The Correlation Between Maternal Infant Bonding, Pain and Postpartum Depression

The Correlation Between Maternal Infant Bonding , Pain and Postpartum Depression a Prospective Observational Cohort Study

The delivery process can be associated with significant maternal pain. which has many long and short term affects.

The aim of our study is to assess whether pain during and after childbirth negatively impacts a mother's attachment to her baby (maternal bonding) and the increases the incidence of postpartum depression.

Study Overview

• Status: Recruiting
• Conditions: Maternal Care Patterns
• Intervention / Treatment: Other: Questionnaire

Detailed Description

Delivery is a process that is correlated with maternal pain. The maternal pain can have signifcant long term and short term maternal and neontal impact.

The most common method for pain reilef during delivery is epidural analgesia. Few studies have examined the assocaition between use of epidural analgesia and postpartum depression, with some studies showing a postive correlation and other condricting so.

Maternal bonding is defined as her's emotional state, including maternal feelings towards the infant, it has proven to be the basis for the child's later attachment and sense of self.

A stable and strong bond between mother and child is associated with positive parental behavior and of the child's cognitive and behavioral development, while a unstable maternal infant bond can may lead to long term matenal and infant complications.

The aim of our study is to assess whether pain during and after childbirth negatively impacts a mother's attachment to her baby (maternal bonding) and the increases the incidence of postpartum depression.

In this study women the day after labor will be approched , following obtaining consent will be requested to fill out a the PBO vailadited maternal bonding questtionanire , the valadited EPDS (endinbough postpartum depression questionnaire) and a general questionnaire detailing their demographic , obstetric history and pain levels.

At six weeks postpartum a member of the research team will call the study participant and ask the PBO and EPDS questionnaires to asses the correlation between delivery pain , maternal bonding and postpartum depression,

• Study Type: Observational
• Enrollment (Anticipated): 200

Contacts and Locations

Study Locations

• Israel
  • Petach tikvah, Israel
    • Recruiting
    • Beilinson Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 year and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

Women whom are the day after labor, who are above the age 18, have given birth to a healthy neonate from 37 weeks of gestation and are able to comply with study requirments

Description

Inclusion Criteria:

*Women whom have given birth at rabin medical center with the ability to follow study requirements.

Exclusion Criteria:

• Women given birth to twins
• Women who's baby was hospitalized
• Women who were treated with magnesium
• Women who's babies were born with congenital malformations

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Parturients above the age of 18; Study participants will include women after labour whom gave birth to a healthy neonate at 37 weeks with the ability to comply with study requirments	Other: Questionnaire; Maternal - Infant bonding questionnaire. EPDS - Postpartum depression questionnaire

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain verbal numerical score after labor and maternal infant bonding.	pain levels graded from one to ten will be correlated with maternal infant bonding	24 hours after labor

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain verbal numerical score after labor and postpartum depression	pain levels graded from one to ten will be correlated with postpartum depression defined as a score of above 10 on the edinbough postpartum depression score questionnaire	6 weeks after labor

Collaborators and Investigators

• Sponsor: Rabin Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): January 25, 2022
• Primary Completion (Anticipated): January 25, 2023
• Study Completion (Anticipated): July 25, 2023

Study Registration Dates

• First Submitted: January 12, 2022
• First Submitted That Met QC Criteria: January 12, 2022
• First Posted (Actual): January 25, 2022

Study Record Updates

• Last Update Posted (Actual): September 21, 2022
• Last Update Submitted That Met QC Criteria: September 19, 2022
• Last Verified: September 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Mood Disorders; Pregnancy Complications; Puerperal Disorders; Depressive Disorder; Depression, Postpartum
• Other Study ID Numbers: 0514-21

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No