Altemeier W A, O'Connor S M, Sherrod K B, Vietze P M
J Pediatr. 1985 Mar;106(3):360-5. doi: 10.1016/s0022-3476(85)80657-0.
The cause of nonorganic failure to thrive (NFT) was studied prospectively in 274 low-income pregnant mothers by interviewing them for characteristics that retrospective studies indicated were associated with child maltreatment. After delivery, medical charts of mothers and infants were reviewed for complications of pregnancy, delivery, and postdelivery hospitalization, and the infants were observed for growth failure. The characteristics of 15 families with infants who developed NFT were compared with those of 86 selected randomly from the remaining families. Interview results suggest that NFT correlates significantly with aberrant nurture during the mother's childhood and with conflicts between the parents of the infants. Perinatal events correlating significantly with NFT include complications of pregnancy, short gestation, and residual minor medical problems at discharge from the nursery. We speculate that these events predispose to NFT by disturbing the development of the mother-infant relationship.
通过对274名低收入孕妇进行访谈，研究她们那些回顾性研究表明与虐待儿童相关的特征，对非器质性发育不良（NFT）的病因进行了前瞻性研究。分娩后，查阅母婴的病历，了解妊娠、分娩及产后住院的并发症情况，并观察婴儿是否存在生长发育迟缓。将15个出现NFT的婴儿家庭的特征与从其余家庭中随机选取的86个家庭的特征进行比较。访谈结果表明，NFT与母亲童年时期异常养育以及婴儿父母之间的冲突显著相关。与NFT显著相关的围产期事件包括妊娠并发症、孕周短以及从育婴室出院时残留的轻微医疗问题。我们推测，这些事件通过干扰母婴关系的发展而导致NFT。
