The impact of general anesthesia on mother-infant bonding for puerperants who undergo emergency cesarean deliveries
-
Kenta Nitahara
,
Nobuhiro Hidaka
Abstract
Background
Mother-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.
Methods
This 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.
Results
The 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].
Conclusion
General anesthesia for emergency cesarean delivery is an independent risk factor associated with impaired mother-infant bonding.
Acknowledgments
We would like to thank Editage (www.editage.com) for English language editing.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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©2020 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorials
- Newborns at risk of COVID-19
- Pandemic corona virus issue – how do we respond?
- Review
- COVID-19 and pregnancy – where are we now? A review
- Opinion Paper
- Expanding the concept of the professional integrity of obstetrics during a public health emergency
- Corner of Academy
- COVID-19 infection during pregnancy: fetus as a patient deserves more attention
- Are Covid-19-positive mothers dangerous for their term and well newborn babies? Is there an answer?
- Short Communication
- Novel coronavirus, novel faculty development programs: rapid transition to eLearning during the pandemic
- Commentaries
- Professionally responsible counseling about birth location during the COVID-19 pandemic
- The care of pregnant women during the COVID-19 pandemic – response of a large health system in metropolitan New York
- Obituary
- Isaac Blickstein, MD
- Original Articles – Obstetrics
- The impact of general anesthesia on mother-infant bonding for puerperants who undergo emergency cesarean deliveries
- The correlation of fetal cardiac function with gestational diabetes mellitus (GDM) and oxidative stress levels
- Pregnancy in patients with hemoglobinopathies: 30-year results of a Greek Thalassemia and Sickle Cell Department
- Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score
- Safety of misoprostol vaginal insert for labor induction using standard vs. adjusted retrieval criteria: a comparative cohort study
- Influence of non-pharmacological obstetric interventions on adverse outcomes of childbirth under regional analgesia
- Doppler evaluation of the posterior cerebral artery in fetuses with transposition of great arteries
- Original Articles – Newborns
- Group B streptococcal transmission rates as determined by PCR
- Rates of metabolic acidosis at birth and Apgar score values at 1, 5, and 10 min in term infants: a Swedish cohort study
- Short Communication
- Placental delayed villous maturation is associated with evidence of chronic fetal hypoxia
Articles in the same Issue
- Frontmatter
- Editorials
- Newborns at risk of COVID-19
- Pandemic corona virus issue – how do we respond?
- Review
- COVID-19 and pregnancy – where are we now? A review
- Opinion Paper
- Expanding the concept of the professional integrity of obstetrics during a public health emergency
- Corner of Academy
- COVID-19 infection during pregnancy: fetus as a patient deserves more attention
- Are Covid-19-positive mothers dangerous for their term and well newborn babies? Is there an answer?
- Short Communication
- Novel coronavirus, novel faculty development programs: rapid transition to eLearning during the pandemic
- Commentaries
- Professionally responsible counseling about birth location during the COVID-19 pandemic
- The care of pregnant women during the COVID-19 pandemic – response of a large health system in metropolitan New York
- Obituary
- Isaac Blickstein, MD
- Original Articles – Obstetrics
- The impact of general anesthesia on mother-infant bonding for puerperants who undergo emergency cesarean deliveries
- The correlation of fetal cardiac function with gestational diabetes mellitus (GDM) and oxidative stress levels
- Pregnancy in patients with hemoglobinopathies: 30-year results of a Greek Thalassemia and Sickle Cell Department
- Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score
- Safety of misoprostol vaginal insert for labor induction using standard vs. adjusted retrieval criteria: a comparative cohort study
- Influence of non-pharmacological obstetric interventions on adverse outcomes of childbirth under regional analgesia
- Doppler evaluation of the posterior cerebral artery in fetuses with transposition of great arteries
- Original Articles – Newborns
- Group B streptococcal transmission rates as determined by PCR
- Rates of metabolic acidosis at birth and Apgar score values at 1, 5, and 10 min in term infants: a Swedish cohort study
- Short Communication
- Placental delayed villous maturation is associated with evidence of chronic fetal hypoxia
