Trajectories of Maternal Needs and their Impact on Mother Infant Interactions

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 产后出血、败血症和先兆子痫的发病率上升，1，2和报告的更多 心理健康问题，如产后焦虑或抑郁，比1990年代有所增加。6，10 产后发病率和死亡率，美国的母亲直到6岁才向提供者进行跟进 产后几周。12这次产后探视的时间已经由美国妇科学会 产科和妇科(ACOG)，越来越多的证据表明产后6周的访问可能是 13，14目前的研究不能描述从母亲到母亲之间的需求轨迹 产后6周出院进行常规随访。这样做的目的是 纵向混合法研究描述了60名健康母亲的需求，婴儿&>37周 在产后前6周内出生时怀孕，并探讨母亲的需求如何影响母婴 互动。异步数字日记数据收集将通过短信进行，并将允许母亲 在方便他们和他们的婴儿的时间提供数据。只有有限的参与者才能收集数据 产后1至6周的负担。此外，在6周时进行一次面对面采访，并在两次行为中 基线和6周的观察将允许研究人员使用短信数据来探索差距 收集和探索母亲需求对母婴互动的影响。使用这些技术，这 这项研究的目的是：1)描述产后6周内产妇需求和资源的轨迹 按种族/民族、平等地位和教育程度，以及2)探索早期母婴互动的特点 基于有或多或少需求的母亲。

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.