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早产儿和足月儿的早期社会环境。

The early social environment of premature and fullterm infants.

作者信息

Davis D H, Thoman E B

机构信息

Department of Biobehavioral Sciences, University of Connecticut, Storrs 06268.

出版信息

Early Hum Dev. 1988 Aug-Sep;17(2-3):221-32.

PMID:3208677
Abstract

The behaviors of 10 mothers of prematures and 29 mothers of fullterms were compared from 7-h observations made in the home when the infants were 2, 3, 4 and 5 weeks post-term. The observation day was divided into four mutually exclusive interactional contexts that together made up the total day: feeding time, changing or bathing time, time when the mother and infant were in physical contact but the mother was not caretaking, and time the infant was alone. Measures of ten maternal behaviors were also compared: moving, rocking, patting, caressing, talking, looking, engaging in vis-a-vis with the baby, holding or carrying, smiling or laughing, and stimulating the baby to suck. Mothers of prematures left their infants alone more and changed them less than mothers of fullterms. In addition, mothers of prematures moved their infants less often, talked to their infants less, looked at their infants less, and held their infants less. These results indicate that, over the 7-h day, prematures receive markedly less stimulation than fullterms. Since the neurobehavioral characteristics of premature and fullterm infants are known to differ, it is suggested that these differences in maternal behaviors may be in response to infant cues and appropriate for the infants.

摘要

对10名早产婴儿的母亲和29名足月婴儿的母亲的行为进行了比较。在婴儿出生后2、3、4和5周时,在其家中进行了7小时的观察。观察日被分为四个相互排斥的互动情境,它们共同构成了一整天:喂食时间、换尿布或洗澡时间、母亲与婴儿有身体接触但母亲未进行照料的时间,以及婴儿独处的时间。还比较了十种母亲行为的指标:移动、摇晃、轻拍、抚摸、交谈、注视、与婴儿面对面互动、抱起或携带、微笑或大笑,以及刺激婴儿吸吮。早产婴儿的母亲比足月婴儿的母亲让婴儿独处的时间更多,给婴儿换尿布的时间更少。此外,早产婴儿的母亲较少移动婴儿、较少与婴儿交谈、较少注视婴儿,也较少抱起婴儿。这些结果表明,在7小时的一天中,早产婴儿受到的刺激明显少于足月婴儿。由于已知早产和足月婴儿的神经行为特征不同,有人认为母亲行为的这些差异可能是对婴儿线索的反应,并且适合这些婴儿。

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