RNRCTNursing & health sciences2025

The Effect of Newborn Massage Training on Maternal Attachment and Postpartum Depression: Randomized Controlled Trial.

Betül Uncu, Hicret Gök

PMID 40229170

WHAT IT FOUND

First-time mothers who received online newborn massage training during pregnancy reported stronger attachment and fewer depressive symptoms after birth than controls.

It was self-reported, short-term, and unblinded, so treat it as a supportive practice, not depression treatment.

Key findings

01At 6 and 10 weeks postpartum, the massage group had higher maternal attachment scores and lower Edinburgh depression scores than the control group.

02On the Maternal Attachment Inventory, the massage group scored 103.1 ± 1.1 at 6 weeks and 102.6 ± 2.1 at 10 weeks, while the control group scored 97.2 ± 4.5 and 98.7 ± 4.9.

03On the 0-30 Edinburgh Postpartum Depression Scale, where above 13 indicates risk, the massage group scored 0.4 ± 0.8 at 6 weeks and 0.85 ± 1.1 at 10 weeks, while the control group scored 5.5 ± 3.1 and 3.62 ± 2.8.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Results relied on mothers' self-reported questionnaires, not independent assessment. The massage group could not be blinded, so expectations may have affected reported attachment and mood. The sample was small and single-site, limited to first-time mothers in eastern Türkiye who had internet access and low-risk pregnancies. Follow-up was only to 10 weeks postpartum, so longer-term attachment and depression effects are unknown. Many possible risk factors for postpartum depression were not assessed. The intervention was a multi-component training package, so it is unclear whether massage itself caused the differences.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not read the lower depression scores as proof that newborn massage prevents postpartum depression. The trial was small, unblinded, relied on self-reported symptoms, and only followed low-risk first-time mothers for a short postpartum period. The intervention also included online training with a newborn model and baby oil, reminders, feedback, and synchronous monitoring, so the contribution of any single component cannot be separated.

Read it on PubMed →