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Prevalence and Factors Associated with Impaired Maternal–Infant Bonding among Mothers Attending Young Child Clinic in Kampala, Uganda

Author

Listed:
  • Phionah Tukamushabe

    (Department of Nursing, Makerere University, Kampala P.O. Box 7072, Uganda)

  • Tom Denis Ngabirano

    (Department of Nursing, Makerere University, Kampala P.O. Box 7072, Uganda)

  • Joyce Nankumbi Okonya

    (Department of Nursing, Makerere University, Kampala P.O. Box 7072, Uganda)

  • Melissa A. Saftner

    (School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA)

Abstract

Impaired maternal–infant bonding can have a negative impact on the mother–infant relationship, affecting the social, emotional, and cognitive development of a child. In Uganda, there is a paucity of literature on impaired maternal–infant bonding. This quantitative, cross-sectional study aimed to determine the prevalence and factors associated with impaired maternal–infant bonding. Postnatal mothers ( n = 422) attending the Young Child Clinic at Kawempe National Referral Hospital participated in the study. Maternal–infant bonding was measured using the Postpartum Bonding Questionnaire (PBQ). Participants with a score ≥ 13 on the PBQ were considered to have impaired maternal–infant bonding. The prevalence of impaired maternal–infant bonding among mothers was 45% (190/422). Logistic regression was used to determine factors associated with impaired maternal–infant bonding. Unmarried mothers (AOR = 2.05, 95% [CI = 1.03–4.09], p = 0.041), unplanned pregnancy (AOR = 5.19, 95% [CI = 3.07–8.82], p < 0.001), first-time mothers (AOR = 2.46, 95% [CI = 1.37–4.43], p = 0.003), female infant (AOR = 1.80, 95% [CI = 1.13–2.86], p = 0.013), mothers with no/low education levels (AOR = 2.29, 95% [CI = 1.05–4.50], p = 0.036), and those who delivered post term (AOR = 2.49, 95% [CI = 1.10–5.67], p = 0.028) were more likely to have impaired maternal–infant bonding. Nurses and midwives in postnatal care should include maternal–infant bonding within their client’s assessment and provide supportive mother-centered care. Interventions to improve maternal–infant bonding should be created and implemented in clinical practice.

Suggested Citation

  • Phionah Tukamushabe & Tom Denis Ngabirano & Joyce Nankumbi Okonya & Melissa A. Saftner, 2024. "Prevalence and Factors Associated with Impaired Maternal–Infant Bonding among Mothers Attending Young Child Clinic in Kampala, Uganda," IJERPH, MDPI, vol. 21(6), pages 1-15, May.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:665-:d:1399873
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