論文

査読有り
2020年6月25日

The impact of general anesthesia on mother-infant bonding for puerperants who undergo emergency cesarean deliveries

Journal of Perinatal Medicine
  • Kenta Nitahara
  • ,
  • Nobuhiro Hidaka
  • ,
  • Atsuhiko Sakai
  • ,
  • Saki Kido
  • ,
  • Kiyoko Kato

48
5
開始ページ
463
終了ページ
470
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1515/jpm-2019-0412
出版者・発行元
Walter de Gruyter GmbH

<title>Abstract</title><sec id="j_jpm-2019-0412_s_999_w2aab3b7c10b1b6b1aab1c16b1Aa"><title>Background</title>Mother-infant bonding is an emerging perinatal issue. While emergency cesarean deliveries are associated with a risk of bonding disorders, the mode of anesthesia used for emergency cesarean deliveries has never been studied in this context. We aimed to investigate the impact of administering general anesthesia and neuraxial anesthesia to women undergoing cesarean deliveries on mother-infant bonding.

</sec><sec id="j_jpm-2019-0412_s_998_w2aab3b7c10b1b6b1aab1c16b2Aa"><title>Methods</title>This was a retrospective, propensity score-matched multivariable analysis of 457 patients who underwent emergency cesarean deliveries between February 2016 and January 2019 at a single teaching hospital in Japan. The Mother-Infant Bonding Scale (MIBS) scores at hospital discharge and the 1-month postpartum outpatient visit were evaluated in the general anesthesia and the neuraxial anesthesia groups. A high score on the MIBS indicates impaired mother-infant bonding.

</sec><sec id="j_jpm-2019-0412_s_997_w2aab3b7c10b1b6b1aab1c16b3Aa"><title>Results</title>The primary outcome was the MIBS score at hospital discharge in propensity score-matched women. After propensity score matching, the median [interquartile range (IQR)] MIBS scores were significantly higher in the general anesthesia group than those in the neuraxial anesthesia group at hospital discharge [2 (1–4) vs. 2 (0–2); P = 0.015] and at the 1-month postpartum outpatient visit [1 (1–3) vs. 1 (0–2); P = 0.046]. In linear regression analysis of matched populations, general anesthesia showed a significant and positive association with the MIBS scores at hospital discharge [beta coefficient 0.867 (95% confidence interval [CI] 0.147–1.59); P = 0.019] but not at the 1-month postpartum outpatient visit [0.455 (−0.134 to 1.044); P = 0.129].

</sec><sec id="j_jpm-2019-0412_s_996_w2aab3b7c10b1b6b1aab1c16b4Aa"><title>Conclusion</title>General anesthesia for emergency cesarean delivery is an independent risk factor associated with impaired mother-infant bonding.

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リンク情報
DOI
https://doi.org/10.1515/jpm-2019-0412
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32229677
URL
https://www.degruyter.com/view/journals/jpme/48/5/article-p463.xml
URL
https://www.degruyter.com/downloadpdf/journals/jpme/48/5/article-p463.xml

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