Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2024

Open Access 01-12-2024 | Premature Birth | Research

The experience of bearing a child: implications on body boundaries and their link to preterm birth

Authors: Nina Spaegele, Julia Ditzer, Mariana Rodrigues, Anat Talmon

Published in: BMC Pregnancy and Childbirth | Issue 1/2024

Login to get access

Abstract

Background

Preterm birth, which occurs when a baby is born before 37 weeks, has enormous implications for public health. It is the leading cause of infant death and mortality in children under the age of five. Unfortunately, the multifaceted causes of preterm birth are not fully understood. One construct that has received increasing attention in women’s transition to motherhood is body boundaries, i.e., the metaphorical barriers that separate the self from the outer, surrounding “not self.” This study aims to examine the role of well-defined and disturbed body boundaries in predicting preterm birth.

Methods

A sample of 655 Israeli pregnant women reported their sense of body boundaries (BBS, as measured by the Sense of Body Boundaries Survey) pre- and postnatally. We performed a General Linear Model (GLM) testing the effect of the BBS total score on the days women delivered before their due date and controlling for whether it was the women’s first child.

Results

Our GLMs controlling for whether it was the women’s first child showed that the BBS total mean exhibited a significant predictive effect on the number of days delivered before the due date (F(57,313) = 3.65, p < .001).

Conclusions

These results demonstrate heterogeneity in women’s sense of body boundaries during pregnancy and are the first to disentangle a link between disturbed body boundaries and preterm birth. Mediating mechanisms in this relation, e.g., psychosocial stress, as well as clinical implications are discussed in detail.
Literature
1.
go back to reference Schetter CD, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.CrossRef Schetter CD, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.CrossRef
2.
go back to reference Glynn L, Schetter C, Hobel C, Sandman C. Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. Health Psychol. 2008;27(1):43–51.CrossRefPubMed Glynn L, Schetter C, Hobel C, Sandman C. Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. Health Psychol. 2008;27(1):43–51.CrossRefPubMed
3.
go back to reference Kochan-Wójcik M. Experiencing one’s own corporeity vs. the level of differentiation of self. J Appl Psychol. 2011;9(2):71–88. Kochan-Wójcik M. Experiencing one’s own corporeity vs. the level of differentiation of self. J Appl Psychol. 2011;9(2):71–88.
4.
go back to reference Obada OS. Body ego and trauma as correlates of comfort in the physical proximity of others. Pol Psychol Bull. 2014;45(1):92–100.CrossRef Obada OS. Body ego and trauma as correlates of comfort in the physical proximity of others. Pol Psychol Bull. 2014;45(1):92–100.CrossRef
5.
go back to reference Anzieu D, Turner CT. The skin ego. New Haven, CT: Yale University Press; 1989. Anzieu D, Turner CT. The skin ego. New Haven, CT: Yale University Press; 1989.
6.
go back to reference James W. Psychology: the briefier course. Toronto, Canada: General Publishing Company; 2001. James W. Psychology: the briefier course. Toronto, Canada: General Publishing Company; 2001.
7.
go back to reference Talmon A, Shaham Salomon N, Ginzburg K. Differentiation of the self and the body and adjustment to motherhood – a latent class analysis. J Affect Disord. 2020;276:287–96.CrossRefPubMed Talmon A, Shaham Salomon N, Ginzburg K. Differentiation of the self and the body and adjustment to motherhood – a latent class analysis. J Affect Disord. 2020;276:287–96.CrossRefPubMed
8.
go back to reference Streeck-Fischer A, van der Kolk BA. Down will come baby, cradle and all: diagnostic and therapeutic implications of chronic trauma on child development. Aust N Z J Psychiatry. 2000;34(6):903–18.CrossRefPubMed Streeck-Fischer A, van der Kolk BA. Down will come baby, cradle and all: diagnostic and therapeutic implications of chronic trauma on child development. Aust N Z J Psychiatry. 2000;34(6):903–18.CrossRefPubMed
9.
go back to reference Schmidt NB, Lerew DR, Trakowski JH. Body vigilance in panic disorder: evaluating attention to bodily perturbations. J Consult Clin Psychol. 1997;65(2):214–20.CrossRefPubMed Schmidt NB, Lerew DR, Trakowski JH. Body vigilance in panic disorder: evaluating attention to bodily perturbations. J Consult Clin Psychol. 1997;65(2):214–20.CrossRefPubMed
10.
go back to reference Dambrun M. When the dissolution of perceived body boundaries elicits happiness: the effect of selflessness induced by a body scan meditation. Conscious Cogn. 2016;46:89–98.CrossRefPubMed Dambrun M. When the dissolution of perceived body boundaries elicits happiness: the effect of selflessness induced by a body scan meditation. Conscious Cogn. 2016;46:89–98.CrossRefPubMed
11.
go back to reference Talmon A, Ginzburg K. Who does this body belong to? The development and psychometric evaluation of the body experience during pregnancy scale. Body Image. 2018;26:19–28.CrossRefPubMed Talmon A, Ginzburg K. Who does this body belong to? The development and psychometric evaluation of the body experience during pregnancy scale. Body Image. 2018;26:19–28.CrossRefPubMed
12.
go back to reference Talmon A, Ginzburg K. Chased by the past: the relation between Childhood Maltreatment and Fear of Childbirth. Sex Roles. 2019;81(3):223–34.CrossRef Talmon A, Ginzburg K. Chased by the past: the relation between Childhood Maltreatment and Fear of Childbirth. Sex Roles. 2019;81(3):223–34.CrossRef
13.
go back to reference Rubin LR, Steinberg JR. Self-objectification and pregnancy: are body functionality dimensions protective? Sex Roles. 2011;65(7–8):606–18.CrossRef Rubin LR, Steinberg JR. Self-objectification and pregnancy: are body functionality dimensions protective? Sex Roles. 2011;65(7–8):606–18.CrossRef
14.
go back to reference Showers CJ, Ryff CD. Self-differentiation and well-being in a life transition. Pers Soc Psychol Bull. 1996;22(5):448–60.CrossRef Showers CJ, Ryff CD. Self-differentiation and well-being in a life transition. Pers Soc Psychol Bull. 1996;22(5):448–60.CrossRef
15.
go back to reference Bailey L. GENDER SHOWS: first-time mothers and embodied selves. Gend Soc. 2001;15(1):110–29.CrossRef Bailey L. GENDER SHOWS: first-time mothers and embodied selves. Gend Soc. 2001;15(1):110–29.CrossRef
16.
go back to reference Slade PD. Awareness of body dimensions during pregnancy: an analogue study. Psychol Med. 1977;7(2):245–52.CrossRefPubMed Slade PD. Awareness of body dimensions during pregnancy: an analogue study. Psychol Med. 1977;7(2):245–52.CrossRefPubMed
17.
go back to reference Watson B, Fuller-Tyszkiewicz M, Broadbent J, Skouteris H. The meaning of body image experiences during the perinatal period: a systematic review of the qualitative literature. Body Image. 2015;14:102–13.CrossRefPubMed Watson B, Fuller-Tyszkiewicz M, Broadbent J, Skouteris H. The meaning of body image experiences during the perinatal period: a systematic review of the qualitative literature. Body Image. 2015;14:102–13.CrossRefPubMed
18.
go back to reference Hodgkinson EL, Smith DM, Wittkowski A. Women’s experiences of their pregnancy and postpartum body image: a systematic review and meta-synthesis. BMC Pregnancy Childbirth. 2014;14:330.CrossRefPubMedPubMedCentral Hodgkinson EL, Smith DM, Wittkowski A. Women’s experiences of their pregnancy and postpartum body image: a systematic review and meta-synthesis. BMC Pregnancy Childbirth. 2014;14:330.CrossRefPubMedPubMedCentral
19.
go back to reference Warren S, Brewis J. Matter over mind? Examining the experience of pregnancy. Sociology. 2004;38(2):219–36.CrossRef Warren S, Brewis J. Matter over mind? Examining the experience of pregnancy. Sociology. 2004;38(2):219–36.CrossRef
20.
go back to reference Johnson S, Burrows A, Williamson I. ‘Does my bump look big in this?’ The meaning of Bodily Changes for First-time mothers-to-be. J Health Psychol. 2004;9(3). Johnson S, Burrows A, Williamson I. ‘Does my bump look big in this?’ The meaning of Bodily Changes for First-time mothers-to-be. J Health Psychol. 2004;9(3).
21.
go back to reference Schmied V, Lupton D. Blurring the boundaries: breastfeeding and maternal subjectivity. Sociol Health Illn. 2001;23(2):234–50.CrossRef Schmied V, Lupton D. Blurring the boundaries: breastfeeding and maternal subjectivity. Sociol Health Illn. 2001;23(2):234–50.CrossRef
22.
go back to reference Draper D. Blurring, moving and broken boundaries: men’s encounters with the pregnant body. Sociol Health Illn. 2003;25:743–67.CrossRefPubMed Draper D. Blurring, moving and broken boundaries: men’s encounters with the pregnant body. Sociol Health Illn. 2003;25:743–67.CrossRefPubMed
23.
go back to reference Misra D, Strobino D, Trabert B. Effects of social and psychosocial factors on risk of preterm birth in black women. Paediatr Perinat Epidemiol. 2010;24(6):546–54.CrossRefPubMedPubMedCentral Misra D, Strobino D, Trabert B. Effects of social and psychosocial factors on risk of preterm birth in black women. Paediatr Perinat Epidemiol. 2010;24(6):546–54.CrossRefPubMedPubMedCentral
24.
go back to reference Dworkin SL, Wachs FL. Getting your body back: postindustrial fit motherhood in shape fit pregnancy magazine. Gend Soc. 2004;18(5):610–24.CrossRef Dworkin SL, Wachs FL. Getting your body back: postindustrial fit motherhood in shape fit pregnancy magazine. Gend Soc. 2004;18(5):610–24.CrossRef
25.
go back to reference Micali N, Larsen PS, Strandberg-Larsen K, Andersen AMN. Size at birth and preterm birth in women with lifetime eating disorders: a prospective population-based study. 123(8):1301–10. Micali N, Larsen PS, Strandberg-Larsen K, Andersen AMN. Size at birth and preterm birth in women with lifetime eating disorders: a prospective population-based study. 123(8):1301–10.
26.
go back to reference Downs DS, DiNallo JM, Kirner TL. Determinants of pregnancy and postpartum depression: prospective influences of depressive symptoms, body image satisfaction, and exercise behavior. Ann Behav Med. 36;1:54–63. Downs DS, DiNallo JM, Kirner TL. Determinants of pregnancy and postpartum depression: prospective influences of depressive symptoms, body image satisfaction, and exercise behavior. Ann Behav Med. 36;1:54–63.
27.
go back to reference Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.CrossRefPubMedPubMedCentral Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8.CrossRefPubMedPubMedCentral
28.
go back to reference Söderquist J, Wijma B, Thorbert G, Wijma K. Risk factors in pregnancy for post-traumatic stress and depression after Childbirth. BJOG Int J Obstet Gynaecol. 2009;116(5):672–80.CrossRef Söderquist J, Wijma B, Thorbert G, Wijma K. Risk factors in pregnancy for post-traumatic stress and depression after Childbirth. BJOG Int J Obstet Gynaecol. 2009;116(5):672–80.CrossRef
29.
go back to reference Li D, Liu L, Odouli R. Presence of depressive symptoms during early pregnancy and the risk of preterm delivery: a prospective cohort study†. Hum Reprod. 2009;24(1):146–53.CrossRefPubMed Li D, Liu L, Odouli R. Presence of depressive symptoms during early pregnancy and the risk of preterm delivery: a prospective cohort study†. Hum Reprod. 2009;24(1):146–53.CrossRefPubMed
30.
go back to reference Fransson E, Örtenstrand A, Hjelmstedt A. Antenatal depressive symptoms and Preterm Birth: a prospective study of a Swedish National Sample. Birth. 2011;38(1):10–6.CrossRefPubMed Fransson E, Örtenstrand A, Hjelmstedt A. Antenatal depressive symptoms and Preterm Birth: a prospective study of a Swedish National Sample. Birth. 2011;38(1):10–6.CrossRefPubMed
33.
go back to reference Mooney JT, Webb JB, Armstrong LM, Dahl AA. Caring for myself while I’m growing somebody else: mindful self-care buffers between pregnancy body disconnection and distress. Body Image. 2023;45:296–306.CrossRefPubMed Mooney JT, Webb JB, Armstrong LM, Dahl AA. Caring for myself while I’m growing somebody else: mindful self-care buffers between pregnancy body disconnection and distress. Body Image. 2023;45:296–306.CrossRefPubMed
34.
go back to reference Kramer MS, Lydon J, Séguin L, Goulet L, Kahn SR, McNamara H, et al. Stress pathways to spontaneous Preterm Birth: the role of stressors, psychological distress, and stress hormones. Am J Epidemiol. 2009;169(11):1319–26.CrossRefPubMed Kramer MS, Lydon J, Séguin L, Goulet L, Kahn SR, McNamara H, et al. Stress pathways to spontaneous Preterm Birth: the role of stressors, psychological distress, and stress hormones. Am J Epidemiol. 2009;169(11):1319–26.CrossRefPubMed
35.
go back to reference Rondó PHC, Ferreira RF, Nogueira F, Ribeiro MCN, Lobert H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57(2):266–72.CrossRefPubMed Rondó PHC, Ferreira RF, Nogueira F, Ribeiro MCN, Lobert H, Artes R. Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. Eur J Clin Nutr. 2003;57(2):266–72.CrossRefPubMed
36.
go back to reference Krzewska I, Dolińska-Zygmunt G. Sense of body boundaries survey: construction and psychometric values. Pol J Appl Psychol. 2013;11(3):93–110. Krzewska I, Dolińska-Zygmunt G. Sense of body boundaries survey: construction and psychometric values. Pol J Appl Psychol. 2013;11(3):93–110.
37.
go back to reference Behrman ER, Butler Stith A. Preterm Birth: causes, consequences, and Prevention. Natl Acad Press; 2007. Behrman ER, Butler Stith A. Preterm Birth: causes, consequences, and Prevention. Natl Acad Press; 2007.
38.
go back to reference Brubaker SJ, Wright C. Identity Transformation and Family Caregiving: narratives of African American Teen mothers. J Marriage Fam. 2006;68(5):1214–28.CrossRef Brubaker SJ, Wright C. Identity Transformation and Family Caregiving: narratives of African American Teen mothers. J Marriage Fam. 2006;68(5):1214–28.CrossRef
39.
go back to reference Stern DN, Bruschweiler-Stern N. The birth of a mother: how the motherhood experience changes you forever. Basic Books; 1998. Stern DN, Bruschweiler-Stern N. The birth of a mother: how the motherhood experience changes you forever. Basic Books; 1998.
40.
go back to reference Young IM. Throwing like a girl and other essays in Feminist Philosophy and Social Theory. Indiana University Press; 1990. p. 228. Young IM. Throwing like a girl and other essays in Feminist Philosophy and Social Theory. Indiana University Press; 1990. p. 228.
41.
go back to reference Stumpfögger N, Panagiotopoulou E. Blurred body boundaries of first-time mothers: an interpretative phenomenological analysis. Neuropsychoanalysis 2021 July 3;23(2):97–109. Stumpfögger N, Panagiotopoulou E. Blurred body boundaries of first-time mothers: an interpretative phenomenological analysis. Neuropsychoanalysis 2021 July 3;23(2):97–109.
42.
go back to reference Fischer S, Cleveland SE. Body image and personality. D. Van Nostrand Co. Inc.; 1958. p. 369. Fischer S, Cleveland SE. Body image and personality. D. Van Nostrand Co. Inc.; 1958. p. 369.
43.
go back to reference Young IM. Pregnant embodiment: subjectivity and alienation. J Med Philos Forum Bioeth Philos Med. 1984;9(1):45–62. Young IM. Pregnant embodiment: subjectivity and alienation. J Med Philos Forum Bioeth Philos Med. 1984;9(1):45–62.
Metadata
Title
The experience of bearing a child: implications on body boundaries and their link to preterm birth
Authors
Nina Spaegele
Julia Ditzer
Mariana Rodrigues
Anat Talmon
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Premature Birth
Published in
BMC Pregnancy and Childbirth / Issue 1/2024
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-023-06203-2

Other articles of this Issue 1/2024

BMC Pregnancy and Childbirth 1/2024 Go to the issue