Brown Lisa F, Pridham Karen
Virginia Commonwealth University, School of Nursing, Richmond, VA; and University of Wisconsin-Madison School of Nursing, Madison, WI.
Newborn Infant Nurs Rev. 2007 Mar 1;7(1):56-63. doi: 10.1053/j.nainr.2006.12.007.
Adaptive maternal feeding behaviors are sensitive and responsive to the infant and support the infant's participation in feeding. Adaptive infant behaviors help the infant to participate in the feeding within developmental capacities and to interact in a positive manner with the mother. Therefore, the purpose of this study was to explore the contribution of the adaptiveness of early maternal feeding behavior to the adaptiveness of later infant feeding behavior, accounting for maternal depressive symptoms and neonatal health. Thirty-seven premature infants and their mothers were assessed in the special care nursery just before discharge and in their homes at 4 months postterm age. The adaptive quality of maternal and infant behavior was assessed using the Parent-Child Early Relational Assessment. Maternal depressive symptoms were assessed using the Center for Epidemiological Study-Depression Scale. Infant health was assessed using the Neonatal Health Index. Linear regression analyses revealed that the adaptiveness of maternal feeding behavior before special care nursery discharge contributed significantly to the adaptiveness of infant feeding behavior at 4 months postterm age, accounting for neonatal health and maternal depressive symptoms. Although further study of the relationship is needed, findings support development of interventions to enhance the adaptiveness of mothers' early feeding behaviors.
适应性的母亲喂养行为对婴儿敏感且有反应，并支持婴儿参与喂养。适应性的婴儿行为有助于婴儿在发育能力范围内参与喂养，并以积极的方式与母亲互动。因此，本研究的目的是探讨早期母亲喂养行为的适应性对后期婴儿喂养行为适应性的贡献，同时考虑母亲的抑郁症状和新生儿健康状况。37名早产儿及其母亲在出院前在特殊护理病房接受评估，并在足月后4个月时在家中接受评估。使用亲子早期关系评估来评估母婴行为的适应质量。使用流行病学研究中心抑郁量表评估母亲的抑郁症状。使用新生儿健康指数评估婴儿健康状况。线性回归分析显示，在特殊护理病房出院前母亲喂养行为的适应性对足月后4个月时婴儿喂养行为的适应性有显著贡献，同时考虑了新生儿健康和母亲的抑郁症状。尽管需要进一步研究这种关系，但研究结果支持开展干预措施以提高母亲早期喂养行为的适应性。
