Blake A, Stewart A, Turcan D
Ciba Found Symp. 1975(33):271-88. doi: 10.1002/9780470720158.ch15.
On hundred and sixty babies of birth weight less than or equal to 1500 g who survived after perinatal intensive care have been followed up and observations have been made on their parents. In spite of attempts to minimize maternal separation and the distressing aspects of the birth and management of a baby of very low birth weight, an emotional crisis was observed in the mothers which was not fully resolved until the parents had been looking after the baby at home. The duration and degree of the crisis varied but the mothers who received sympathy and support from the baby's father appeared to have least difficulty. A rigid maternal personality and circumstances surrounding the birth which predisposed to feelings of failure and guilt appeared to prolong the crisis. Nevertheless, most of these parents subsequently formed satisfactory relationships with their children, although they tended to be over-protective and anxious. Failure to establish an adequate relationship was rare and occurred only among mothers with personality or psychiatric disorders. Although serious behaviour disorders among the children were rare, more children than would be expected were mildly over-dependent, shy and anxious at follow-up.
对160名出生体重小于或等于1500克且在围产期重症监护后存活下来的婴儿及其父母进行了随访观察。尽管已尽量减少母婴分离以及极低出生体重儿出生和护理过程中令人痛苦的方面，但观察发现母亲们出现了情感危机，直到父母在家中照顾婴儿后，这种危机才得到完全解决。危机的持续时间和程度各不相同，但从婴儿父亲那里得到同情和支持的母亲似乎困难最小。刻板的母亲性格以及分娩时的环境因素，容易引发失败感和内疚感，这似乎延长了危机的时间。然而，这些父母中的大多数随后与孩子建立了令人满意的关系，尽管他们往往过度保护且焦虑。未能建立适当关系的情况很少见，仅发生在有性格或精神疾病的母亲中。虽然儿童中严重行为障碍很少见，但在随访中发现，有轻度过度依赖、害羞和焦虑的儿童比预期的要多。
