Postpartum mother-infant bonding from the aspect of preventing child maltreatment
Authors:
L. Mazúchová 1; S. Kelčíková 1; E. Maskálová 1; M. Grendár 2; J. Buchanec 3
Authors place of work:
Ústav pôrodnej asistencie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Slovensko
1; Martinské centrum pre biomedicínu, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Slovensko
2; Klinika detí a dorastu, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin, Slovensko
3
Published in the journal:
Čes-slov Pediat 2021; 76 (5): 246-256.
Category:
Original Papers
Summary
Objective: The objective of the study was to identify the risk mother and examine the relationship between selected variables (age, education, parity, skin-to-skin contact (SSC) support, partner support satisfaction, a child with an illness, risk of depression and family financial security) with postpartum mother-infant bonding.
Methods: The research was designed as a cross-sectional study. The study sample consisted of 204 women (mean age 30.9±4.8 years) who were 6 weeks after childbirth. The Postpartum Bonding Questionnaire (PBQ) and Edinburgh Postnatal Depression Scale (EPDS) were used. The questionnaire was supplemented by research variables, which were analyzed in relation to four factors of PBQ, which examined quality of mother-infant bond (F1); rejection and pathological anger (F2); infant-focused anxiety (F3); incipient abuse of infant (F4). The prenatálnereceived data were analysed using descriptive statistics, the Wilcoxon two-sample test, the Kruskal-Wallis test and the Fisher test.
Results: When examining mother-infant bonding with PBQ, we identified 8.82% of at-risk mothers in the F1; 0.49% in the F2, 1.96% in the F3 and in the F4 0.49% risk mothers were identified. Using the EPDS scale the risk of depression was identified 22.72% of the women. The following statistically significant variables shown in relation to the F1 education (p=0.001), partner support satisfaction (p=0.016) and risk of depression (p=0.001), to the F2 risk of depression (p=0.001) and family financial security (p=0.026), to the F3 education (p=0.022), parity (p=0.037), SSC support (p=0.001), partner support satisfaction (p=0.050), risk of depression (p=0.001) and family financial security (p=0.002) and to the F4 SSC support (p=0.047), risk of depression (p=0.002) and family financial security (p=0.028).
Conclusion: Identification of risk mothers in relation to a secure attachment with an emphasis on determining its related variables, can be important in preventing maltreatment, which needs to be addressed through early intervention in multidisciplinary cooperation.
Keywords:
prevention – postpartum mother-infant bonding – child maltreatment – secure attachment – quality of the bond – risk mothers
Zdroje
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Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
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