Trajectories of Maternal Needs and their Impact on Mother Infant Interactions

母亲需求的轨迹及其对母婴互动的影响

• 批准号: 10462143
• 负责人: Bonnie Hepler
• 金额: $ 4.14万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-28 至 2024-09-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10462143
• 关键词: 37 weeks gestation; Abdominal colic; Address; Adverse event; Affect; American; Anxiety; Birth; Black race; Caring; Cessation of life; Characteristics; Child; Contraceptive methods; Data; Data Collection; Developed Countries; Developmental Delay Disorders; Discipline of obstetrics; Education; Emotional; Ethnic Origin; Family; Fatigue; Frequencies; Friends; Gynecology; Health Care Visit; Healthcare; Hemorrhage; Home; Hospitals; Incidence; Infant; Infant Health; Interview; Knowledge; Maternal Health; Maternal Mortality; Medical; Mental Depression; Mental Health; Methods; Moods; Mothers; Outcome; Participant; Pharmaceutical Preparations; Physiological; Policies; Policy Maker; Post-Traumatic Stress Disorders; Postpartum Depression; Postpartum Hemorrhage; Postpartum Period; Pre-Eclampsia; Provider; Race; Recovery; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Schedule; Self-Injurious Behavior; Sepsis; Sexuality; Sleep; Stress; Suicide; Techniques; Text Messaging; Time; United States; Visit; Woman; base; behavior observation; cognitive development; college; diaries; digital; experience; falls; feeding; follow-up; health care service utilization; mortality; parity; postpartum care; postpartum morbidity; programs; psychosocial; social

ABSTRACT Mothers experience many needs in the initial 6 weeks postpartum.1–9 Recently, mothers in the US are experiencing a rising incidence of postpartum hemorrhage, sepsis and preeclampsia,1,2 and reporting more mental health problems, such as postpartum anxiety or depression, than in 1990s.6,10 Despite increasing postpartum morbidity and mortality rates, mothers in the United States do not follow-up with a provider until 6 weeks postpartum.12 The timing of this postpartum visit has been debated by the American College of Obstetrics and Gynecology (ACOG) with increasing evidence that the 6 weeks postpartum visit may be insufficient.13,14 Current research falls short of describing the trajectory of needs between the time a mother is discharged from the hospital to the routine follow-up visit at 6 weeks postpartum. The purpose of this longitudinal mixed method study is to describe the needs of 60 mothers with healthy, infants >37 weeks gestation at birth during the first 6 weeks postpartum and to explore how maternal needs affect mother-infant interactions. Asynchronous digital diary data collection will occur through text messages and will allow mothers to provide data at a time convenient to them and their infants. Data can be collected with limited participant burden from 1 to 6 weeks postpartum. Additionally, one face-to-face interview at 6 weeks and 2 behavioral observations at baseline and 6-weeks will allow the researcher to explore gaps using text message data collection and explore the impact of maternal needs on mother-infant interactions. Using these techniques, this study aims to 1) Describe the trajectory of maternal needs and resources across the first 6 weeks postpartum by race/ethnicity, parity and education, and 2) Explore the characteristics of early mother-infant interactions based on mothers with more or fewer needs.

摘要 母亲在产后最初的6周内会经历许多需求。1 -9最近，美国的母亲们 产后出血、脓毒症和先兆子痫的发病率不断上升，1，2，报告更多 心理健康问题，如产后焦虑或抑郁症，比1990年代有所增加。 产后发病率和死亡率，在美国的母亲不跟进，直到6 产后访视的时间由美国医学会争论， 越来越多的证据表明，产后6周访视可能是 13，14目前的研究福尔斯未能描述从母亲出生到母亲去世之间的需求轨迹。 产后6周出院进行常规随访。这样做的目的 采用纵向混合法研究60名健康、37周以上婴儿的母亲的需求 产后前6周内分娩时的妊娠情况，并探讨母亲的需求如何影响母婴关系 交互.异步数字日记数据收集将通过短信进行， 在他们及其婴儿方便的时候提供数据。可以在有限的参与者中收集数据 产后1至6周的负担。此外，6周时进行一次面对面访谈， 基线和6周的观察将允许研究人员使用短信数据探索差距 收集和探讨母亲的需要对母婴互动的影响。利用这些技术， 研究的目的是：1）描述产后前6周产妇需求和资源的轨迹 按种族/民族、均等和教育程度分类，2）探索早期母婴互动的特征 基于有更多或更少需求的母亲。