Anesthesia mode for cesarean delivery and maternal-infant bonding: a single-center cross-sectional study
Abstract
Background Mother-infant bonding is central to early infant development and maternal well-being. The mode of anesthesia for cesarean delivery may influence maternal recovery, early contact with the newborn, and the postpartum psychological experience. This study aimed to assess the association between mode of anesthesia for cesarean delivery and mother-infant bonding, and its relationship with risk of postpartum depression and early anxiety symptoms. Methods In this cross-sectional study, women were recruited 1 to 3 days after cesarean delivery at Soroka University Medical Center. Eligible participants had delivered a live-born singleton term infant. During hospitalization, participants completed validated questionnaires assessing mother-infant bonding, risk for postpartum depression, and early postpartum anxiety symptoms. Outcomes were compared between women who underwent cesarean delivery under general anesthesia and those who received neuraxial anesthesia. Multivariable logistic regression was used to examine whether anesthesia mode was independently associated with impaired bonding. Results A total of 366 women were included, of whom 96 underwent cesarean delivery under general anesthesia and 270 under neuraxial anesthesia. No significant between-group differences were found in mother-infant bonding outcomes. The impaired-bonding difference was borderline but not statistically significant. Risk for postpartum depression and early postpartum anxiety symptoms was low and comparable between groups. After adjustment for potential confounders, anesthesia mode was not independently associated with impaired mother-infant bonding. Conclusion In this cohort, anesthesia mode for cesarean delivery was not independently associated with impaired early mother-infant bonding. Risk for postpartum depression and early anxiety symptoms did not differ significantly between groups.
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- Authors
- Azbarga, A., Wainstock, T., Binyamin, Y., Sheiner, E., Reuveni, I., & Pariente, G.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Tel Aviv University (IL)
- Corresponding author
- Binyamin, Yair
- Venue
- International Journal of Obstetric Anesthesia
- Publisher
- Elsevier BV
- Published
- 2026-11
- Volume
- 68
- Pages
- 105224
- ISSN
- 0959-289X (ISSN-L)
- OpenAlex
- W7165782614
- Cited by
- 1
- References
- 26
- Citations by year
- 2026: 1
- FWCI
- 9.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- International Journal of Obstetric Anesthesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- cesarean section, mother-infant bonding, postpartum depression, postpartum anxiety, general anesthesia, neuraxial anesthesia, early postpartum period
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