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母乳喂养:忽视还是过度支持?一例依赖海洛因的疏忽母亲虐待儿童的病例报告。

Breastfeeding: Neglect or Excessive Support? A Case Report of Child Abuse by a Negligent Heroin-Dependent Mother.

作者信息

Eslami-Shahrbabaki Mahin, Barfeh Delaram, Eslami-Shahrbabaki Parvin

机构信息

Assistant Professor, Neuroscience Research Center, Institute of Neuropharmachology AND Department of Psychiatry, Afzalipour School of Medicine, Shahid Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran.

Student of Medicine, Clinical Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Addict Health. 2015 Winter-Spring;7(1-2):92-5.

Abstract

BACKGROUND

Breastfeeding is one of the best ways to promote, develop, and secure the health of infants. Child abuse is one of the most common and most important problems in the world, and one of the factors that increase its incidence is substance dependency of the parents. Breastfeeding beyond the normal age range can be harmful to the health of the mother and baby, and may represent a pathological parent-child relationship.

CASE REPORT

A little girl, who was breastfed until the age of 8 years by her heroin-dependent mother, was hospitalized in a child and adolescent psychiatric ward due to heroin dependency. During the investigations, it was found that not only had the girl been breastfed until this age, but she had also not been enrolled into a school. In other words, due to the mother's heroin dependency, her infant was also dependent on the drug.

CONCLUSION

In the assessment and treatment of parents with substance related disorders, the possibility of child abuse should also be considered. When breastfeeding is continued beyond the normal age range, it is necessary to find the reason. By early detection and timely intervention, negative consequences for the child can be prevented.

摘要

背景

母乳喂养是促进、发展和保障婴儿健康的最佳方式之一。虐待儿童是世界上最常见且最重要的问题之一,而父母的物质依赖是导致其发生率上升的因素之一。超出正常年龄范围的母乳喂养可能对母婴健康有害,且可能代表一种病态的亲子关系。

病例报告

一名小女孩被其依赖海洛因的母亲哺乳至8岁,因海洛因依赖入住儿童和青少年精神科病房。在调查过程中发现,这个女孩不仅被哺乳至这个年龄,而且还未入学。换句话说,由于母亲对海洛因的依赖,她的婴儿也对这种药物产生了依赖。

结论

在评估和治疗与物质相关障碍的父母时,也应考虑虐待儿童的可能性。当母乳喂养超出正常年龄范围时,有必要查明原因。通过早期发现和及时干预,可以预防对儿童产生的负面后果。

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本文引用的文献

1
Breastfeeding and the use of human milk.母乳喂养与母乳的使用。
Pediatrics. 2005 Feb;115(2):496-506. doi: 10.1542/peds.2004-2491.
2
Parental concerns about extended breastfeeding in a toddler.
J Dev Behav Pediatr. 2004 Oct;25(5 Suppl):S107-11. doi: 10.1097/00004703-200410001-00022.
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The neglect scale: confirmatory factor analyses in a low-income sample.
Child Maltreat. 2002 Nov;7(4):359-68. doi: 10.1177/107755902237266.
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Optimal duration of exclusive breastfeeding.纯母乳喂养的最佳持续时间。
Cochrane Database Syst Rev. 2002(1):CD003517. doi: 10.1002/14651858.CD003517.

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