Damato Elizabeth G
Acute Care Division, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Ind, USA.
Adv Neonatal Care. 2004 Oct;4(5):274-91. doi: 10.1016/j.adnc.2004.07.005.
To determine the relationship of prenatal attachment and other selected perinatal contextual variables (method of delivery, maternal self-reported health, depression, infant birthweight, need for neonatal intensive care unit [NICU] admission) to postnatal attachment in mothers of twins.
Two hundred fourteen women were initially recruited from a national mothers of twins support group for a study of maternal prenatal attachment. Of the 168 women who agreed to be contacted after delivery, 142 returned completed questionnaires (82.7% response rate), with 139 study-eligible women included in the analysis for this report.
Correlational design with longitudinal follow-up at 1 month after expected delivery date.
Self-administered, mailed questionnaires completed by women with twin gestations prenatally and postnatally 1 month after their expected delivery dates. Descriptive analysis, correlations, and regression equations were performed.
The Maternal Attachment Inventory.
A modest correlation was found between prenatal and postnatal attachment ( r = 0.38, P < 0.001). Prenatal attachment and postpartum depression explained 26.1% of the variance in postnatal attachment ( F = 5.06, P < 0.001). Depression, method of delivery, and need for admission to the NICU had moderator effects on the relationship between prenatal attachment and postnatal attachment. The addition of these interaction terms nominally increased the adjusted R 2 to explain 27.9% to 29.6% of the variance in postnatal attachment.
Although the study findings support a modest relationship between prenatal and postnatal attachment in mothers of twins, maternal depression was also significant in explaining postnatal attachment. Postpartum depression, having a cesarean delivery, and the experience of a NICU admission for 1 or both twins further influenced the relationship between prenatal attachment and postnatal attachment. When fostering attachment in mothers of twins, nurses should assess for symptoms of depression and pay particular attention to those women who have an infant requiring a NICU admission.
确定产前依恋以及其他选定的围产期背景变量（分娩方式、母亲自我报告的健康状况、抑郁、婴儿出生体重、新生儿重症监护病房 [NICU] 收治需求）与双胞胎母亲产后依恋之间的关系。
最初从一个全国性双胞胎母亲支持小组招募了214名女性参与一项关于母亲产前依恋的研究。在168名同意在产后接受联系的女性中，142名返回了完整问卷（回复率82.7%），本报告分析纳入了139名符合研究条件的女性。
在预期分娩日期后1个月进行纵向随访的相关性设计。
由怀有双胞胎的女性在产前和预期分娩日期后1个月产后自行填写并邮寄问卷。进行描述性分析、相关性分析和回归方程分析。
母亲依恋量表。
产前和产后依恋之间存在适度相关性（r = 0.38，P < 0.001）。产前依恋和产后抑郁解释了产后依恋变异的26.1%（F = 5.06，P < 0.001）。抑郁、分娩方式和NICU收治需求对产前依恋和产后依恋之间的关系有调节作用。添加这些交互项名义上使调整后的R²增加，以解释产后依恋变异的27.9%至29.6%。
尽管研究结果支持双胞胎母亲产前和产后依恋之间存在适度关系，但母亲抑郁在解释产后依恋方面也很显著。产后抑郁、剖宫产以及一个或两个双胞胎入住NICU的经历进一步影响了产前依恋和产后依恋之间的关系。在促进双胞胎母亲的依恋时，护士应评估抑郁症状，并特别关注那些有婴儿需要入住NICU的女性。
