The relationship between postpartum pain and mother-infant bonding: A prospective observational study
Authors' conclusion
Contrary to expectations, severe postpartum pain did not influence maternal-infant binding in the cohort of patients with vaginal and cesarean deliveries.
Study context
- Population
- Women after vaginal or cesarean delivery, assessed 24 h postpartum
- Exposure
- Severe vs non-severe postpartum pain
- Outcome
- Impaired mother-infant bonding (PBQ score > 5)
- Follow-up
- 24 h postpartum
Main finding
As reported in the abstract
Impaired bonding
- Severe postpartum pain showed no significant relationship with impaired bonding after adjustment for confounders
- Separate multivariable logistic regression models for vaginal and cesarean deliveries
Observational data: associations, not effects.
Further findings
Impaired bonding by history of depression (vaginal deliveries)
| OR (CI) | P value | ||
|---|---|---|---|
| History of depression | 2.2 (1.07–4.65) | P = 0.04 | |
| 0.20.5125Odds ratio (log scale) |
Impaired bonding by Edinburgh Postnatal Depression Scale (EPDS) > 10 (vaginal deliveries)
| OR (CI) | P value | ||
|---|---|---|---|
| EPDS > 10 | 11.5 (3.2–73.6) | P < 0.001 | |
| 0.050.21520Odds ratio (log scale) |
Impaired bonding by rooming in (cesarean deliveries)
| OR (CI) | P value | ||
|---|---|---|---|
| Rooming in | 11.5 (3.2–73.6) | P < 0.001 | |
| 0.050.21520Odds ratio (log scale) |
- Impaired bonding by rooming in (cesarean deliveries): reported as protective effect; same figures as printed for EPDS > 10
Original publication
The relationship between postpartum pain and mother-infant bonding: A prospective observational study. Anaesth Crit Care Pain Med. Published 20 October 2023. doi:10. 1016/ j. accpm. 2023. 101315
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