Postpartum during COVID-19 pandemic: Portuguese mothers' mental health, mindful parenting, and mother-infant bonding

J Clin Psychol. 2021 Sep;77(9):1997-2010. doi: 10.1002/jclp.23130. Epub 2021 Apr 6.

Abstract

Background: Millions of people worldwide have been diagnosed with coronavirus disease 2019 (COVID-19), which has impacted maternal mental health and mother-infant relationships during the postpartum period.

Objectives: To explore how mothers' anxious and depressive symptoms, parenting stress, mindful parenting, and mother-infant bonding vary as a function of the moment of the baby's birth (pre-COVID-19 or post-COVID-19) and to examine the contribution of those variables to mother-infant bonding.

Methods: The sample was recruited online and comprises 567 mothers (18-46 years) with an infant aged between 0 and 12 months old.

Results: Approximately 27.5% of the mothers presented clinically significant levels of anxious and depressive symptoms. Mothers who gave birth during the COVID-19 pandemic presented lower levels of Emotional Awareness of the Child and a more impaired mother-infant bonding than mothers who gave birth before the pandemic started. Approximately 49% of the mother-infant bonding variance was explained by parenting stress and by several dimensions of mindful parenting.

Conclusion: Our findings provide important insights into the impact of COVID-19 on maternal mental health and parenting.

Keywords: COVID-19; mental health; mindful parenting; mother-infant bonding; postpartum.

MeSH terms

  • COVID-19* / epidemiology
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Mental Health / statistics & numerical data*
  • Mindfulness*
  • Mother-Child Relations / psychology*
  • Mothers / psychology*
  • Pandemics*
  • Parenting / psychology*
  • Portugal / epidemiology
  • Postpartum Period / psychology*