DOI: 10.4103/mgmj.mgmj_68_26 ISSN: 2347-7946

Impact of neonatal hospitalization on maternal–infant bonding and lactation outcomes among mothers in tertiary healthcare facilities in Nigeria

Eniye Favour Omoregie, Abieyuwa Eweka, Bukola Mabel Akinrinmola, Precious Evbaguehita Onaghise

Abstract

Background:

Maternal–infant bonding and early initiation of breastfeeding are crucial for neonatal survival, emotional well-being, and long-term positive health outcomes. However, admission of newborns to special care baby units (SCBUs) often leads to maternal–infant separation, which may adversely affect bonding and lactation, particularly in resource-constrained settings.

Objective:

To evaluate the effect of newborn hospitalization on maternal–infant bonding and lactation outcomes among mothers in Benin, Edo State, Nigeria.

Materials and Methods:

A descriptive cross-sectional study was conducted among 60 mothers whose newborns were admitted to the SCBU at the University of Benin Teaching Hospital, Benin, Edo State, Nigeria. A census sampling method was employed. Data were collected using a structured questionnaire with satisfactory reliability (Cronbach’s α = 0.78). The questionnaire assessed maternal bonding experiences, emotional responses, and lactation-related challenges through self-reported measures. Data analysis was performed using descriptive statistics and chi-square tests, with statistical significance set at P <0.05.

Results:

The majority of respondents (83.3%) indicated that neonatal hospitalization negatively influenced maternal–infant bonding and breastfeeding outcomes. Key contributing factors included restricted maternal access to the newborns (100%), incubator care (88.3%), and the severity of neonatal illness (63.3%). Additionally, 40.0% of mothers reported decreased milk production, mainly due to limited mother–infant interaction and insufficient breastfeeding stimulation. A statistically significant association was observed between newborn hospitalization and impaired bonding and lactation outcomes (χ 2 = 26.67, P < 0.05).

Conclusion:

Hospitalization of newborns was significantly associated with disrupted maternal–infant bonding and unfavorable breastfeeding outcomes. Interventions such as family-centered care, enhanced maternal access to hospitalized newborns, kangaroo mother care, and structured lactation support services are recommended to improve maternal and neonatal health outcomes.

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