In some really complex fanfic plots, there could be a prophecy or some sort of ancient power play involved. Suppose there is a prophecy that Naruto will bring great destruction in the future, and Kushina is made aware of it through some dark magic or secret organization. She might think that betraying Naruto now is the only way to save the village and the world, even though it goes against her motherly instincts. This would be a very convoluted and interesting take on the idea of her betrayal.