Maternal Depression and Mother-to-Infant Bonding: The Association of Delivery Mode, General Health and Stress Markers  

作　　者：Mihyon Song Hiroshi Ishii Masahiro Toda Takuji Tomimatsu Hironobu Katsuyama Yuichiro Nakai Koichiro Shimoya 

机构地区：[1]Department of Obstetrics and Gynecology, Kawasaki Medical School, Kurashiki City, Japan [2]Department of Foods and Human Nutrition, Notre Dame Seishin University, Okayama City, Japan [3]Department of Public Health, Kawasaki Medical School, Kurashiki City, Japan

出　　处：《Open Journal of Obstetrics and Gynecology》2017年第2期155-166,共12页妇产科期刊（英文）

摘　　要：Aim: The aim of the present study was to examine associations among maternal stress level, general health, mother to infant bonding, maternal depression level, and mode of delivery. Methods: Mothers who delivered a single baby at term were recruited with a total 435 mothers participating in the study. Outcome measures: Data were collected 6 months after delivery using General Health Questionnaire (GHQ-28), Mother-to-Infant Bonding Scale (MIBS), Edinburgh Postnatal Depression Scale (EPDS) as well as socio-demographic and medical information at 6 months. Additionally, salivary cortisol and chromogranin levels were determined. Results: The proportion of breast-feeding mothers in the vaginal delivery group (51.4%) was significantly higher than that of the cesarean section group (24%). GHQ-28 scores were significantly related to EPDS scores and MIBS scores (P Conclusion: Maternal general health is associated with maternal psychological health. These results suggest that the support of maternal health is important to maintain maternal psychological status and bonding to infants. Because EPDS scores were significantly worse in the planned cesarean section group (4.2 ± 3.3), careful management is needed of mothers who deliver by planned cesarean section.Aim: The aim of the present study was to examine associations among maternal stress level, general health, mother to infant bonding, maternal depression level, and mode of delivery. Methods: Mothers who delivered a single baby at term were recruited with a total 435 mothers participating in the study. Outcome measures: Data were collected 6 months after delivery using General Health Questionnaire (GHQ-28), Mother-to-Infant Bonding Scale (MIBS), Edinburgh Postnatal Depression Scale (EPDS) as well as socio-demographic and medical information at 6 months. Additionally, salivary cortisol and chromogranin levels were determined. Results: The proportion of breast-feeding mothers in the vaginal delivery group (51.4%) was significantly higher than that of the cesarean section group (24%). GHQ-28 scores were significantly related to EPDS scores and MIBS scores (P Conclusion: Maternal general health is associated with maternal psychological health. These results suggest that the support of maternal health is important to maintain maternal psychological status and bonding to infants. Because EPDS scores were significantly worse in the planned cesarean section group (4.2 ± 3.3), careful management is needed of mothers who deliver by planned cesarean section.

关 键 词：General Health Questionnaire (GHQ-28) Mother-to-Infant BONDING SCALE (MIBS) Edinburgh Postnatal Depression SCALE (EPDS) SALIVARY Cortisol SALIVARY CHROMOGRANIN A 

分 类 号：R73[医药卫生—肿瘤]