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首页> 外文期刊>Infancy >The Mother-Infant Feeding Relationship Across the First Year and the Development of Feeding Difficulties in Low-Risk Premature Infants
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The Mother-Infant Feeding Relationship Across the First Year and the Development of Feeding Difficulties in Low-Risk Premature Infants

机译：早年母婴喂养关系及低危早产儿喂养困难的发展

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摘要

Although feeding problems are common during infancy and are typically accompanied by relational difficulties, little research observed the mother-infant feeding relationship across the first year as an antecedent to the development of feeding difficulties. We followed 76 low-risk premature infants and their mothers from the transition to oral feeding in the neonatal period to the end of the first year. Prior to hospital discharge, microlevel patterns of maternal touch and gaze were coded during feeding and nonfeeding interactions, global patterns of maternal adaptation were assessed, and infants' neurobehavioral status was tested. Psychomotor development was evaluated at 4 months. At 1 year, feeding difficulties were determined on the basis of maternal interview and direct observations of feeding interactions. Mothers of infants who exhibited feeding difficulties at 1 year showed less affectionate touch and gaze during nonfeeding interactions and more gaze aversion and lower adaptability during feeding interactions already in the neonatal period. Infants with feeding difficulties demonstrated poorer psychomotor performance at 4 months. Feeding interactions of infants with feeding difficulties at 1 year were characterized by higher maternal intrusiveness, lower infant involvement, and greater infant withdrawal. Less maternal affectionate touch and lower maternal adaptation in the neonatal period, poor infant psychomotor skills, and higher maternal intrusiveness and lower infant involvement at 1 year predicted feeding difficulties. The findings underscore the role of the relational components across the first year in the development of feeding difficulties.
机译：尽管婴儿期的喂养问题很普遍，并且通常伴随着关系困难，但是很少有研究发现第一年的母婴喂养关系是喂养困难发展的前因。我们追踪了76例低危早产儿及其母亲，从新生儿期过渡到口服喂养直至第一年末。出院前，在喂养和非喂养相互作用期间对母亲接触和凝视的微观模式进行编码，评估整体母亲适应性模式，并测试婴儿的神经行为状态。在4个月时评估精神运动发育。在1岁时，根据母体访谈和对喂养相互作用的直接观察确定了喂养困难。 1岁时出现喂养困难的婴儿的母亲，在新生儿时期，在非喂养互动中表现出较少的亲密接触和凝视，而在喂养互动中表现出更大的凝视厌恶感和较低的适应性。喂养困难的婴儿在4个月时表现出较弱的精神运动表现。 1岁喂养困难的婴儿的喂养互动以母体侵入性较高，婴儿参与度较低和婴儿退缩较大为特征。在新生儿期，母亲的情感接触较少，母亲的适应性较低，婴儿的心理运动能力较差，而母亲的侵入性较高且在1年时婴儿的参与度较低，则预示了喂养困难。这些发现强调了第一年中关系因素在喂养困难发展中的作用。

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  • 来源
    《Infancy》 |2009年第5期|501-525|共25页
  • 作者

    Dalia Silberstein; Ruth Feldman; Judith M. Gardner; Bernard Z. Karmel; Jacob Kuint; Ronny Geva;

  • 作者单位

    The Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar Ilan University,;

    Department of Psychology and The Leslie and Susan Gonda (Goldschmied), Multidisciplinary Brain Research Center, Bar Ilan University,;

    New York State Institute for Basic Research,;

    New York State Institute for Basic Research,;

    Department of Neonatology, Sheba Medical Center, Tel Hashomer|Sackler School of Medicine, and Tel Aviv University,;

    Department of Psychology and The Leslie and Susan Gonda (Goldschmied), Multidisciplinary Brain Research Center, Bar Ilan University,;

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