TY - JOUR
T1 - The relationship between postpartum pain and mother-infant bonding
T2 - A prospective observational study
AU - Shebelsky, Rostislav
AU - Sadi, Wadeea
AU - Heesen, Philip
AU - Aber, Rachel N.
AU - Fein, Shai
AU - Iluz-Freundlich, Daniel
AU - Shmueli, Anat
AU - Azem, Karam
AU - Radyan Tamayev, Inbar
AU - Binyamin, Yair
AU - Orbach-Zinger, Sharon
N1 - Publisher Copyright:
© 2023 Société française d'anesthésie et de réanimation (Sfar)
PY - 2024/2/1
Y1 - 2024/2/1
N2 - Introduction: Postpartum pain is associated with impaired maternal recovery and may influence mother-infant bonding. Methods: Participants who underwent a vaginal or cesarean delivery were assessed 24 h postpartum. Postpartum pain intensity was measured using the Verbal Numeric Score (VNS) (0−10) and classified as non-severe (<8) or severe pain (≥8). Maternal-infant bonding was evaluated using the Post-Partum Bonding Questionnaire (PBQ; 0–125), with a score > 5 defining impaired bonding. Demographic data included age, BMI, parity, education level, economic status, partnership, prior history of depression, familial history of depression, desire to breastfeed, epidural analgesia during labor, rooming in, and Edinburgh Postnatal Depression Scale (EPDS). Data were analyzed using 2 separate multivariable logistic regression models for vaginal and cesarean deliveries, where maximum postpartum pain was the independent variable and impaired postpartum bonding was the dependent variable and controlled for the other factors collected. Results: Severe postpartum pain (VNS ≥ 8) showed no significant relationship with impaired bonding when controlling for confounding variables. In vaginal deliveries, there was an association between a history of depression and impaired bonding (Odds Ratio 2.2 [1.07–4.65], p = 0.04) and EPDS > 10 and impaired bonding (OR 11.5 [3.2–73.6], p < 0.001). For cesarean deliveries, rooming in with the baby had a protective effect (OR 11.5 [3.2–73.6], p < 0.001). Conclusions: Contrary to expectations, severe postpartum pain did not influence maternal-infant binding in the cohort of patients with vaginal and cesarean deliveries. Instead, factors such as maternal mental health and rooming-in practices appeared to exert more significant influence. Clinical trial registration: NCT05206552.
AB - Introduction: Postpartum pain is associated with impaired maternal recovery and may influence mother-infant bonding. Methods: Participants who underwent a vaginal or cesarean delivery were assessed 24 h postpartum. Postpartum pain intensity was measured using the Verbal Numeric Score (VNS) (0−10) and classified as non-severe (<8) or severe pain (≥8). Maternal-infant bonding was evaluated using the Post-Partum Bonding Questionnaire (PBQ; 0–125), with a score > 5 defining impaired bonding. Demographic data included age, BMI, parity, education level, economic status, partnership, prior history of depression, familial history of depression, desire to breastfeed, epidural analgesia during labor, rooming in, and Edinburgh Postnatal Depression Scale (EPDS). Data were analyzed using 2 separate multivariable logistic regression models for vaginal and cesarean deliveries, where maximum postpartum pain was the independent variable and impaired postpartum bonding was the dependent variable and controlled for the other factors collected. Results: Severe postpartum pain (VNS ≥ 8) showed no significant relationship with impaired bonding when controlling for confounding variables. In vaginal deliveries, there was an association between a history of depression and impaired bonding (Odds Ratio 2.2 [1.07–4.65], p = 0.04) and EPDS > 10 and impaired bonding (OR 11.5 [3.2–73.6], p < 0.001). For cesarean deliveries, rooming in with the baby had a protective effect (OR 11.5 [3.2–73.6], p < 0.001). Conclusions: Contrary to expectations, severe postpartum pain did not influence maternal-infant binding in the cohort of patients with vaginal and cesarean deliveries. Instead, factors such as maternal mental health and rooming-in practices appeared to exert more significant influence. Clinical trial registration: NCT05206552.
KW - Impaired bonding
KW - Labor pain
KW - Mother-infant bonding
KW - Peripartum pain
KW - Post-partum depression
UR - http://www.scopus.com/inward/record.url?scp=85180823358&partnerID=8YFLogxK
U2 - 10.1016/j.accpm.2023.101315
DO - 10.1016/j.accpm.2023.101315
M3 - Article
C2 - 37865216
AN - SCOPUS:85180823358
SN - 0750-7658
VL - 43
JO - Anaesthesia Critical Care and Pain Medicine
JF - Anaesthesia Critical Care and Pain Medicine
IS - 1
M1 - 101315
ER -