Abstract
Purpose
Anaemia is common postpartum; however, the effect of anaemia on mother–infant bonding is presently unknown. This case controlled study was designed to evaluate the effects of anaemia on mother and baby bonding in the first month following delivery.
Methods
945 consecutive postpartum women who gave birth at home or in the obstetric unit at a university hospital in the East of England were identified from the hospital computer records. Blood counts had been performed on 279 of these women within 48 h of delivery, entirely at the discretion of the clinical team. The women with available blood count data were sent a self-reporting questionnaire which included a validated postpartum bonding questionnaire (PBQ) [1]. Data were collected from the 115 (41%) responses and analysed for the evidence of an effect of anaemia on bonding.
Results
57 (50%) of women responding to the questionnaire were anaemic (haemoglobin < 10 g/dL). There was no evidence of a difference between maternal, age, parity, mode of delivery, gestational age, baby weight or baby age at the time of completing questionnaire between the anaemic and non-anaemic groups. Moreover, there was no evidence of a difference in maternal perception of mother–infant bonding between the anaemic and non-anaemic groups.
Conclusion
Our study suggested no evidence of an association between postnatal anaemia and the mother’s ability to bond with the baby; however a small but significant effect may still exist which we were not able to detect due to a possible lack of power, hence we suggest, further larger studies to be conducted.
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References
Brockington IF, Fraser C, Wilson D (2006) The postpartum bonding questionnaire: a validation. Arch Women’s Ment Health 9:233–242
Glazener CMA, Abdalla MI, Stroud P et al (1995) Postnatal maternal morbidity: extent, causes, prevention and treatment. Br J Obstet Gynaecol 102:282–780
Corwin EJ, Murray-Kolb LE, Beard JL (2003) Low haemoglobin level is a risk factor for postpartum depression. J Nutr 133:4139–4142
Paterson JA, Davis J, Gregory M et al (1994) A study on the effects of low haemoglobin on postnatal women. Midwifery 10:77–86
Beard JL, Hendricks MK, Perez EM, et al (2005) Maternal iron deficiency anemia affects postpartum emotions and cognition. J Nutr 135(2):267–272
Wittkowski A, Wieck A, Mann S (2007) An evaluation of two bonding questionnaires: a comparison of the mother-to-infant bonding scale with the postpartum bonding questionnaire in a sample of primiparous mothers. Arch Women Ment Health 10:171–175
Glazener CMA, Abdalla MI, Stroud P et al (1995) Postnatal maternal morbidity: extent, causes, prevention and treatment. Br J Obstet Gynaecol 102:282–287
Baker W (2000) Iron deficiency in pregnancy. Hematol Oncol Clin North Am 14:1061–1077
Aggett P (1995) Iron and women in the reproductive years. In: The British Nutrition Foundation’s Task Force (eds.) Iron: nutritional and physiological significance, 1st edn. Chapman & Hall, London
WHO http://www.who.int/nutrition/topics/ida/en/ Accessed October 2008
Bowlby J (1958) The nature of the child’s tie to his mother. Int J Psycho Anal 39:350–373
Carter SC, Keverne EB (2002) The neurobiology of social affiliation and pair bonding. Horm Brain Behav 1:299–339
Fleming AS, O’Day DH, Kraemer GW (1999) Neurobiology of mother–infant interaction: experience and central nervous system plasticity across development and generations. Neurosci Biobehav Rev 23:673–685
Leckman JF, Feldman R, Swain JE et al (2004) Primary parental preoccupation: circuits, genes, and the crucial role of the environment. J Neural Transm 111:753–771
Feldman R, Eidelman A (2003) Direct and indirect effects of maternal milk on the neurobehavioral and cognitive development of premature infants. Dev Psychobiol 43:1–12
Cohen SE, Beckwith L (1979) Preterm infant interaction with the caregiver in the first year of life and competence at age two. Child Dev 50:767–776
Feldman R, Eidelman AI, Rotenberg N (2004) Parenting stress, infant emotion regulation, maternal sensitivity, and the cognitive development of triplets: a model for parent and child influences in a unique ecology. Child Dev 75:1774–1791
Goldberg S, Perrotta M, Minde K et al (1986) Maternal behavior and attachment in low-birth-weight twins and singletons. Child Dev 57:34–46
Keren M, Feldman R, Eidelman AI et al (2003) Clinical interview for high-risk parents of premature infants (CLIP): relations to mother–infant interaction. Infant Mental Health J 24:93–110
Zarling CL, Hirsch BJ, Landry S (1988) Maternal social networks and mother–infant interactions in full term and very low birthweight, preterm infants. Child Dev 59:178–185
Minde K (2000) Prematurity and serious medical conditions in infancy: implications for development, behavior, and intervention. In: Zeanah CH (ed.), Handbook of infant mental health. Guilford, New York, pp 176–194
Murray-Kolb LE, Beard JL (2009) Iron deficiency and child and maternal health. Am J Clin Nutr 89(3):946S–950S
Perez EM, Hendricks MK, Beard JL et al (2005) Mother–infant and infant development are altered by maternal iron deficiency. J Nutr 135:850–855
Levine M, Ensom MH (2001) Post hoc power analysis: an idea whose time has passed? Pharcotherapy 21:405–409
Hoeinig JM, Heissey DM (2001) The abuse of power: the pervasive fallacy of power calculations for data analysis. Am Statist 55:19–24
Acknowledgments
The authors thank Jill Tinsey, Jenny Fraser, Sharon McCabe, Sue McDonnell, Luisa Lyons, and Emma Browning.
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All authors declare that they have no conflict of interest.
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Dearman, L.R., Musonda, P., Roberts, F.G. et al. Bonding in women with postnatal anaemia: a pilot case control study looking at postnatal bonding in women who have been diagnosed with anaemia at a University Hospital in the East of England. Arch Gynecol Obstet 285, 1243–1248 (2012). https://doi.org/10.1007/s00404-011-2142-0
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DOI: https://doi.org/10.1007/s00404-011-2142-0