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The Relationship Between Bonding Impairment and Maternal Postpartum Smoking
Alexandre Faisal-Cury1,2, Alicia Matijasevich3
1Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, SP, Brazil. faisal@usp.br.
Mothers experiencing bonding impairment (BI) after childbirth are twice as likely to smoke postpartum. Interventions to improve mother-child bonding may help reduce postpartum smoking rates.
Area of Science:
- Public Health
- Maternal Health
- Addiction Research
Background:
- Maternal postpartum smoking poses risks to mother and child.
- The link between bonding impairment (BI) and postpartum smoking is not well-established.
- This study focuses on low-income mothers with prior pregnancy depression.
Purpose of the Study:
- To investigate the association between bonding impairment (BI) and maternal postpartum smoking.
- To analyze this relationship in a primary care setting 6-8 months after childbirth.
Main Methods:
- Cross-sectional analysis of 356 postpartum women from Brazilian public primary care clinics.
- Bonding impairment assessed using the Postpartum Bonding Questionnaire.
- Maternal postpartum smoking prevalence calculated using Poisson regression, with adjustments for covariates.
Main Results:
- Maternal postpartum smoking was reported by 16.7% of the sample.
- Bonding impairment (BI) showed a significant association with postpartum smoking (PR: 2.04; 95% CI: 1.08–3.84).
Conclusions:
- Women with bonding problems face a higher risk of smoking post-childbirth.
- Enhancing mother-child bonding could be a strategy to reduce postpartum smoking.
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