Evidence map›Paper›PMID 42162409›Full record

ArticleMaternal and child health journal2026

The Importance of Motherhood for Early Maternal Bonding and Engagement.

Karina M Shreffler, Kayleigh Esparza, Tara Wyatt

Abstract read
In one paragraph

Article in Maternal and child health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Karina M ShrefflerFran and Earl Ziegler College of Nursing, University of Oklahoma Health Campus, 1100 N. Stonewall Ave., Oklahoma City, OK, 73117, USA. karina-shreffler@ou.edu.ORCID http://orcid.org/0000-0003-0475-5817
Kayleigh EsparzaLaureate Institute for Brain Research, Tulsa, OK, USA.
Tara WyattDepartment of Human Development and Family Science, Oklahoma State University, Stillwater, OK, USA.

Funding

The Impact of Maternal Adversity and Attachment Security on Infant Stress Reactivity: Prenatal Epigenetic PathwaysP20GM109097 · NIGMS · OSU CENTER FOR HEALTH SCIENCES · PI Jason A. Avery · 2016 to 2026
$22.8M
National Institute of Child Health and Human Development U54HD113173NIGMS NIH HHS P20GM109097
6 · The paper itself

Abstract

introductionMaternal perceptions about the importance of motherhood have been found to impact a variety of maternal well-being outcomes, but the impact of the importance of motherhood for the early maternal bonding relationship and on caregiving behaviors has not been explored. Examining attitudinal factors associated with maternal-infant bonding or early caregiving behaviors is essential for the development of effective interventions.

methodsUsing a clinic-based, urban sample of predominately low-income and diverse pregnant women (N = 177), we used hierarchical linear regression analysis to examine whether perceptions of the importance of motherhood measured during the first trimester predicted maternal-fetal bonding measured during the second trimester, caregiving engagement at two months postpartum, and postpartum bonding measured at six months postpartum, controlling for sociodemographic characteristics and prior outcomes.

resultsPerceived importance of motherhood was positively and significantly associated with higher maternal-fetal bonding (b = 1.28, p < .01), greater daily infant engagement (b = 0.57, p < .05), and higher postpartum bonding (b = 0.94, p < .01). Adjusting for prior outcomes to model temporal pathways revealed that the impact of perceived importance of motherhood for early engagement was fully attenuated by maternal-fetal bonding but remained a significant predictor of postpartum bonding. DISCUSSION: Perceiving motherhood as important promotes early maternal bonding and caregiving behaviors, which are critical for early infant development. Preconception or parenting education programs that strive to promote the importance of motherhood through mindfulness or maternal reflective functioning interventions should be considered.

Indexed as

Maternal BehaviorMaternal-Fetal RelationsMother-Child RelationsMothersObject AttachmentPerceptionAdultFemaleHumansInfantPostpartum PeriodPregnancyBondingImportance of motherhoodMaternalPostpartumPregnancy

Identifiers

PMID42162409
PMCPMC13275616

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.