Maternal postpartum behaviors and mother-infant relationship during the first year of life
Maternal postpartum behaviors and mother-infant relationship during the first year of life
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DOI：
10.1067/mpd.2001.113358
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发表时间：
2001-06-01
影响因子：
5.1
通讯作者：
Britton, JR
中科院分区：
文献类型：
--
作者：
Britton, HL;Gronwaldt, V;Britton, JR
目标：为了评估这一假设，产妇产后对新生儿的行为可以预测的质量的母婴关系在第一year.Design：前瞻性，非随机，纵向队列研究的174母婴dayads.Methods：产后育儿行为头皮（PPBS）制定了明确定义的测量观察到的产妇对婴儿的行为出生后不久。在出生后6个月时采用NCAST喂养评估量表评估母婴关系质量，在出生后12个月时采用NCAST教学量表和Ainsworth陌生情境评估母婴关系质量。PPBS评分与喂养量表评分（r =.27，P < .005）和教学量表评分（r =.23，P < .01）显著相关。在安斯沃思奇怪情境中，婴儿后来被归类为安全依恋的母亲的PPBS评分高于婴儿被归类为不安全依恋的母亲（平均值+/- SD：分别为5.18 +/- 1.51 vs 4.63 +/- 1.69，P <0.05）。在回归模型调整社会和人口因素，PPBS仍然是一个显着的预测喂养量表评分，教学量表评分，和安全的attachment.Conclusions：产妇的行为在产后期间可能有助于预测质量的母婴关系在随后的12个月，这表明潜在的早期识别次优养育。
Objective: To assess the hypothesis that maternal postpartum behaviors toward the newborn may predict the quality of the maternal-infant relationship during the first year.Design: Prospective, non-randomized, longitudinal cohort study of 174 maternal-infant dyads.Methods: A Postpartum Parenting Behavior Scalp (PPBS) was formulated to measure clearly defined observed maternal behaviors toward the infant shortly after birth. The quality of the maternal-infant relationship was assessed at 6 months after birth with the Nursing Child Assessment Satellite Training (NCAST) Feeding Scale and at 12 months after birth with the NCAST Teaching Scale and Ainsworth Strange Situation.Results: The PPBS score correlated significantly with the Feeding Scale score (r =.27, P < .005) and with the Teaching Scale score (r =.23, P < .01). Mothers whose infants were later classified as securely attached in the Ainsworth Strange Situation had higher PPBS scores than mothers of infants classified as insecurely attached (mean +/- SD: 5.18 +/- 1.51 vs 4.63 +/- 1.69, respectively, P < .05). In regression models adjusting for social and demographic factors, the PPBS remained a significant predictor of the Feeding Scale score, the Teaching Scale score, and security of attachment.Conclusions: Maternal behaviors in the immediate postpartum period may aid in predicting quality of the maternal-infant relationship during the subsequent 12 months, suggesting the potential for early identification of suboptimal parenting.