Search Results (121)

Background/Objectives: Exclusive breastfeeding offers optimal benefits for infant nutrition and health and increases maternal involvement, bonding and interactions. This study aimed to explore breastfeeding practices among mothers in Romania and identify risk factors associated with low exclusive breastfeeding rates. Methods: A cross-sectional online survey was conducted between September and December 2025, targeting mothers in Romania via social media platforms. The questionnaire, developed specifically for this study, collected data on sociodemographic characteristics, birth and neonatology variables, hospital practices, feeding intentions, community influences, and breastfeeding outcomes. Responses were analyzed using Fisher’s exact tests and multivariable logistic regression. Results: A total of 357 complete questionnaires were analyzed. Cesarean section was the most frequent mode of delivery (54.6%), while immediate mother–infant contact after birth was reported by only 35.6% of mothers, and breastfeeding initiation within the first hour occurred in 10.6% of cases. Overall, 49.3% of mothers reported exclusive breastfeeding, 35.3% mixed feeding, and 15.4% exclusive formula feeding. Women who delivered in private hospitals reported earlier mother–infant contact, more frequent encouragement to initiate breastfeeding, and earlier breastfeeding initiation compared with those delivering in public hospitals. Preterm birth was associated with delayed breastfeeding initiation, reduced rooming-in, and lower rates of exclusive breastfeeding up to six months. In multivariable logistic regression, rooming-in was independently associated with higher odds of exclusive breastfeeding (aOR = 2.798, 95% CI: 1.779–4.401), while lack of lactation support was associated with lower odds (aOR = 0.546, 95% CI: 0.302–0.987). No significant associations were observed for timing of initial maternal–infant contact (aOR = 1.084, 95% CI: 0.679–1.733) or encouragement from medical staff to initiate breastfeeding (aOR = 1.207, 95% CI: 0.721–2.020). Conclusions: Our study highlights current breastfeeding practices and associated hospital factors in Romania. However, significant challenges remain in supporting and encouraging mothers to optimally feed their infants. Additional investment and bold policy action are needed to promote and support breastfeeding from the first hour of life, for both term and preterm infants, in all maternity hospitals in Romania. Full article

Background/Objectives: Skin-to-skin contact (SSC) between mother and infant is known to promote breastfeeding initiation and early bonding. However, evidence regarding the sustained effects of daily SSC during the postpartum period on breastfeeding outcomes and maternal mental health remains limited. This study aimed to evaluate the effects of structured daily SSC on breastfeeding outcomes, lactation status, and maternal postnatal mental health in a real-world clinical setting. Methods: A quasi-experimental design was used to compare mothers who performed daily SSC (SSC group) with those receiving care as usual (control group). Data were collected on postpartum Day 1, Day 3, Week 2, and Week 4. Primary outcomes included exclusive breastfeeding duration, continued breastfeeding duration, and lactation status. Multiple linear regression analyses adjusted for baseline breastfeeding intention and maternal age. Results: A total of 50 mother–infant dyads were included (SSC: n = 40; control: n = 10). The SSC group was associated with longer exclusive and continued breastfeeding durations and better lactation status (p < 0.05). Depressive symptoms did not differ significantly between groups, although both groups showed decreasing trends over time. After adjustment, daily SSC remained significantly associated with longer exclusive breastfeeding duration (adjusted β = 9.18 days, p = 0.034) and continued breastfeeding duration (adjusted β = 10.57 days, p = 0.001). Conclusions: Daily SSC is a simple and feasible intervention that may be associated with improved breastfeeding outcomes and lactation performance. Incorporating structured SSC into routine postpartum care may support breastfeeding sustainability and maternal recovery. Full article

Background: Ankyloglossia is a congenital anomaly characterized by restricted tongue mobility due to a short, thick, or tight lingual frenulum. Methods: This narrative review synthesizes current concepts on etiology, clinical presentation, diagnostic approaches, functional implications, and management for ankyloglossia in newborns. Results: Ankyloglossia can compromise breastfeeding dynamics, manifesting as suboptimal latch, maternal nipple pain, and inefficient milk transfer, and may influence orofacial function if unrecognized. Because anatomical appearance alone does not reliably predict function, evaluation should prioritize structured functional assessments over purely morphological descriptors. Management should be individualized and stepwise, beginning with lactation support and positioning strategies, and progressing to frenotomy when clear functional limitation persists. In appropriately selected cases, timely intervention can improve feeding efficiency and caregiver comfort while minimizing disruptions to early bonding and nutrition. Post-procedure follow-up is important to confirm functional gains and address residual feeding mechanics. Conclusions: A coordinated, multidisciplinary approach aligns diagnosis and treatment with the infant’s functional needs and family goals, promoting safe, effective, and patient-centered care. Full article

This study assessed trace mineral levels (Co, Cr, Cu, Fe, Mn, Mo, Se, and Zn) in paired serum samples from multiparous Holstein Friesian cows and their calves after colostrum intake, to explore potential relationships between maternal and neonatal mineral status. The acid-digested samples were analyzed by inductively coupled plasma mass spectrometry. Serum levels of Co, Cu, Fe, and Se were significantly higher in cows than in calves (p < 0.001), while Zn levels were higher in calves. The levels of Cr, Mn, and Mo were similar in both groups. Overall, mineral deficiencies were more prevalent in cows, with Se being the most deficient element, followed by Zn, Cu, and Co. Calves were more deficient in Co and Mn than their mothers but were not generally deficient in Se. Serum levels of Cr, Cu, Mn, Mo, and Se were positively correlated in cows and their calves, suggesting that maternal mineral status influences neonatal mineral levels. Overall, these results provide insights into trace mineral dynamics in cow–calf pairs. Further studies are needed to clarify the relative contribution of placental and colostral mineral transfer. Full article

Well-founded animal models of maternal separation show that early postnatal separation from the mother represents a massive stress factor for the offspring, with far-reaching negative effects on their physical and behavioural development. However, studies also show that the effects of maternal separation can be at least mitigated by appropriate physical attention. In this case report, we document the successful rehabilitation of a single orphaned male harbour seal pup by attempting to substitute natural maternal attention with intensive human attention. The pup underwent excellent physical development and displayed a close bond with its carers, characterised by intensive physical contact and suckling on a carer’s hand. However, during the final rehabilitation phase in a large outdoor enclosure, the pup increasingly reduced its affiliation to its carers. After its release, long-term observations over four years documented its hunting success, corresponding optimal physical development, and successful integration into existing wild seal groups. At the age of four, the now sub-adult seal displayed socio-sexual behaviour that is typical for this age and maintained a close bond with a wild female seal for months. The report shows that the rehabilitation of orphaned seals is possible by substituting maternal care with human care, resulting in neither a fixation on humans nor modifying species-specific behaviour. Thus, the pup’s chances of survival and potential reproduction in the wild were not jeopardised by this method of rehabilitation. Full article

Over the years, the impact of music on the prenatal and neonatal stages of human life has gained significant scientific attention. This study provides a comprehensive bibliometric review of research investigating how music influences fetal and newborn development. Using the Scopus and Web of Science databases, a search of relevant studies published in English between January 2006 and July 2025 was conducted, whose basic criterion was the use of the following keywords: “music” and “fetus” or “fetal”. Additional terms such as “fetus development”, “fetus heart rate”, “fetus movement”, “mother–fetus relationship”, “newborn”, etc., were also utilized. In result, 75 publications were selected, and their bibliographic data and full sources were retrieved. The included studies were grouped according to two perspectives that consider the impact of music (1) on the development of the fetus and the newborn, and (2) on maternal health and mother–fetus bonding. Using VOSviewer, bibliometric mapping was performed, which allowed to obtain keyword co-occurrence network and co-authorship network. The chosen literature was then quantitatively and qualitatively analyzed. The analysis revealed a sharp upward trend in publications starting in 2015, with a temporary decline in 2020 due to the COVID-19 pandemic. The highest number of publications were from Iran. The most investigated topics were related to the fetus heart and maternal health. The most common publication type and research methodology were, respectively, article and experiment. While the key authors Lordier, L., Filippa, M., Grandjean, D., and Monaci, M.G. lead the field, the co-authorship network remains fragmented into isolated and relatively small research groups. The Journal of Maternal–Fetal and Neonatal Medicine emerged as the leading publication outlet, while the study by Graven et al. entitled “Auditory Development in the Fetus and Infant” remains the most cited work. The keyword co-occurrence network allowed the identification of three main thematic clusters indicating the physiological, clinical, and therapeutic aspects of the impact of music on fetal and neonatal development. A qualitative analysis revealed that music plays a vital role in early human development and maternal well-being, demonstrating positive effects of auditory stimuli on fetal and newborn physiology, as well as on the mother–fetus relationship, while being a non-invasive and non-pharmacological method of intervention. However, the lack of a fully connected global research community and standardized protocols for, e.g., choosing the musical repertoire, sound administration, and the duration of exposure suggests the need for increased international collaboration to further integrate music therapy into standard clinical practices for prenatal and neonatal care. Full article

Background: The mother’s bond with her newborn is important for the child’s development and their relationship. Midwives are well placed to witness first-hand the beginning of this relationship. Objectives: This study examined, based on mothers’ perceptions, the contribution of midwives to the development of the bond with their baby from pregnancy to the first postnatal months. Methods: We conducted a descriptive qualitative interpretative study in Quebec, Canada (from 2022 to 2025), with 10 primiparous mothers who were cared for by midwives in a model of continuity of care, and gave birth in a birth center, at home, or in a hospital. Semi-structured retrospective interviews were conducted between two and four months after childbirth, and were complemented by interviews with two midwives. Results: Most participants developed a bond with their baby during pregnancy. They discussed their midwifery care and what they felt were significant elements in the development of their bond with the baby. Midwives encouraged them to develop this bond through their approach and various means: letting them feel the fetus during palpation, talking to it, encouraging mothers to do the same, and reinforcing the bond throughout pregnancy. The birth and first moments after birth were also key moments for promoting contact between mother and baby. Midwives were also creative in promoting bonding in more difficult situations, such as when a transfer to the hospital for delivery was needed. Conclusions: Midwives play an important role in initiating and developing the mother–child bond during pregnancy, especially if they practice within a model of relational continuity. Full article

Background: Postnatal bonding reflects the early emotional relationship between a mother and her infant and is shaped by psychological and perinatal factors. This study examined associations between postnatal bonding and maternal depressive symptoms, resilience, labor anxiety, and sociodemographic and health-related variables, as well as anxiety related to the COVID-19 pandemic, the war in Ukraine, and global events. Methods: This prospective cohort study included and followed 150 pregnant women in Poland from pregnancy to 12 months postpartum. Assessments were conducted during pregnancy and at 4–6 weeks, 6 months, and 12 months after delivery. Postnatal bonding was assessed using the PBQ, depressive symptoms with the EPDS, labor anxiety with the LAQ, resilience with the KOP-26, and anxiety related to external stressors with study-specific questionnaires. Non-parametric analyses were performed with a significance level of p < 0.05. Results: Postnatal bonding difficulties were most prevalent at 4–6 weeks postpartum (26.1%) and decreased over time. Maternal depressive symptoms showed the strongest and most consistent associations with bonding difficulties, whereas higher resilience, particularly in family relations and social competence, was associated with better bonding outcomes. Labor anxiety was weakly associated with bonding only in the early postpartum period, while no associations were found with sociodemographic characteristics or anxiety related to external societal stressors. Conclusions: Maternal depressive symptoms and resilience emerged as the key factors associated with postnatal bonding quality, highlighting their importance as targets for early identification and intervention. Full article

Breastfeeding is a complex biopsychosocial process influenced not only by biological mechanisms but also by a woman’s previous psychological experiences and past traumas. The aim of this review was to analyze current research on the impact of early traumatic experiences, perinatal trauma, psychological difficulties, and previous interpersonal stressors on the initiation, continuation, and emotional course of breastfeeding. Women with a history of trauma are more likely to struggle with emotional regulation difficulties, increased stress, depressed mood, and problems bonding with their child. These factors translate into an increased risk of discontinuing lactation, discomfort during feeding, and reduced self-esteem regarding maternal competence. The literature also emphasizes the role of psychological and social support, which can help mothers cope with emotional tension and promote a positive breastfeeding experience. Consideration of the mother’s previous psychological and traumatic experiences is crucial for a more complete understanding of lactation difficulties and the development of effective forms of support for women in the perinatal period. Full article

Background/Objectives: Within Paediatric Palliative Care (PPC), motherhood in the context of severe cognitive impairment is shaped by unique emotional, relational, and identity-related challenges. Traditional understandings of maternal identity are strained when verbal communication and typical developmental milestones are absent. Although caregiving in PPC has been widely studied, the subjective and symbolic dimensions of motherhood in this setting have received far less attention. This study sought to explore how mothers construct, interpret, and make sense of their maternal identity while caring for a child with severe cognitive impairment in a PPC context, and to underscore the clinical relevance of these identity-related processes. Methods: A qualitative study was conducted involving nine mothers of children receiving paediatric palliative care services at a regional centre in Italy. Participants engaged in three online focus groups, totalling 270 min. Reflexive thematic analysis was employed to interpret the transcribed data, using ATLAS.ti software, version 25.0.1 ATLAS.ti Scientific Software Development GmbH, Berlin, Germany, for support. Member reflections were incorporated to validate the findings. Results: Three interconnected themes emerged from the reflexive thematic analysis. First, mothers described the development of a fusion-like, enmeshed mother–child relationship, characterised by embodied attunement, specialised interpretive expertise, and lifelong care dependency. Second, mothers detailed the construction of their maternal role, shaped by emotional labour, identity negotiation, sacrifice, loneliness, and peer support, alongside the construction of the child’s role, in which children were perceived as unique, symbolically meaningful beings whose social presence and limited reciprocity shaped maternal identity. Third, mothers articulated a search for meaning that sustained them throughout the caregiving journey, reframing their experience within a broader existential and relational perspective. Conclusions: Maternal caregiving in PPC encompasses distinct emotional, relational, and symbolic dimensions that extend beyond conventional understandings of motherhood. Grasping these identity-related dynamics has direct clinical relevance: it enables more attuned communication, strengthens the therapeutic alliance, and supports personalised, meaning-oriented care. These insights highlight the need for tailored interventions and further qualitative research to inform health care professionals and interdisciplinary practice. Full article

Background/Objectives: The establishment of strong prenatal bonding is a key determinant of perinatal well-being, influencing maternal psychological adaptation and infant development. Numerous studies have examined risk factors and psychopathology during pregnancy, but limited research has explored the role of positive psychological constructs, such as positive mental health (PMH). This study aimed to assess whether anxiety mediates the relationship between PMH and the quality of prenatal bonding. Methods: A total of 90 pregnant women participated. PMH was assessed using the Abbreviated Positive Mental Health Questionnaire; anxiety using the Hospital Anxiety and Depression Scale; and prenatal bonding using the Prenatal Assessment Scale for Pregnant Women (EVAP). A simple mediation model was tested, with anxiety as a mediator between PMH (predictor) and prenatal bonding (outcome), controlling the analysis for previous miscarriages, relationship stability, high-risk pregnancy, and employment. Results: The model revealed partial mediation (F = 16.617, p < 0.001). Higher PMH was associated with lower anxiety (B = −0.297, SE = 0.062, p < 0.001) and stronger prenatal bonding (B = 0.777, SE = 0.091, p < 0.001). Interestingly, anxiety emerged as an adaptive response, which could improve maternal sensitivity and communication with the unborn child (B = 0.316, SE = 0.145, p = 0.032). The model explained 56% of the variance in prenatal bonding, even after accounting for relevant covariates. Conclusions: These findings underscore the importance of considering contextual and psychosocial factors when assessing the role of emotions such as anxiety during pregnancy. Rather than being inherently maladaptive, anxiety may play a functional role in facilitating maternal engagement with the baby, especially when grounded in PMH. Given the limited research, our findings support the integration of positive psychology frameworks into perinatal health interventions. Full article

Improved maternal experiences and outcomes have been widely linked to the presence of birth companions. However, cultural norms, institutional constraints, and privacy concerns frequently restrict women’s choice of birth companions in many Middle Eastern countries, including Jordan. This study investigated Jordanian women’s beliefs and barriers about the presence of companions in the labour room. A qualitative descriptive study design was conducted using Braun and Clarke’s framework for thematic analysis. Thirteen women (ages 21 to 38 years) with prior pregnancy and childbirth experience were chosen from a free health awareness event in Irbid, Northern Jordan in July 2025, to participate in semi-structured interviews. The responses were recorded on audio tapes and subsequently stored in their original format. Data were coded, transcribed, and then thematically analyzed to identify beliefs and perceived barriers. The most significant beliefs were: (i) emotional and psychological support, wherein companionship was thought to alleviate fear and provide reassurance; (ii) strengthening family ties, as women saw shared childbirth experiences as improving family bonds; and (iii) cultural and religious interpretations, wherein female relatives were frequently seen as more acceptable than husbands. Women reported two barriers to allowing companions in the labour room: (i) privacy and modesty issues, where they feared embarrassment, exposure, and judgment, and (ii) institutional and policy restrictions, such as restrictive hospital regulations. Although Jordanian women recognized the emotional and interpersonal benefits of having company during childbirth, they encountered numerous substantial institutional, cultural, and privacy-related barriers. Improving women’s birth experiences and promoting respectful maternity care may be achieved by addressing these issues through culturally sensitive education, privacy-enhancing infrastructure, and regulatory reform. Full article

Background: Gestational guilt is an understudied emotional experience that can affect maternal well-being and prenatal bonding. This study aimed to develop and validate the Pregnancy Guilt Assessment Scale (PGAS) in a sample of Spanish pregnant women, assessing its factorial structure, reliability, and validity. Methods: Four phases were conducted: (1) item generation through focus groups (n = 17) and cognitive interviews (n = 8); (2) expert content validation (n = 3); (3) exploratory factor analysis (EFA) in a pilot sample (n = 85); and (4) confirmatory factor analysis (CFA) and validity testing in an independent sample (n = 171). Additional measures included antenatal depression, prenatal distress, affect, self-esteem, social support, and dispositional guilt. Internal consistency, correlations, and multiple regressions assessed reliability and convergent and incremental validity. Results: The final 16-item PGAS showed a bifactor structure with a general factor and four dimensions: G-LSC (Lack of self-care), G-UEE (Unmet emotional expectations), G-SP (Social pressure), and G-CWR (Conflict with work role). The model demonstrated good fit (χ² = 109.42, df = 88, p = 0.061; CFI = 0.974; TLI = 0.965; RMSEA = 0.069; SRMR = 0.030) and high reliability (α total = 0.96; ω = 0.98; subscales α = 0.90–0.94). PGAS scores correlated positively with dispositional guilt, negative affect, prenatal distress, and antenatal depression. In regressions, G-UEE uniquely predicted depression (β = 0.213, p = 0.002) and G-SP predicted distress (β = 0.303, p < 0.001). Women who had considered pregnancy termination scored higher on guilt (p < 0.001). Conclusions: The PGAS is a reliable and valid instrument for assessing pregnancy-related guilt in Spanish women, with potential relevance for perinatal mental health research and clinical practice, while future studies should evaluate its performance in other cultural settings. Full article

Background/Objectives: This study examined the relationship between sensory processing skills, mother–infant bonding, and prematurity in 12-month-old infants. Methods: Twenty-two preterm infants with gestational age < 34 weeks and 20 term infants were included in the study. At four months, mothers evaluated their bonding with infants using the Mother-to-Infant Bonding Scale (MIBS). At the age of 12 months, the sensory processing skills of infants were assessed using the Test of Sensory Functions in Infants (TSFI). Results: MIBS scores were significantly higher in the preterm group compared to the term group (p < 0.01). TSFI total scores and subdomains (tactile deep pressure, adaptive motor function, and vestibular stimulation) were significantly lower in preterm infants (p = 0.01, p = 0.02, p = 0.01, and p = 0.03, respectively). Multiple linear regression revealed that each one-point increase in bonding score (weaker bonding) was associated with a −0.65 decrease in the TSFI total score, a −0.61 decrease in tactile deep pressure, and a −0.63 decrease in vestibular stimulation scores, independent of gestational age. Conclusions: This study concluded that mother-to-infant bonding is associated with sensory processing skills, especially in the vestibular and tactile domains. Additionally, prematurity was found to be related to sensory processing. Full article

Breast milk (BM) is a unique biological fluid that represents the optimal nutritional source for infants, uniquely adapted through millions of years of evolution. BM is not only a nutritional fluid but a dynamic biological system, evolved to provide optimal growth, immune protection, and neurodevelopmental support. Its unique composition—including macronutrients, micronutrients, bioactive molecules, and stem cells—makes it essential in early life. Breastfeeding further promotes psychological well-being, secure attachment, and maternal–infant bonding. Yet, in recent decades, concern has grown over environmental contaminants in BM, including endocrine-disrupting chemicals (EDCs) and micro/nanoplastics. These pollutants have the potential to disrupt endocrine signaling, neurodevelopment, metabolic programming, and immune development, thereby undermining the natural advantages of breastfeeding. Therefore, a better understanding of the unique features of BM, while investigating the effects of these contaminants, is important for safeguarding maternal and infant health. This perspective article highlights the current knowledge on BM and indicates the need for further research. It also emphasizes the need for appropriate public health measures aimed at reducing exposure to pollutants and lowering associated risks, as well as preventive strategies to protect breast milk and breastfeeding in such a changing environment, as it is uniquely designed to promote the health of children. Full article