Relationship between mindfulness and maternal stress and mother – Infant bonding in neonatal intensive care unit

Having a baby admitted to a neonatal intensive care unit (NICU) is so stressful, has a negative impact on mother well‑being, and also disrupts mother‑infant bonding process because the infant spend the first several weeks or months in the NICU. Previous studies have shown the positive association of the mindfulness and various health conditions. This study investigated the relationship between mothers’ dispositional mindfulness and level of stress and bonding in mothers with infants in the NICU.

A cross‑sectional study was performed during 2019 on 140 mothers with newborns admitted to the NICUs in two hospitals in Qom city in Iran. The self‑report measures of dispositional mindfulness, Parental Stressor Scale: NICU, and the Postpartum Bonding Questionnaire were administered to mothers on the 2nd–5th day after birth. The data analysis was carried out by using a stepwise multiple regression model.

The mean scores of mindfulness, stress, and bonding were 3.32 ± 0.52, 2.32 ± 0.77, and 0.47 ± 0.37, respectively. There was a statistically significant inverse relationship between total mindfulness score and stress (P < 0.001). Furthermore, high scores of mindfulness were associated with better bonding (P = 0.04).

Improvement in mindfulness helps mothers to reduce stress and make better bonding with infants. It is recommended that mindfulness interventions use during pregnancy also after birth, especially for mothers that their infants admitted to in the NICUs.