Feeding Interactions in Infants with Very Low Birth Weight and Bronchopulmonary Dysplasia
Feeding Interactions in Infants with Very Low Birth Weight and Bronchopulmonary Dysplasia
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极低出生体重和支气管肺发育不良婴儿的喂养相互作用
DOI：
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发表时间：
1996
影响因子：
2.4
通讯作者：
J. Baley
中科院分区：
文献类型：
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作者：
L. Singer;M. Davillier;L. Preuss;L. Szekely;S. Hawkins;T. Yamashita;J. Baley
极低出生体重(VLBW)婴儿患喂养障碍的风险增加，这可能会影响生长和发育。141对母婴进行了比较，其中55例有极低出生体重儿和支气管肺发育不良(BPD)的高危婴儿，34例无BPD的极低出生体重儿，52例足月婴儿[手术定义的喂养行为测量和母亲抑郁和焦虑的自我报告]。患有和不患有BPD的极低出生体重儿的母亲在婴儿进行不喂养行为时，会花更多的时间促使婴儿喂奶。尽管母亲的努力增加了，但患有BPD的婴儿摄入的配方奶粉更少，吮吸的时间更少，不喂奶的时间比例更大。没有BPD的极低出生体重儿在吮吸时间和摄入配方奶粉的量方面与足月儿相同，并且比有BPD的婴儿更有可能摄入更高的卡路里。患有和不患有BPD的极低出生体重儿的母亲也比足月婴儿的母亲更有可能报告临床上明显的抑郁和焦虑症状。由于抑郁或焦虑程度较高的极低出生体重儿的母亲不太可能口头提示婴儿进食，因此在评估极低出生体重儿母婴之间的相互作用时，应考虑母亲的心理症状。
Infants with very low birth weight (VLBW) are at increased risk for feeding disorders that can affect growth and development. One hundred and forty one mother-infant pairs were compared [55 with infants with high medical risk due to infant VLBW and bronchopulmonary dysplasia (BPD), 34 VLBW without BPD, and 52 term infants] on operationally defined measures of feeding behaviors and maternal self-report of depression and anxiety. Mothers of VLBW infants with and without BPD spent more time prompting their infants to feed when their infants engaged in nonfeeding behavior. Despite increased maternal efforts, infants with BPD took in less formula, spent less time sucking, and spent a greater proportion of time nonfeeding. VLBW infants without BPD were equivalent to term infants in percentage of time sucking and in volume of formula ingested and were more likely to take in higher calories than infants with BPD. Mothers of VLBW infants with and without BPD were also more likely to report clinically significant symptoms of depression and anxiety than mothers of term infants. Because mothers of VLBW infants who were more depressed or anxious were less likely to verbally prompt their infants to eat, maternal psychological symptoms should be considered in assessing interactions of VLBW mother-infant dyads.