Tyler R, Howard J, Espinosa M, Doakes S S
Developmental Studies Program, UCLA Department of Pediatrics 90095-7033, USA.
Child Abuse Negl. 1997 Apr;21(4):337-49. doi: 10.1016/s0145-2134(96)00175-5.
Evaluating a subset of participants from a larger research project concerning comprehensive drug treatment services for pregnant substance-abusing women and their offspring, this investigation compared those mothers who retained custody of their infants following delivery with those who lost custody and whose infants were placed in the care of other relatives. There were no differences between the groups with respect to maternal demographics, substance abuse (as assessed by self-report prenatally and urine toxicology screens at birth), or mental health status, or with respect to newborn characteristics (including gestational age, birthweight, medical risk status). Further, caregiving behaviors of mothers and relative caregivers showed no significant differences at 6 months. Infants who remained in the care of their biological mothers, however, demonstrated better cognitive development than infants in the care of relatives at 6 months. There was also a discrepancy in terms of safety at 6 months, in that there were three deaths and two reported cases of suspected child abuse/neglect among infants in the care of their mothers, and no deaths and no reports of suspected abuse among infants in relative foster care.
本研究对一个关于为吸毒孕妇及其后代提供综合药物治疗服务的大型研究项目中的一部分参与者进行了评估，比较了分娩后保留婴儿监护权的母亲与失去监护权且其婴儿由其他亲属照顾的母亲。两组在产妇人口统计学特征、药物滥用情况（通过产前自我报告和出生时的尿液毒理学筛查评估）、心理健康状况或新生儿特征（包括胎龄、出生体重、医疗风险状况）方面没有差异。此外，母亲和亲属照顾者的照顾行为在6个月时没有显著差异。然而，在6个月时，由亲生母亲照顾的婴儿比由亲属照顾的婴儿表现出更好的认知发展。在6个月时的安全方面也存在差异，即由母亲照顾的婴儿中有3例死亡和2例疑似虐待/忽视儿童的报告病例，而在亲属寄养照顾的婴儿中没有死亡和疑似虐待的报告。
