Influence of Age, Planned Pregnancy, Stress and Marital Relationship on Maternal-Infant Attachment in Postpartum Mothers with Inadequate Prenatal Care

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Saowaros Pangzup
Wanna Phahuwatanakorn
Chaweewan Yusamran
Dittakarn Boriboonhirunsarn


         Purpose: To determine predictive power of age, planned pregnancy, stress and marital relationship on maternal-Infant attachment during postpartum in mothers with inadequate prenatal care.
         Design: A correlational predictive design.
         Methods: The samples consisted of 134 postpartum mothers who delivered at a university hospital in Bangkok. The data were collected through questionnaires: the personal information, Stress Inventory, the Dyadic Adjustment Scale, and the Maternal Attachment Inventory. Descriptive statistics and logistic regression analysis were used for the analyses.
         Main findings: The result of the study shows that 65.7 percent of the subjects has a medium score of maternal-infant attachment. Age, planned pregnancy, stress, and marital relationship together predicted maternal-infant attachment, which accounted for 28% (Nagelkerke R2 = .280) of variance of maternal-infant attachment during postpartum in mothers with inadequate prenatal care. Particularly, age and stress significantly predicted maternal-infant attachment at p < .01. Teenage mothers were 4.19 times more likely to have low maternal-infant attachment than mothers who are 20 years old and older. Stressful mothers were 3.81 times more likely to have low maternalinfant attachment than mothers with no stress (OR = 4.19; 95%CI [1.57, 11.17], and OR = 3.81; 95%CI [1.67, 8.67], respectively). 
         Conclusion and recommendations: Age and stress can influence maternal-infant attachment. Therefore, nurses and midwives should concern and  promote attachment-bonding to teenage mothers, especially those with stress during postpartum period.

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How to Cite
Pangzup, S., Phahuwatanakorn, W., Yusamran, C., & Boriboonhirunsarn, D. (2018). Influence of Age, Planned Pregnancy, Stress and Marital Relationship on Maternal-Infant Attachment in Postpartum Mothers with Inadequate Prenatal Care. Nursing Science Journal of Thailand, 36(3), 34–45. Retrieved from
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