Poster Session 3
Category: Labor
Poster Session 3
Aram Azbarga
Medical Student (6th Year)
Goldman Medical School at Ben-Gurion University of the Negev
lehavim, HaDarom, Israel
Tamar Wainstock, PhD (she/her/hers)
Department of Epidemiology, Biostatistics and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University of the Negev
Beer Sheva, HaDarom, Israel
Yair Binyamin, MD
Consultant
Department of Anesthesiology, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev
beer sheva, HaDarom, Israel
.jpeg.jpg "Eyal Sheiner, MD, PhD photo")
Eyal Sheiner, MD, PhD
Deichmann Lerner Full Professor of Obstetrics & Gynecology; Chairman of the Division of OBY&GYN
Soroka University Medical Center, Faculty of Health Sciences, Ben‑Gurion University of the Negev
beer sheva, HaDarom, Israel
Inbal Reuveni, MD
Psychiatry Division, Tel Aviv Sourasky Medical Center, Faculty of Medicine, Tel Aviv University
tel aviv, Tel Aviv, Israel
.jpg "Gali Pariente, MD photo")
Gali Pariente, MD
Acting director of Fetal Maternal Unit B Division of Obstetrics and Gynecology
Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University
beer sheva, HaDarom, Israel
Mother-infant bonding(MIB) is a critical component of early child development and well-being.Factors such as postpartum depression, anxiety,traumatic birth experiences,and delivery methods can contribute to impaired MIB.This study aimed to assess the association between the type of anesthesia used in cesarian delivery(CD) and MIB,and to evaluate its relationship with post-partum depression and anxiety.
Study Design:
A cross-sectional study was conducted among women 1–3 days postpartum following CD at a single tertiary medical center.Eligible participants completed Postpartum Bonding Questionnaire(PBQ) to assess MIB.We used validated thresholds of a score ≥12 on the Impaired Bonding subscale,indicating impaired MIB.Post-partum depression was assessed using the Edinburgh Postnatal Depression Scale(EPDS cut-off ≥13).Anxiety was assessed using the State-Trait Anxiety Inventory(STAI cut-off above 75th percentile).Sociodemographic and clinical data were obtained via self-report and medical records.Multivariable logistic regression model adjusted for confounders.
Results:
A total of 366 women were included. 96(26.2%) underwent CD under general anesthesia and 270(73.8%)under neuraxial anesthesia. Emergent CD was more common in the general anesthesia group(68.8% vs.45.9%, p < 0.001).Maternal age, marital status,educational level,parity, birth weight, gestational age,and feeding practices were comparable between the groups. Women in the neuraxial group demonstrated better MIB scores, though not statistically significant.Impaired bonding was reported in 57.8% of the neuraxial group vs 68.8% in the general anesthesia group(p = 0.059).Postpartum depression and anxiety rates were low and comparable between the groups.General anesthesia was not independently associated with impaired bonding, in a multivariable model (OR 0.84, 95% CI 0.51–1.38, p = 0.498).
Conclusion:
The type of anesthesia used for CD was not independently associated with impaired early MIB,suggesting that other factors,such as maternal recovery and neonatal status,may have a more significant impact on bonding during the immediate postpartum period.