Effect of Skin to Skin Contact Between the Biological Mother and Their Baby Who Born Via Surrogacy on Mother Infant Attachment Publisher



Disfani RM ; Mirlashari J ; Younespour S ; Tirandaz SY ; Begjani J
Source: Iranian Journal of Nursing and Midwifery Research Published:2025

Abstract

Background: The attachment between mother and infant, beginning from pregnancy and reaching a peak with skin-to-skin contact, has a considerable effect on infants’ growth and development. As stress and anxiety in contact with infants and unwillingness to embrace them have been reported in biological mothers in surrogacy, this study was conducted to assess the effect of skin-to-skin contact between the biological mother and their baby who born via surrogacy on mother-infant attachment. Materials and Methods: In this clinical trial, 50 biological mothers were randomly assigned to either intervention (with skin contact) or the control group. The data collection tools included a personal information questionnaire and Avant’s mother-infant attachment questionnaire. Results: The results indicated a significant difference between the intervention group, with skin-to-skin contact with the biological mother in surrogacy, and the control group (no skin-to-skin contact) in terms of the mean score of biological mothers’ attachment (p < 0.001). Conclusions: The results suggested that biological mother-infant skin-to-skin contact immediately after birth is effective in creating and increasing attachment and affecting mothers’ quality of infant care. As this does not routinely occur in hospitals, taking necessary measures and educating nurses and authorities in maternity and neonatal wards is crucial to improving the quality of care and creating the desired attachment between mothers and infants. © 2025 Elsevier B.V., All rights reserved.