Journal article
Labour and delivery characteristics, maternal birth satisfaction and early relational health among COVID-19 pandemic-born children
Journal of reproductive and infant psychology, p1
03 Mar 2026
PMID: 41777123
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Abstract
Medical events during birth and self-reported birth experience may influence early relational health (ERH) in the postpartum period. Limited longitudinal work has been conducted in this area, particularly among women who gave birth during the COVID-19 pandemic. The goal of this study was to assess labour and delivery characteristics and maternal birth satisfaction as predictors of ERH domains of mother-reported bonding and observed emotional connection in the first year of life among women who gave birth during the COVID-19 pandemic.
Participants included mothers (= 384) with and without SARS-CoV-2 infection during pregnancy who gave birth at three U.S.-based academic medical centres who were enrolled in the Epidemiology of Severe Acute Respiratory Syndrome Coronavirus-2 in Pregnancy and Infancy COVID-19 Mother Baby Outcomes (ESPI COMBO) Study. Labour and delivery information was abstracted from medical records. Mothers completed surveys assessing birth satisfaction (2 months) and bonding (4 months postpartum). A remote (Zoom) video visit was conducted at 4-6 months postpartum and observed mother-infant emotional connection was coded using the Welch Emotional Connection Screen. We evaluated study aims using structural equation models.
Maternal and infant medical risks (e.g. maternal complications, unplanned caesarean deliveries, care escalation) were associated with lower maternal birth satisfaction, which in turn predicted lower mother-reported bonding and observed emotional connection in infancy.
Results provide insight into perinatal determinants of early relational health among infants born during the COVID-19 pandemic and inform transdisciplinary clinical care approaches to support families and children in the transition to motherhood.
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Details
- Title
- Labour and delivery characteristics, maternal birth satisfaction and early relational health among COVID-19 pandemic-born children
- Creators
- Jennifer M Warmingham - Columbia University Irving Medical CenterAndréane Lavallée - Columbia University Irving Medical CenterMarissa Lanoff - Columbia University Irving Medical CenterJenna Russo - Mississippi State UniversityGinger Atwood - Columbia University Irving Medical CenterJill Owen - Columbia University Irving Medical CenterCharlee Manigat - Columbia University Irving Medical CenterCristina R Fernández - Columbia University Irving Medical CenterPaul Curtin - Icahn School of Medicine at Mount SinaiJudy Austin - Columbia University Irving Medical CenterAshley N Battarbee - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USAAnn Bruno - Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT, USAFatimah S Dawood - COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USASharon Ettinger - Drexel University, Psychological and Brain Sciences (Psychology)Kimberley Gani - Columbia University Irving Medical CenterCynthia Gyamfi-Bannerman - University of California San DiegoMaha Hussain - Columbia University Irving Medical CenterMargaret Kyle - Columbia University Irving Medical CenterSeonjoo Lee - Columbia UniversityPanagiotis Maniatis - COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USARachel Marsh - Columbia UniversityTyler Morrill - Schulman, Ronca & BucuvalasMirella Mourad - NewYork–Presbyterian HospitalGabriella Newes-Adeyi - Schulman, Ronca & BucuvalasLawrence Reichle - Schulman, Ronca & BucuvalasVera Semenova - COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USAWendy Silver - NewYork–Presbyterian HospitalAlan T Tita - University of Alabama at BirminghamMichael Varner - Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT, USAKristina Wielgosz - COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USAMelissa S Stockwell - NewYork–Presbyterian HospitalCatherine Monk - University of South DakotaDani Dumitriu - NewYork–Presbyterian Hospital
- Publication Details
- Journal of reproductive and infant psychology, p1
- Publisher
- ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
- Number of pages
- 17
- Grant note
- L40 HD113067 / NICHD NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology)
- Web of Science ID
- WOS:001706866800001
- Scopus ID
- 2-s2.0-105032480865
- Other Identifier
- 991022170456304721