Mitchell E A, Scragg L, Clements M
Department of Paediatrics, School of Medicine, University of Auckland, New Zealand.
Eur J Pediatr. 1996 Aug;155(8):712-6. doi: 10.1007/BF01957159.
To describe the change in marital status and subsequent live births of mothers who have lost a baby from sudden infant death (SID or cot death), a postal questionnaire was sent to European mothers who had been interviewed approximately 3.7 years (range 2.2-5.2 years) previously as part of a nationwide case-control study. Mothers of 105 (60.3%) cases and 828 (76.9%) controls replied. Changes in marital status between the time of interview and the time of the postal questionnaire did not differ between mothers of cases and that of controls when adjusted for marital status at the time of death/nominated date for controls. Cases were more likely to have further children than controls (P < 0.001) and had them sooner after the death than after the nominated date for control babies (P < 0.001). Case mothers were more likely than controls to have a second child after the death/nominated date, however the interval between the first and second child after the death/nominated date was the same as that for controls.
Although the death of an infant is a major stress on marital relationships, at approximately 3.7 years marital breakdown is no higher than in the control population. After the death of her baby the mother "replaces" the child by having more children than control mothers and having the first one earlier than control mothers. Mothers who lose a baby from SID are more fertile than the control population both before and after the death.
为描述因婴儿猝死（SID或摇篮死亡）失去孩子的母亲的婚姻状况变化及随后的活产情况，向欧洲母亲们发送了一份邮政调查问卷，这些母亲曾在约3.7年前（范围为2.2 - 5.2年）接受过访谈，作为一项全国性病例对照研究的一部分。105名（60.3%）病例的母亲和828名（76.9%）对照的母亲进行了回复。在对死亡时/对照的指定日期的婚姻状况进行调整后，病例母亲和对照母亲在访谈时到邮政调查问卷时的婚姻状况变化并无差异。病例组比对照组更有可能生育更多孩子（P < 0.001），且在孩子死亡后比对照婴儿的指定日期后更快生育（P < 0.001）。病例组母亲比对照组母亲更有可能在孩子死亡/指定日期后生育第二个孩子，然而在孩子死亡/指定日期后第一个和第二个孩子之间的间隔与对照组相同。
尽管婴儿死亡对婚姻关系是一个重大压力，但在约3.7年后婚姻破裂的情况并不高于对照组人群。在孩子死亡后，母亲通过生育比对照母亲更多的孩子且比对照母亲更早生育第一个孩子来“替代”这个孩子。因SID失去孩子的母亲在孩子死亡前后的生育能力都比对照组人群更强。
