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The impact of general anesthesia on mother-infant bonding for puerperants who undergo emergency cesarean deliveries
- Source :
- Journal of perinatal medicine. 48(5)
- Publication Year :
- 2019
-
Abstract
- BackgroundMother-infant bonding is an emerging perinatal issue. While emergency cesarean deliveries are associated with a risk of bonding disorders, the mode of anesthesia used for emergency cesarean deliveries has never been studied in this context. We aimed to investigate the impact of administering general anesthesia and neuraxial anesthesia to women undergoing cesarean deliveries on mother-infant bonding.MethodsThis was a retrospective, propensity score-matched multivariable analysis of 457 patients who underwent emergency cesarean deliveries between February 2016 and January 2019 at a single teaching hospital in Japan. The Mother-Infant Bonding Scale (MIBS) scores at hospital discharge and the 1-month postpartum outpatient visit were evaluated in the general anesthesia and the neuraxial anesthesia groups. A high score on the MIBS indicates impaired mother-infant bonding.ResultsThe primary outcome was the MIBS score at hospital discharge in propensity score-matched women. After propensity score matching, the median [interquartile range (IQR)] MIBS scores were significantly higher in the general anesthesia group than those in the neuraxial anesthesia group at hospital discharge [2 (1–4) vs. 2 (0–2); P = 0.015] and at the 1-month postpartum outpatient visit [1 (1–3) vs. 1 (0–2); P = 0.046]. In linear regression analysis of matched populations, general anesthesia showed a significant and positive association with the MIBS scores at hospital discharge [beta coefficient 0.867 (95% confidence interval [CI] 0.147–1.59); P = 0.019] but not at the 1-month postpartum outpatient visit [0.455 (−0.134 to 1.044); P = 0.129].ConclusionGeneral anesthesia for emergency cesarean delivery is an independent risk factor associated with impaired mother-infant bonding.
- Subjects :
- Anesthesia, Epidural
Aftercare
Context (language use)
Anesthesia, General
Teaching hospital
03 medical and health sciences
0302 clinical medicine
Japan
030202 anesthesiology
Interquartile range
Pregnancy
Surveys and Questionnaires
Medicine
Anesthesia, Obstetrical
Humans
030212 general & internal medicine
Risk factor
Emergency Treatment
Emergency Cesarean Delivery
Retrospective Studies
business.industry
Cesarean Section
Postpartum Period
Infant, Newborn
Obstetrics and Gynecology
Mother infant bonding
Object Attachment
Confidence interval
Anesthesia
Pediatrics, Perinatology and Child Health
Propensity score matching
Maternal-Fetal Relations
Female
business
Subjects
Details
- ISSN :
- 16193997
- Volume :
- 48
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of perinatal medicine
- Accession number :
- edsair.doi.dedup.....8e90776a05aa28d065e4c7a8d383c548