Gondwe Kaboni Whitney, Yang Qing, White-Traut Rosemary, Holditch-Davis Diane
Neonatal Netw. 2017 Mar 1;36(2):77-88. doi: 10.1891/0730-0832.36.2.77.
Multiple preterm birth is associated with more maternal psychological distress and less positive mother-infant interactions than singleton preterm birth. This study's purpose was to compare psychological distress and the relationship with their infants in mothers of multiples and mothers of singletons.
An exploratory secondary analysis of longitudinal data.
236 mothers and their preterm infants.
Maternal psychological distress (depressive symptoms, anxiety, posttraumatic stress [PTS], parenting stress), the mother-infant relationship (worry; child vulnerability; maternal positive involvement and developmental stimulation; and child developmental maturity, irritability, and social behaviors), and the home environment.
Mothers of multiples had greater PTS symptoms at baseline, anxiety at discharge, and depressive symptoms at six months than mothers of singletons. Mothers of multiples also had more positive home environments at six months. Multiple birth was a risk factor for psychological distress but not for less positive mother-infant interactions.
与单胎早产相比，多胎早产与更多的母亲心理困扰及较少积极的母婴互动相关。本研究的目的是比较多胎母亲和单胎母亲的心理困扰及其与婴儿的关系。
对纵向数据进行探索性二次分析。
236名母亲及其早产婴儿。
母亲心理困扰（抑郁症状、焦虑、创伤后应激[PTS]、育儿压力）、母婴关系（担忧；儿童易损性；母亲积极参与和发育刺激；以及儿童发育成熟度、易怒性和社会行为）和家庭环境。
与单胎母亲相比，多胎母亲在基线时PTS症状更严重，出院时焦虑更严重，六个月时抑郁症状更严重。多胎母亲在六个月时家庭环境也更积极。多胎生育是心理困扰的一个风险因素，但不是母婴互动不那么积极的风险因素。
