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母胎依恋发展中的风险因素与保护因素。

Risk and protective factors in maternal-fetal attachment development.

作者信息

Pisoni Camilla, Garofoli Francesca, Tzialla Chryssoula, Orcesi Simona, Spinillo Arsenio, Politi Pierluigi, Balottin Umberto, Manzoni Paolo, Stronati Mauro

机构信息

Neonatal Intensive Care Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.

Neonatal Intensive Care Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.

出版信息

Early Hum Dev. 2014 Sep;90 Suppl 2:S45-6. doi: 10.1016/S0378-3782(14)50012-6.

DOI:10.1016/S0378-3782(14)50012-6
PMID:25220127
Abstract

Prenatal attachment can be described as the parents' emotions, perceptions and behaviors that are related to the fetus. This relationship has been described as the most basic form of the human intimacy and represents the earlier internalized representation of the fetus that both parents typically acquire and elaborate during pregnancy. The quality of the relationship between an infant and his or her parent is an important factor influencing the child's later development, both cognitive and emotional. There is evidence - even though yet unclear - that demographic, perinatal and psychological variables may correlate with attachment. In this perspective, it is essential to recognize the factors influencing attachment of parents towards their fetus and to planning psychosocial interventions in antepartum units or in obstetric clinics, in order to preserve a positive physical and emotional development of the infant and to provide family-centered prenatal care. Particular attention should be paid to women hospitalized for a high-risk pregnancy, since this condition involves a high distress that often results in feelings of anxiety and depression, that can hinder an adequate mother-fetus attachment.

摘要

产前依恋可以被描述为与胎儿相关的父母的情感、认知和行为。这种关系被认为是人类亲密关系的最基本形式,代表了父母双方在孕期通常会获得并深化的对胎儿的早期内在表征。婴儿与其父母之间关系的质量是影响孩子后期认知和情感发展的重要因素。有证据表明——尽管尚不清楚——人口统计学、围产期和心理变量可能与依恋相关。从这个角度来看,认识到影响父母对胎儿依恋的因素并在产前病房或产科诊所规划心理社会干预措施至关重要,以便促进婴儿积极的身体和情感发展并提供以家庭为中心的产前护理。应特别关注因高危妊娠住院的女性,因为这种情况会带来高度的痛苦,常常导致焦虑和抑郁情绪,这可能会阻碍母婴之间建立良好的依恋关系。

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