Casey P H, Whitt J K
Pediatrics. 1980 Apr;65(4):815-20.
Child development literature suggests a relationship between mother-child interaction and enhanced infant development. We conducted a randomized clinical trial to determine if a pediatrician's guidance improves the mother-infant relationship and the infant's development. Thirty-two normal mothers and their healthy first-born infants were followed by one pediatrician at 2, 4, 8, 15, and 21 weeks of age. These dyads were randomly assigned to a control group, who received customary care, or to an intervention group, who also received guidance based on the infant's developmental status at each age. Just prior to a 27-week visit, the mother-infant relationship was assessed by a person blind to group assignment. Infant development was assessed with the Bayley Mental Scales of Infant Development and two of the Uzguris-Hunt Ordinal Scales. Intervention group mothers were rated significantly higher on sensitivity, cooperation, appropriateness of interaction, and appropriateness of play (P less than .05). Experimental infants were advanced on the Vocal Imitation ordinal scale. This study shows the effectiveness of this intervention on both the mother-infant relationship and infant development and supports pediatric involvement in this biosocial approach to well child care.
儿童发育文献表明母婴互动与婴儿发育增强之间存在关联。我们进行了一项随机临床试验，以确定儿科医生的指导是否能改善母婴关系及婴儿发育。32位正常母亲及其健康的头胎婴儿在2周、4周、8周、15周和21周龄时由一位儿科医生跟踪随访。这些母婴二元组被随机分配到接受常规护理的对照组或干预组，干预组还会根据婴儿在各年龄段的发育状况接受指导。在27周就诊前，由一位对分组情况不知情的人员评估母婴关系。用贝利婴儿发育量表和乌兹古里斯 - 亨特序数量表中的两项评估婴儿发育。干预组母亲在敏感性、合作性、互动适宜性和游戏适宜性方面的评分显著更高（P小于0.05）。实验组婴儿在声音模仿序数量表上得分更高。本研究表明该干预措施对母婴关系和婴儿发育均有效，并支持儿科医生参与这种促进儿童健康的生物社会护理方法。
