Silahli Musa, Tekin Mehmet, Vatandaş Nilgun Şalk, Atay Gülsüm
Baskent University, Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Konya, Turkey.
Baskent University, Faculty of Medicine, Department of Pediatrics, Konya, Turkey.
Compr Psychoneuroendocrinol. 2021 Sep 9;8:100085. doi: 10.1016/j.cpnec.2021.100085. eCollection 2021 Nov.
To investigate the relationship between maternal-fetal attachment and breast milk sodium (BMS) levels.
This prospective case-control study was conducted at Baskent University. Third-trimester low-risk pregnancies were included in the study. After obtaining informed consent, the Prenatal Attachment Inventory (PAI), and the State-Trait Anxiety Inventory 1 (STAI 1) and STAI 2 were administered. After delivery, BMS values were measured at regular intervals.
The mean age of the mothers and the mean gestational age were 29.6 ± 3.4 years and 38.4 ± 0.9 weeks, respectively. The mean STAI -1, STAI-2, and PAI scores were 38.2 ± 7.1, 38.8 ± 6.9, and 41.6 ± 10, respectively. When the study group was classified according to BMS levels, no differences were observed between the groups in terms of pregnancy STAI-1, pregnancy STAI-2, Muller PAI, and STAI-1 scores of the 5, 15, and 30 days. There was no correlation between the BMS levels on the 5 -15 days and pregnancy STAI-1, Pregnancy STAI-2, Muller PAI, and the STAI-1 scores of the 5-10-30 days. However, the BMS level on the 30 day had a positive significant correlation with the STAI-1 score on the 15 day (r = 0.473, p= .006). Additionally, the STAI-1 scores on the 30 day showed that there was a significant correlation with STAI-1 on the 5 day (r = 0.416, p= .015), STAI-1 on the 15 day (r = 0.497, p= .003), and breast milk sodium levels on the 30 day (r = 0.615, p< .001).
We found no relationship between PAI scores and BMS levels on the 5-10-30 day but STAI scores on the 15 day and 30 day had a positive correlation with BMS levels on the 30 day. STAI-1 and STAI-2 scores during pregnancy were positively correlated with STAI scores in the postnatal period.
探讨母婴依恋与母乳钠（BMS）水平之间的关系。
本前瞻性病例对照研究在巴斯肯大学进行。纳入孕晚期低风险孕妇。获得知情同意后，使用产前依恋量表（PAI）、状态-特质焦虑量表1（STAI 1）和STAI 2进行评估。分娩后，定期测量BMS值。
母亲的平均年龄和平均孕周分别为29.6±3.4岁和38.4±0.9周。STAI -1、STAI-2和PAI的平均得分分别为38.2±7.1、38.8±6.9和41.6±10。根据BMS水平对研究组进行分类时发现，各亚组在妊娠STAI-1、妊娠STAI-2、穆勒PAI以及产后第5、15和30天的STAI-1得分方面无差异。产后第5至15天的BMS水平与妊娠STAI-1、妊娠STAI-2、穆勒PAI以及产后第5、10、30天的STAI-1得分之间无相关性。然而，产后第30天的BMS水平与产后第15天的STAI-1得分呈显著正相关（r = 0.473，p = 0.006）。此外，产后第30天的STAI-1得分与产后第5天的STAI-1（r = 0.416，p = 0.015）、产后第15天的STAI-1（r = 0.497，p = 0.003）以及产后第30天的母乳钠水平（r = 0.615，p < 0.001）均呈显著相关。
我们发现产后第5、10、30天的PAI得分与BMS水平之间无相关性，但产后第15天和30天的STAI得分与产后第30天的BMS水平呈正相关。孕期的STAI-1和STAI-2得分与产后的STAI得分呈正相关。
