背景：產後憂鬱症不但會影響產婦健康，對新生兒的健康與照護也會產生影響。而產後憂鬱及母嬰連結是影響產婦心理健康及嬰兒身心發展之重要因子。所謂母嬰連結(mother-infant bonding)是指母親與新生兒互動關係，包括親子互動、語言、肢體行為，以及眼神交往等。

目的：1.瞭解某醫院產婦之母嬰連結狀況；2.瞭解某醫院產婦之產後憂鬱狀況；3.瞭解影響產婦「母嬰連結」與「產後憂鬱」之相關因素；4.探討「母嬰連結」與「產後憂鬱」之相關性。

方法：本研究採橫斷式研究，以立意取樣針對某區域醫院婦產科門診及產後護理之家之產婦為研究對象。研究工具採結構式問卷，內容包括病人基本資料、愛丁堡產後憂鬱量表、產後連結量表等。

結果：本研究共252位研究對象，平均年齡33.5歲，標準差5.0，介於18至47歲。本研究對象有憂鬱傾向之盛行率約為43.7%。結果顯示，計畫懷孕者、懷孕期間無憂鬱狀況者及直接哺餵母乳之連結較佳。產婦及先生教育程度較低者、非計畫懷孕者、懷孕期間有憂鬱狀況者、及緊急剖腹之憂鬱程度較高。以產後憂鬱為依變項，以產後連結、懷孕時曾憂鬱、緊急剖腹及非大學以上學歷者為因子之模式預測力最高。可解釋產後憂鬱總變異量之43.1%(R²＝0.431)。

Background：Postpartum depression not only affects maternal health, but also affects the health and care of newborns. Postpartum depression and mother-infant connection are important factors affecting the mental health of mothers and the physical and mental development of babies. The mother-infant bonding refers to the interaction between mother and newborn, including parent-child interaction, language, physical behavior, and sight contacting.

Purpose：1. Understanding the mother-infant bonding of parturients. 2. Understanding the postpartum depression of parturients. 3. To investigate the impacting factors of mother-infant bonding and postpartum depression. 4. To investigate the correlation between mother-infant bonding and postpartum depression.

Methods：A cross-sectional study design was used for this study, the research participants were recruited from the outpatient from a region teaching hospital in the South. Research instruments included : Personal Attributes Scale, “Edinburgh Postnatal Depression Scale”, and “Postpartum Bonding Questionnaire”.

Results：A total of 252 subjects were collected in this study, with an average age of 33.5 years and a standard deviation of 5.0, and the ages ranged from 18 to 47 years. The prevalence rate of depression tendency among the subjects in this study was about 43.7%. The findings showed that factors affecting postpartum bonding included whether or not you planned to become pregnant, whether you were depressed during pregnancy, and how you breastfeeding. The postpartum connection of the planned pregnancy was better than that of the unplanned pregnancy, and the connection of the depressive state during pregnancy was higher than the abnormal state of the connection, and the connection of "direct breastfeeding" in the feeding method was better than that of "expressing breast milk". The factors that affect depression tendency include: maternal education level, husband's education level, planning to become pregnant, depression during pregnancy, and mode of delivery. Women and husbands with lower education levels have higher levels of depression, those with unplanned pregnancies have higher levels of depression than those with planned pregnancy, those with depression during pregnancy have higher levels of depression, and those with emergency caesarean sections have higher levels of depression than those with natural births high. With postpartum depression as a dependent variable, the model with postpartum connection, previous depression during pregnancy, emergency caesarean section, and non-college education as factors had the highest predictive power. It could explain 43.1% of the total variance of postpartum depression (R²=0.431).