Early Contact Versus Separation: Effects on Mother-Infant Interaction 1 Year Later

Bystrova, Ksenia; Иванова, В. В.; Edhborg, Maigun; Matthiesen, A.-S.; Ransjö‐Arvidson, Anna‐Berit; Мухамедрахимов, Рифкат Жаудатович; Uvnäs‐Moberg, Kerstin; Widström, Ann‐Marie

doi:10.1097/01.aoa.0000370536.74543.e3

Cited by 3 publications

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“…Mnogo bolj pa jih je zmotila praksa, ki onemogoča ustrezno navezovanje s sorojencem po porodu in dojenje, s katerim se vez dodatno utrjuje. Nekatere zaradi carskega reza niso videle otroka tudi več ur po porodu, kar lahko kratkoročno negativno vpliva na odnos z otrokom ali uspešnost laktacije (Bystrova, et al, 2010;Zanardo, et al, 2013).…”

Section: Diskusijaunclassified

Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi

Prosen

2019

Obzor Zdrav Neg

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Uvod: Nosečnost in porod sta naravna dogodka, čeprav ju danes – ob upoštevanju dejstva, da živimo v »družbi tveganja« – opredeljujemo skozi prizmo patologije in potencialnih nevarnosti. Cilj raziskave je bil razumeti izkušnje in doživljanja žensk, povezana z rojevanjem v porodnišnicah skozi prevladujoče porodne prakse, ki so po prepričanju žensk pomembno krojile njihovo porodno izkušnjo.Metode: Uporabljena je bila sekundarna analiza kvalitativnih podatkov. Primarni podatki so bili zbrani leta 2014 v okviru raziskave Medikalizacija nosečnosti in poroda kot družbena konstrukcija z narativno metodo. V vzorec sekundarne analize je bilo vključenih 18 transkriptov intervjujev z ženskami, ki so rodile v porodnišnici. Analiza kvalitativnih podatkov je bila izvedena s pomočjo računalniškega programa NVivo, verzija 12.Rezultati: V analizi so bile identificirane tri teme: (1) pomembnost podpore zdravstvenega osebja in avtonomija odločanja; (2) sprememba fokusa v dojemanju carskega reza kot naravnega načina rojevanja; (3) rutinizacija in tehnifikacija porodnih praks.Diskusija in zaključek: Rojevanje tako danes kot nekoč usmerjajo negativne in pozitivne porodne izkušnje. Poznati je treba oboje. Za ženske je prva porodna izkušnja poučna in obenem določujoča, saj na njeni podlagi presojajo prihodnje porodne izkušnje. Podpora zdravstvenega osebja ter avtonomija odločanja sta ključni za pozitivno porodno izkušnjo. K temu bi lahko v prihodnje pomembno prispevale tudi spremembe nekaterih utečenih porodnih praks, ki bi morale hitreje slediti praksi, utemeljeni z dokazi.

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Section: Diskusijaunclassified

Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi

Prosen

2019

Obzor Zdrav Neg

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“…Studies have shown that rooming-in has many benefits: babies cry less and are easier to calm [1,2], mothers have reduced anxiety and are more relaxed [3] with more capacity to respond to baby's feeding cues, mothers make more breast milk with reduced breast engorgement post-partum, there is improved breastfeeding duration [4,5], and the care of the baby is ensured with no fear of baby switching. Rooming-in can be done in various ways with skin-to-skin contact with the mother or father [6,7]. These practices significantly decrease the need for babies to be placed under a radiant warmer after birth and baths.…”

Section: Introductionmentioning

confidence: 99%

Development and Evaluation of Neonate Physiological Index at Parental Contact

Kuo¹,

Singh²,

Lee³

et al. 2017

AJBR

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Rooming-in is an arrangement that allows mothers and newborn babies in the same room during the postpartum hospital stay. This practice gives an opportunity for the parents to have more affectionate touching with their infants. However, the influence of intimate contact on a neonate's physiological changes has not been studied. Our study develops an evaluation system of neonate physiological changes during parental contact. The system recorded an electrocardiogram (ECG) in real-time and analyzed the heart rate variability (HRV). Thirty healthy neonates were recruited for this study. The paired t-test was performed for statistical analysis. The HRV of a baby with and without parental hold was compared. The HF power and HF/LF ratio are significant (P<0.05). However, there is no considerable difference in LF power. In conclusion, this research has developed a system to evaluate the neonate physiological index. The system can make available the long-term monitoring and recording of neonate physiological information for parents.

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“…In addition, early maternal-infant attachment is important for promoting maternal mental health, decreasing the risk of postpartum depression, and enabling mothers to develop their parental identity 4,5 . However, parental stress and disruptions in care during the newborn period, such a critically ill infant requiring care in the neonatal intensive care unit or having a prolonged delivery hospitalization, can alter parenthood identity formation and affect relationship building between a mother and infant 6–8 …”

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confidence: 99%

Mutual Mistrust: The Multilayered Experiences at the Intersection of Healthcare and Early Parenting Among Mothers With Opioid Use Disorder

Schiff,

Muftu,

MacMillan

et al. 2023

J Addict Med

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Objective The aim of the study is to explore the early parenting experiences among a cohort of postpartum individuals with opioid use disorder (OUD) both during and after the delivery hospitalization to identify areas of intervention to strengthen bonding and attachment. Methods Semistructured qualitative interviews with recently pregnant people with OUD assessed parenting needs, supports, and goals in the context of the demands of addiction treatment and early motherhood. Probes explored the relationship between early parenting experiences, addiction, and recovery, as well as enabling factors and barriers to mother-infant bonding. Interviews were completed between 2019 to 2020. A constant comparative methods approach was used for codebook development and analysis. Results Twenty-six women completed interviews a mean of 10.1 months postpartum. Twenty-four women were receiving methadone or buprenorphine treatment at delivery for OUD. Four interrelated themes emerged. Women experienced the following: (1) increased surveillance from healthcare workers who doubted their parenting ability; (2) a desire for a “normal” early parenting experience that was not disrupted by increased medical monitoring and surveillance; (3) complex and intersecting identities of being both a mother and a person in recovery; and (4) the importance of support from and advocacy by clinicians and peers to developing maternal confidence and connection. Conclusions Interventions are needed to improve the early parenting experiences of opioid-exposed mother-infant dyads, to address the mutual mistrust between health care providers and parents, and to provide additional supports to families. Promotion of positive attachment and parental self-efficacy should be prioritized over increased surveillance and scrutiny to sustain maternal recovery trajectories into early childhood and foster family well-being.

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Early Contact Versus Separation: Effects on Mother-Infant Interaction 1 Year Later

Cited by 3 publications

References 0 publications

Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi

Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi

Development and Evaluation of Neonate Physiological Index at Parental Contact

Mutual Mistrust: The Multilayered Experiences at the Intersection of Healthcare and Early Parenting Among Mothers With Opioid Use Disorder

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