Effect of Initiation of Breast-Feeding on Maternal-Newborn Attachment: A Cross-Sectional Study

Year : 2023 | Volume :01 | Issue : 02 | Page : 1-9

    Preety Alagh

  1. T. Jiwan

  2. M.Mohi

  1. Professor, Gian Sagar College of Nursing, Punjab, India
  2. Principal, DMC College of nursing, Punjab, India
  3. HOD, Gian Sagar Medical College and Hospital, Punjab, India


Introduction: Breastfeeding is the best approach for meeting an infant’s psychological and physiological needs. The importance of breastfeeding is best understood in light of the fact that early breastfeeding initiation and skin-to-skin contact soon after birth are essential for a newborn’s survival. The connection between a mother and her infant plays a vital role in a child’s growth and maturation. Hence, a research investigation was carried out to analyze how the act of beginning breastfeeding impacts the attachment between mothers and their newborns. Methods: The study employed a cross-sectional format to evaluate the correlation between the commencement of breastfeeding and the attachment between mothers and their newborns after childbirth. Total of 90 postnatal mothers were selected by convenience sampling technique. Postnatal mothers were contacted on 3rd day of delivery to ask about socio-demographic information and the time for initiation of breast feeding. After 6 weeks of delivery telephonic information was collected regarding maternal new-born attachment by standardized maternal postnatal attachment scale. Results: Maximum (62.2%) postnatal mothers initiated breastfeeding within 1-4 hours followed by >8 hours (14.4%), 5-8 hours (13.3%) and within 1hour (10%) respectively. Majority (96.7%) of postnatal mothers had very good level of maternal postnatal attachment with newborn. There was no significant effect of breastfeeding initiation time on maternal newborn attachment among postnatal mothers. Conclusion: There was no significant association found between initiation time of breastfeeding and maternal newborn attachment though the mean difference suggest the effect of initiation of breastfeeding on maternal newborn attachment postnatal mothers.

Keywords: Initiation time, breastfeeding, maternal newborn attachment, postnatal mothers

[This article belongs to International Journal of Midwifery Nursing And Practices(ijmnp)]

How to cite this article: Preety Alagh, T. Jiwan, M.Mohi , Effect of Initiation of Breast-Feeding on Maternal-Newborn Attachment: A Cross-Sectional Study ijmnp 2023; 01:1-9
How to cite this URL: Preety Alagh, T. Jiwan, M.Mohi , Effect of Initiation of Breast-Feeding on Maternal-Newborn Attachment: A Cross-Sectional Study ijmnp 2023 {cited 2023 Sep 13};01:1-9. Available from: https://journals.stmjournals.com/ijmnp/article=2023/view=117793


  1. Somane S, Magdum, JJ. Descriptive study to assess the Knowledge and Attitude of Third Trimester Antenatal Mothers regarding Colostrum Feeding. Asian J. Nur. Edu. and Research. 2016: 6(3): 292–300p.
  2. World Health Organization. Counselling for maternal and newborn health care: a handbook for building skills. Geneva; World Health Organization: 2013.
  3. Kim, SH. Factors associated with Maternal Attachment of Breastfeeding Mothers. Child Health Nurs Res. 2019: 25(1); 65–73.
  4. Raju, TNK. Breastfeeding is a dynamic biological process–not simply a meal at the breast. Breastfeed Med. 2011; 6(5) 257–59p.
  5. Mitra K. Breastfeeding: The Best Possible Start in Life: Breast milk is rich in vitamins, minerals, and other nutrients that help in the healthy growth of a child. unicef (India). 2022 Aug 2 [cited 2023 Mar 13]; Available from: https://www.unicef.org/india/stories/breastfeeding-best-possible-start-life
  6. World Health Organization. Breastfeeding. Newsroom (Geneva).20 Feb 2018 [cited 2019 Feb 26]; Available from: https://www.who.int/news-room/facts-in-pictures/detail/breastfeeding
  7. World health organization. Infant and young child feeding. Newsroom (Geneva). 9 June 2021 [cited 2022 Aug 4]; Available from; https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
  8. Cetisli1 NE, Arkan G,  Top ED. Maternal attachment and breastfeeding behaviors according to type of delivery in the immediate postpartum period. Rev. Assoc. Med. Bras. 2018; 64(2):164–9p.
  9. Himani, Kaur B, Kumar P. Effect of initiation of breast-feeding within one hour of the delivery on maternal- infant bonding. Nurs midwifery res. j. 2011; 7(3):99–109p.
  10. Linde K, Lehnig F, Nagl M, Kersting A. The association between breastfeeding and attachment: A systematic review. Midwifery. 2020; 81 (6): 11–30p.
  11. Kutty RB, Benjamin EE, Thomas E, Sebastian T. Effectiveness of early initiation of breastfeeding on maternal satisfaction with breast feeding among women who have undergone caesarean section and the breastfeeding behaviour of their newborns. Indian J Cont Nsg Edn. 2020; 21 (1):38–43p.
  12. Abuhammad S, Johnson T. Breastfeeding and maternal attachment during infancy period among Jordanian mothers: A cross-sectional study. Ann Med Surg (Lond).2021; 66 (10):1–5p.
  13. Badaya N, Jain S, Kumar N. Time of initiation of breastfeeding in various modes of delivery and to observe the effect of low birth weight and period of gestation on initiation of breastfeeding. Int J Contemp Pediatr. 2018; 5(4):1509–17p.
  14. Topan A, Demirel S, Alkan I, Ayyıldız Kuzlu T, Doğru S. Evaluatıon of Newborn Mothers’ Status of Bondıng to the Baby, Experıencıng Depressıon, and Assocıated Factors. BTDMJB. 2019; 15(2): 160–9p.
  15. Britton JR, Britton HL, Gronwaldt V (2006) Breastfeeding, sensitivity, and attachment. Pediatr. 2006; 118 (5):1436–43p.
  16. Alan H. Social security in postpartum life influence of mother on baby Selçuk University Institute of Health Sciences. The PhD Thesis.2011.
  17. Lai YL, Hung CH, Stocker J, Chan TF, Liu Y. Postpartum fatigue, baby-care activities, and maternal-infant attachment of vaginal and cesarean births following rooming-in. Appl Nurs Res. 2015; 28(2):116–20p.
  18. Carlander AK, Edman G, Christensson K, Andolf E, Wiklund I. Contact between mother, child and partner and attitudes towards breastfeeding in relation to mode of delivery. Sex Reprod Healthc. 2010; 1(1):27–34p.
  19. Bieleninik L, Lutkiewicz K, Cieślak M, Preis-Orlikowska J, Bidzan M. Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant’s Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study. Int. J. Environ. Res. Public Health. 2021; 18(16): 1–20p.

Regular Issue Subscription Original Research
Volume 01
Issue 02
Received September 6, 2023
Accepted September 10, 2023
Published September 13, 2023