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首页> 外文期刊>Birth >Early contact versus separation: effects on mother-infant interaction one year later.
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Early contact versus separation: effects on mother-infant interaction one year later.

机译：早期接触与分离：一年后对母婴互动的影响。

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BACKGROUND: A tradition of separation of the mother and baby after birth still persists in many parts of the world, including some parts of Russia, and often is combined with swaddling of the baby. The aim of this study was to evaluate and compare possible long-term effects on mother-infant interaction of practices used in the delivery and maternity wards, including practices relating to mother-infant closeness versus separation. METHODS: A total of 176 mother-infant pairs were randomized into four experimental groups: Group I infants were placed skin-to-skin with their mothers after birth, and had rooming-in while in the maternity ward. Group II infants were dressed and placed in their mothers' arms after birth, and roomed-in with their mothers in the maternity ward. Group III infants were kept in the nursery both after birth and while their mothers were in the maternity ward. Group IV infants were kept in the nursery after birth, but roomed-in with their mothers in the maternity ward. Equal numbers of infants were either swaddled or dressed in baby clothes. Episodes of early suckling in the delivery ward were noted. The mother-infant interaction was videotaped according to the Parent-Child Early Relational Assessment (PCERA) 1 year after birth. RESULTS: The practice of skin-to-skin contact, early suckling, or both during the first 2 hours after birth when compared with separation between the mothers and their infants positively affected the PCERA variables maternal sensitivity, infant's self-regulation, and dyadic mutuality and reciprocity at 1 year after birth. The negative effect of a 2-hour separation after birth was not compensated for by the practice of rooming-in. These findings support the presence of a period after birth (the early "sensitive period") during which close contact between mother and infant may induce long-term positive effect on mother-infant interaction. In addition, swaddling of the infant was found to decrease the mother's responsiveness to the infant, her ability for positive affective involvement with the infant, and the mutuality and reciprocity in the dyad. CONCLUSIONS: Skin-to-skin contact, for 25 to 120 minutes after birth, early suckling, or both positively influenced mother-infant interaction 1 year later when compared with routines involving separation of mother and infant.
机译：背景：世界上许多地方，包括俄罗斯的某些地区，仍然存​​在母子分开的传统，而且常常与婴儿sw行相结合。这项研究的目的是评估和比较分娩和产科病房中使用的做法对母婴互动可能产生的长期影响，包括与母婴亲密关系与分居有关的实践。方法：将总共176对母婴随机分为四个实验组：第一组婴儿在出生后与母亲进行皮肤对接，并在产房中待产。第二组婴儿在出生后要穿好衣服并放在母亲的怀抱中，并与母亲一起在产房中待命。第三组婴儿出生后和母亲在产房时都被关在托儿所。第四组婴儿出生后被关在托儿所中，但与母亲一起在产科病房中居住。相等数量的婴儿被包裹或穿着婴儿衣服。记录了在产房早期哺乳的情况。出生后1年根据母子早期关系评估（PCERA）对母婴互动进行了录像。结果：与母婴分离相比，出生后前两个小时的皮肤接触，早期哺乳或两者兼有的做法对PCERA变量母体敏感性，婴儿的自我调节和二元相互关系有积极影响和出生后1年的互惠。分娩的习惯并不能弥补出生后2小时分离的负面影响。这些发现支持出生后一段时期（早期的“敏感时期”）的存在，在这段时期内，母婴之间的密切接触可能对母婴互动产生长期的积极影响。此外，发现婴儿sw脚会降低母亲对婴儿的反应能力，母亲对婴儿的积极情感参与能力以及双胞胎的相互性和互惠性。结论：与母婴分离的常规方法相比，出生后25至120分钟，早期哺乳或两者均在一年后的皮肤与皮肤接触对母婴互动产生了积极影响。

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