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孕妇对早期母婴联结的回忆:与母婴依恋及分娩选择的关联

PREGNANT WOMEN'S RECOLLECTIONS OF EARLY MATERNAL BONDING: ASSOCIATIONS WITH MATERNAL-FETAL ATTACHMENT AND BIRTH CHOICES.

作者信息

Handelzalts Jonathan E, Preis Heidi, Rosenbaum Maya, Gozlan Miri, Benyamini Yael

机构信息

The Academic College of Tel-Aviv Yaffo, Tel-Aviv, 68114, Israel; School of Behavioral Sciences.

Tel Aviv University, Tel Aviv 6997801, Israel; Bob Shapell School of Social Work.

出版信息

Infant Ment Health J. 2018 Sep;39(5):511-521. doi: 10.1002/imhj.21731. Epub 2018 Aug 6.

DOI:10.1002/imhj.21731
PMID:30080937
Abstract

Recollections of own maternal care measured by parental bonding were found to be important in the pregnant woman's construction of herself as a mother. Although these recollections were studied with regard to various variables, there is a dearth of studies associated with pregnancy and childbirth. In this cross-sectional study, 341 pregnant women were recruited. Measures included a Sociodemographics-Obstetric History Questionnaire; the Childbirth Choices Questionnaire (H. Preis, M. Gozlan, U. Dan, & Y. Benyamini, 2018); the Parental Bonding Instrument (G. Parker, H. Tupling, & L.B. Brown, 1979); a question regarding the planned presence of the woman's mother at delivery; and the Maternal-Fetal Attachment Scale (M.S. Cranley, 1981). Parental recollections of Care were associated with fewer natural birth choices (hence, a more "medicalized" delivery), lower maternal-fetal attachment, and a wish for the mother's mother to be present at the birth. Parental recollections of Encouragement of Behavioral Freedom in childhood were associated with more natural choices regarding childbirth. In addition, women with higher scores on the parental bonding Denial of Autonomy factor reported stronger maternal-fetal attachment. Thus, early recollections of experiences with caregivers as manifested in parental bonding may be a possible influence on the transition to motherhood, and working through possible difficulties associated with these recollections may improve adjustment to motherhood.

摘要

通过父母关系测量的对自身母亲关怀的回忆,被发现在孕妇构建自己作为母亲的身份中很重要。尽管这些回忆已针对各种变量进行了研究,但与怀孕和分娩相关的研究却很匮乏。在这项横断面研究中,招募了341名孕妇。测量工具包括一份社会人口统计学-产科病史问卷;分娩选择问卷(H.普赖斯、M.戈兹兰、U.丹和Y.贝尼亚米尼,2018年);父母关系量表(G.帕克、H.图普林和L.B.布朗,1979年);一个关于产妇母亲计划在分娩时到场的问题;以及母婴依恋量表(M.S.克兰利,1981年)。对关怀的父母回忆与较少选择自然分娩(因此,分娩更“医学化”)、较低的母婴依恋以及希望产妇的母亲在分娩时在场有关。对童年时期鼓励行为自由的父母回忆与更多自然分娩选择有关。此外,在父母关系量表中自主性否认因子得分较高的女性报告有更强的母婴依恋。因此,父母关系中体现的对照顾者早期经历的回忆可能是对向母亲身份转变的一种潜在影响,梳理与这些回忆相关的可能困难可能会改善对母亲身份的适应。

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