The Effect of Psychological Intervention on Mother-Infant Bonding and Breastfeeding

ABSTRACT Background: The emotional bond that a mother feels towards her infant is critical to their social, emotional, and cognitive development. This concept has a major influence on an infant’s future health, and growth, so the assessment of parental-fetal attachment and related factors is of great importance. This study aimed to examine the effect of psychological intervention on attachment and persistency of lactation.Methods: This clinical trial was carried out on 71 pregnant women who visited Milad and Vali-Asr hospitals in Tehran, Iran. The subjects were selected by convenience sampling method and randomly divided into control (n=36) and intervention (n=35) groups. In the intervention group, the subjects received three sessions of supportive group psychotherapy supplemented by training packages. Avant’s mother-infant attachment behavior questionnaire, Maternal Attachment Inventory, 28-item General Health Questionnaire, and the short form of the Coopersmith Self-Esteem Inventory were used to evaluate attachment behaviors and related factors. Attachment of mothers was examined at six different times. Statistical data was analyzed using independent t-test, Fisher’s exact test.Results: The findings indicated that the intervention group had increased attachment and breastfeeding persistency (P˂0.001). Regression test also showed that maternal attachment was significantly influenced by psychological interventions, self-esteem, and depression (P˂0.001).Conclusion: According to the results, psychological interventions are suggested during pregnancy to increase attachment and breastfeeding persistency, and thereby, improve mental health of both mother and newborn.

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Keywords: Bonding ، Lactation ، Supportive psychotherapy