Is childbirth-induced PTSD associated with low maternal attachment?
Few studies examined maternal attachment in childbirth-related postpartum posttraumatic stress disorder (PP-PTSD). We studied 685 postpartum women, assessing for PP-PTSD, non-childbirth PTSD, maternal attachment, pre-birth, birth, and post-birth factors. Attachment was lower in PP-PTSD than in non-childbirth PTSD and no PP-PTSD. Hierarchical regression showed that PP-PTSD predicted less maternal attachment above and beyond pre-birth psychiatric conditions, acute distress in birth, and lack of breastfeeding. Childbirth-induced posttraumatic stress may interfere with the formation of maternal attachment, warranting screening of at-risk women.
KeywordsPosttraumatic stress disorder Childbirth Attachment Bonding Traumatic stress Postpartum Infant
Compliance with ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Partners (Massachusetts General Hospital) Human Research Committee granted this study exemption.
This study entailed an anonymous online survey; no personal identifiable information was collected. Participants were informed that by agreeing to complete the study survey, they are implying their consent to participate in the study.
Conflict of interest
The authors declare that they have no conflict of interest.
- Dekel S, Ein-Dor T, Dishy GA (2018) Beyond postpartum depression: a look into comorbid PTSD and depression following childbirth. Under review.Google Scholar
- Schechter DS, Moser DA, Aue T, Gex-Fabry M, Pointet VC, Cordero MI, Suardi F, Manini A, Vital M, Sancho Rossignol A, Rothenberg M, Dayer AG, Ansermet F, Rusconi Serpa S (2017) Maternal PTSD and corresponding neural activity mediate effects of child exposure to violence on child PTSD symptoms. PLoS One 12(8):e0181066. https://doi.org/10.1371/journal.pone.0181066 CrossRefPubMedPubMedCentralGoogle Scholar
- Seng JS, Sperlich M, Low LK, Ronis DL, Muzik M, Liberzon I (2013) Childhood abuse history, posttraumatic stress disorder, postpartum mental health, and bonding: a prospective cohort study. J Midwifery Womens Health 58(1):57–68. https://doi.org/10.1111/j.1542-2011.2012.00237.x CrossRefPubMedPubMedCentralGoogle Scholar
- Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP (2013) The PTSD checklist for dsm-5 (pcl-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.