Effect of pre-cesarean section instruction on postpartum maternal–newborn attachment behavior

Abstract

Background Attachment is a pattern of interaction and communication established and developed between the mother and the newborn after birth. As it is important for the growth of mentally and physically healthy individuals, it develops during pregnancy and continues after birth. The aim of study was to evaluate the effect of pre-cesarean section (CS) instruction on post-cesarean maternal–newborn attachment behaviors. Design A quasi-experimental (posttest only) design was adopted for the current study. Sample: a purposive sample of 130 post-CS women was recruited and randomly assignment to study and control groups (65 women each). Tools A structured interview questionnaire and postpartum maternal-newborn attachment behavior observational tools were used to collect data. Results There were highly statistically significant differences between study and control groups regarding the mean total attachment score (86.32±23.02 vs. 70.05±26.44 in the study and control group, respectively; P=0.001). Moreover, there were statistically significant differences between both groups regarding the mean scores of emotional, keeping close, caring behaviors, and time of initiation of breastfeeding after CS (P=0.001). Conclusion Providing mothers with the necessary bonding instructions before delivery had a significant effect on post-CS maternal–newborn attachment behaviors. Recommendations Conducting educational programs for all women about promoting postpartum maternal–newborn attachment behaviors should be a part of prenatal care.