Selman Saliha B, Dilworth-Bart Janean, Selman H Şule, Cook Joseph G, Duncan Larissa G
Department of Human Development & Family Studies, School of Human Ecology, University of Wisconsin-Madison, Madison, WI, USA.
Department of Human Development & Family Studies, School of Human Ecology, University of Wisconsin-Madison, Madison, WI, USA.
Early Hum Dev. 2020 Dec;151:105182. doi: 10.1016/j.earlhumdev.2020.105182. Epub 2020 Sep 7.
We examined whether the timing of maternal-neonate skin-to-skin contact (SSC) predicts infant emotional and cognitive development in the context of chronic maternal perinatal stress and depressive symptoms.
This secondary analysis included data from a group-based prenatal care clinical trial for 37 pregnant women with low household income. Mothers completed the Perceived Stress Scale (PSS), and the Center for Epidemiologic Studies Depression Scale (CES-D) during the third trimester and postpartum. After birth, they reported timing of SSC, and completed the Infant Behavior Questionnaire-Revised Very Short Form (IBQ-R VSF) (M = 51.7 weeks, SD = 4.2). Increased PSS or CES-D score from the third trimester to post-birth indicates chronic maternal perinatal stress or depressive symptoms compared to a decrease or no change. Using hierarchical regression models, we examined if the timing of SSC makes a unique contribution in predicting infant outcomes in the context of chronic maternal perinatal stress and depressive symptoms.
Stress-exposed infants had less negative emotionality if SSC is provided immediately after delivery, less than 10 min after birth. The effect of SSC on effortful control in relation to chronic perinatal stress was not statistically significant. The impact of timing of SSC on negative emotionality or effortful control in relation to chronic perinatal depressive symptoms was not statistically significant.
This work implies that very early SSC may play a role in later infant emotion regulation process and could act as a protective factor in chronically stressed pregnant women.
我们研究了母婴皮肤接触（SSC）的时机是否能在母亲围产期慢性应激和抑郁症状的背景下预测婴儿的情绪和认知发展。
这项二次分析纳入了一项针对37名低收入孕妇的基于群体的产前护理临床试验的数据。母亲们在孕晚期和产后完成了感知压力量表（PSS）和流行病学研究中心抑郁量表（CES-D）。分娩后，她们报告了皮肤接触的时机，并完成了修订版婴儿行为问卷简表（IBQ-R VSF）（M = 51.7周，标准差 = 4.2）。与孕晚期到产后PSS或CES-D评分降低或无变化相比，评分升高表明存在母亲围产期慢性应激或抑郁症状。使用分层回归模型，我们研究了在母亲围产期慢性应激和抑郁症状的背景下，皮肤接触的时机是否对预测婴儿结局有独特贡献。
如果在分娩后立即（出生后不到10分钟）进行皮肤接触，暴露于压力下的婴儿负面情绪较少。皮肤接触对与慢性围产期应激相关的努力控制的影响无统计学意义。皮肤接触时机对与慢性围产期抑郁症状相关的负面情绪或努力控制的影响无统计学意义。
这项研究表明，极早期的皮肤接触可能在后期婴儿情绪调节过程中发挥作用，并可能成为慢性应激孕妇的保护因素。
