Haynes C F, Cutler C, Gray J, O'Keefe K, Kempe R S
Child Abuse Negl. 1983;7(3):309-19. doi: 10.1016/0145-2134(83)90009-1.
Infants hospitalized for non-organic failure to thrive in the first six months of life are in a life-threatening situation and are already at risk for poor bonding with mother. In light of this, the meaning and use of foster care and how this separation affects the developing mother-child relationship are the issues addressed through examination of 16 cases in which 8 of the infants were placed in foster care and 8 discharged home after the failure to thrive hospitalization. This paper examines (1) maternal histories of pregnancy, labor and delivery and the neonatal status of placed and non-placed infants; (2) the developmental and weight status of placed children; (3) the nature of the decision criteria for after-hospital care; and (4) the mother-infant relationship at initial intake in terms of mother's report of events and observations of feeding and play interactions during a videotaped assessment process. The study found that the interactions between mother and infant in those situations which required foster care were clearly more dysfunctional when compared to those in which the baby was discharged home to mother. Babies in the two groups were comparable in weight status at the time of hospitalization although babies in foster placement had slightly lower scores on the Bayley Scales. Maternal histories of pregnancy, labor, and delivery were similar for the two groups as were the birth and neonatal histories of the infants.
出生后头六个月因非器质性发育不良住院的婴儿处于危及生命的状况，且已面临与母亲情感联结不良的风险。鉴于此，通过对16例病例的研究来探讨寄养的意义和用途，以及这种分离如何影响母婴关系的发展。在这16例病例中，有8名婴儿被送去寄养，另外8名发育不良住院后被送回家。本文研究了：（1）母亲的妊娠、分娩和产程史，以及被送去寄养和未被送去寄养婴儿的新生儿状况；（2）被送去寄养儿童的发育和体重状况；（3）出院后护理决策标准的性质；（4）根据母亲对事件的报告以及在录像评估过程中对喂食和玩耍互动的观察，来了解初次入院时的母婴关系。研究发现，与婴儿被送回家由母亲照顾的情况相比，那些需要寄养的情况下母婴之间的互动明显更不正常。两组婴儿在住院时的体重状况相当，不过寄养婴儿在贝利量表上的得分略低。两组母亲的妊娠、分娩和产程史相似，婴儿的出生和新生儿病史也相似。
