UNASSIGNED:生命最初几年的母婴互动对儿童的情感和认知发展具有重大影响。在这项工作中,我们研究了畸形的产前诊断可能如何影响母体表征和这些早期相互作用的质量。为此,我们进行了一项从妊娠期至12月龄婴儿的母婴互动的纵向观察性研究.
UNASSIGNED:我们从当地一所大学医院招募了250名孕妇。其中,50个母婴二元体参与了研究的所有阶段。研究组由25名孕妇组成,胎儿有一些结构改变,对照组由25名孕妇组成,胎儿没有结构异常。我们收集了产科和社会人口统计学数据以及妊娠结局。使用COVI和Raskin量表收集焦虑和抑郁状态数据。我们视频记录了几个阶段的母婴互动,包括当孩子是一个新生儿,当孩子是2,4,6,9和12个月的年龄。使用编码交互行为(CIB)测量母婴交互的质量。视频中记录的互动时刻由三种不同的活动组成,每次持续3分钟,其中包括(1)自由互动,母亲被指示在没有任何玩具的情况下“照常”互动,(2)玩具互动,母亲和婴儿和小狗玩耍,(3)歌曲互动,母亲和婴儿互动,而母亲唱着“生日快乐”这首歌。
未经批准:在妊娠期,两组之间在焦虑和抑郁评分方面存在显着差异,在研究组中明显更高。在产后阶段,我们发现,在儿童完成6月龄后,两组之间在CIB量表方面存在显着差异:研究组在6月龄时母亲敏感性值明显更高,9个月和12个月大的婴儿参与,以及6个月、9个月和12个月大的二进互惠,而对照组在6个月大时表现出明显更高的婴儿戒断值,以及6个月和9个月大的二重阴性状态。
UNASSIGNED:该研究提供的支持有利于母婴联系,并对生命第一年的互动质量产生积极影响,尽管存在产前诊断。
UNASSIGNED: Mother-child interactions during the first years of life have a significant impact on the emotional and cognitive development of the child. In this work, we
study how a prenatal diagnosis of malformation may affect maternal representations and the quality of these early interactions. To this end, we conducted a longitudinal observational
study of mother-child interactions from the gestational stage until the baby completed 12 months of age.
UNASSIGNED: We recruited 250 pregnant women from a local university hospital. Among them, 50 mother-infant dyads participated in all stages of the
study. The
study group consisted of 25 pregnant women with fetuses with some structural alteration and the control group consisted of 25 pregnant women with fetuses without structural anomalies. We collected obstetric and socio demographic data and pregnancy outcomes. Anxiety and depressive state data were collected using the COVI and Raskin Scales. We video-recorded the mother-infant interactions during several stages, including when the child was a newborn and when the child was 2, 4, 6, 9, and 12 months of age. The quality of the mother infant interactions were measured using the Coding Interactive Behavior (CIB). The interactive moments recorded on video was composed of three different activities, each one lasting appoximately 3 min, which included (1) Free Interaction, where the mother was instructed to interact \"as usual\" without any toy, (2) Toy Interaction, where the mother and baby played with a puppv, and (3) Song Interaction, where the mother and baby interacted while the mother sang the \"Happy Birthday\" song.
UNASSIGNED: In the gestational phase, there was a significant difference between the groups with respect to anxiety and depression scores, which were significantly higher for the study group. In the postnatal phase, we found significant differences between the groups with respect to CIB scales after the child completed 6 months of age: the study group presented significantly higher values of Maternal Sensitivity at 6 months of age, of Baby Involvement at 9 and 12 months of age, and of Dyadic Reciprocity at 6, 9, and 12 months of age, while the control group presented significantly higher values of Withdrawal of the Baby at 6 months of age, and of Dyadic Negative States at 6 and 9 months of age.
UNASSIGNED: The support offered by the
study favored the mother-infant bond and had a positive effect on the quality of interaction during the first year of life, despite the presence of prenatal diagnosis.