Effects of Type of Delivery Mode and Gestational Age on Maternal Bonding

Study Overview
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Brief Summary
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To evaluate the effects of gestational age and other factors on maternal attachment relationship. There are different results in studies examining the effects of birth type on postpartum depression and mother-infant interaction. The aim of this study was to evaluate factors which affected mother-infant bond (MIB) using maternal attachment inventory (MAI).

Detailed Description
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The Maternal Attachment Inventory (MAI) measure maternal love attachment (9). Muller tested the MAI questions in two phases; maternal adaptation and maternal attachmentEach item is evaluated by a 4-way to 26-point Likert-type scale ranging from always to never. Always is calculated as (a) = 4 points, often (b) = 3 points, sometimes (c) = 2 points and never (d) = 1 point. The lowest score which could be obtained from the scale that measures maternal emotions and behaviors indicating love is 26, the high score is 104, and a high score indicates a high maternal attachment (12).

Official Title
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Effects of Type of Delivery Mode and Gestational Age on Maternal Bonding

Conditions
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Mother-Infant Interaction, Postnatal Depression, Postpartum Anxiety

Intervention / Treatment
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* Behavioral: Maternal Attachment Inventory Score


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: natural pregnancy (without any Assisted reproductive technology (ART) method) aged 18 to 45 years no adverse obstetric history Exclusion Criteria: psychiatric diagnosis history of psychiatric drug use postpartum blues known complications during pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| women giving birth by normal vaginal delivery<br>100 women delivered vaginally. . They were examined three month after delivery using Maternal Attachment Inventory (MAI) and a detailed history was taken. Women aged 18 to 45 years who delivered at term and had natural pregnancy (without any ART method), | Behavioral: Maternal Attachment Inventory Score<br>* three month after delivery using Maternal Attachment Inventory (MAI) and a detailed history was taken.<br>|
| women giving birth by c-section<br>100 delivered with cesarean section. They were examined three month after delivery using Maternal Attachment Inventory (MAI) and a detailed history was taken. Women aged 18 to 45 years who delivered at term and had natural pregnancy (without any ART method), | Behavioral: Maternal Attachment Inventory Score<br>* three month after delivery using Maternal Attachment Inventory (MAI) and a detailed history was taken.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Compare mother-infant bond (MIB) scores between the vaginal delivery and the C-section (C/S) groups. | They were examined three month after delivery using Maternal Attachment Inventory (MAI); Each item is evaluated by a 4-way to 26-point Likert-type scale ranging from always to never. Always is calculated as (a) = 4 points, often (b) = 3 points, sometimes (c) = 2 points and never (d) = 1 point. The lowest score which could be obtained from the scale that measures maternal emotions and behaviors indicating love is 26, the high score is 104, and a high score indicates a high maternal attachment | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evaluate the correlations between the MIB scores and their sociodemographic data. |  | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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The Maternal Attachment Inventory, Postnatal Depression, Postpartum Anxiety