ◽  
T Fujiwara ◽  
A Isumi ◽  
A Nakai ◽  
K Ogita ◽  
...  

Abstract Background Perception of and reactive behaviors towards infant crying is one of the modifiable risk factors for postpartum depression. The aim of this study was to examine the impact of watching an educational video on infant crying within 1 week of age after delivery at maternity wards to reduce the prevalence of postpartum depressive symptoms at 1 month after giving birth. Methods Study design was a cluster randomized controlled trial (UMIN000015558). The intervention hospitals were randomly assigned, stratified by area and function of the hospital. Participants included 47 obstetrics hospitals or clinics out of 150 hospitals or clinics in Osaka Prefecture, Japan. In total, 44 hospitals or clinics completed the trial and 2,601 (intervention group=1,040, control group=1,561) caregivers responded to the questionnaire on postpartum depression. Mothers in the intervention group watched a 11-minute educational video, within 1 week of age, during hospitalization at maternity wards. Primary outcome in this study was postpartum depression assessed by the Edinburgh Postnatal Depression Scale as 9+, and assessed via questionnaire at a 1-month health checkup. Results In the intervention group, 142 (13.7%) mothers reported postpartum depression compared to 250 (16.0%) in the control group. Intention-to-treat analysis showed no significant difference in the prevalence of postpartum depression between the groups. However, among young mothers (&lt;25 years old), the analysis showed a 67% reduction in postpartum depression (OR:0.33, 95%CI:0.15-0.72). Conclusions Watching an educational video on infant crying did not reduce postpartum depression at 1 month after giving birth, but it was effective for young mothers aged less than 25 years old. It may be easier to introduce our approach to any opportunity for meeting mothers during perinatal period because it does not require specialized manpower and a significant amount of time for the intervention. Key messages The educational video on infant crying, “Baby Doesn't Stop Crying,” had no effect in preventing postpartum depressive symptoms. Among young mothers aged &lt;25 years, the educational video had a protective effect on postpartum depressive symptoms, which was not observed for mothers aged ≥25 years.


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