Dumas Louise, Lepage Mario, Bystrova Ksenia, Matthiesen Ann-Sofi, Welles-Nyström Barbara, Widström Ann-Marie
Université du Québec en Outaouais, Gatineau, Québec, Canada.
Clin Nurs Res. 2013 Aug;22(3):310-36. doi: 10.1177/1054773812468316. Epub 2013 Jan 3.
The objective of this research was to study influence of birth routines on mother-infant interaction at Day 4. The present research is part of a longitudinal study where mother-infant pairs were randomized by infant location and apparel. We intended to assess mother-infant interaction from videos filmed at Day 4. A protocol for the assessment/coding of the affective quality of maternal behaviors indicative of early mother-infant interaction was developed and interculturally validated. Results were compared with birth randomization, as to explain impact of birth practices. Findings indicate that separation and swaddling at birth interfered with mother-infant interaction during a breastfeeding session at Day 4; these mothers significantly demonstrated more roughness in their behaviors with their infants at Day 4. Results also show evidences of a sensitive period for separation after birth. Implications are to encourage immediate and uninterrupted skin-to-skin contact at birth, and rooming-in during postpartum, as recommended in World Health Organization/UNICEF Ten Steps for Successful Breastfeeding.
本研究的目的是探讨出生常规对第4天母婴互动的影响。本研究是一项纵向研究的一部分，母婴对根据婴儿的位置和服装进行随机分组。我们打算通过第4天拍摄的视频来评估母婴互动。制定了一项用于评估/编码表明早期母婴互动的母亲行为情感质量的方案，并进行了跨文化验证。将结果与出生随机分组情况进行比较，以解释分娩方式的影响。研究结果表明，出生时的分离和襁褓包裹会干扰第4天母乳喂养期间的母婴互动；这些母亲在第4天与婴儿互动时的行为明显更为粗暴。结果还显示了出生后分离敏感期的证据。其启示是，应按照世界卫生组织/联合国儿童基金会成功母乳喂养十项措施的建议，鼓励出生时立即进行不间断的皮肤接触，并在产后实行母婴同室。
