Predictors of maternal attachment among breastfeeding mothers in Jordan.
Sawsan Abuhammad
PMID 33318819WHAT IT FOUND
Jordanian breastfeeding mothers showed no attachment difference between exclusive and mixed feeding at three months; education, help caring for the infant, marital status, infant gender and planned pregnancy were associated.
Key findings
01Exclusive breastfeeding and mixed feeding did not differ significantly in maternal attachment at three months.
02The regression model accounted for 45% of the variation in maternal attachment scores.
03Education, help caring for the infant, marital status, infant gender and planned pregnancy were significant predictors of maternal attachment.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional and correlational, so it shows associations at one time point but cannot show that any factor caused stronger or weaker attachment. It included only Jordanian mothers who were breastfeeding and attending three postpartum care centres in Irbid, so it may not apply to non-breastfeeding mothers, fathers, other countries or mothers who did not attend these centres. It did not compare breastfeeding mothers with non-breastfeeding mothers, so it cannot address whether breastfeeding itself is associated with attachment compared with no breastfeeding. Attachment was measured by self-report on a questionnaire, not by observation. Some reported numbers were inconsistent, including sample counts and the signs of education and assistance coefficients between the text and Table 2, so the direction of those findings is unclear.
Declared interests
The authors state no funding or conflict of interest to disclose, but the article also names Jordan University of Science and Technology as the funder.
The easy way to misread this
Do not conclude that breastfeeding causes stronger maternal attachment. The study only compared exclusive with mixed breastfeeding among mothers who were already breastfeeding, found no significant difference in attachment, and did not compare breastfeeding with non-breastfeeding mothers.