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Titolo:
Operative intervention in delivery is associated with compromised early mother-infant interaction
Autore:
Rowe-Murray, HJ; Fisher, JRW;
Indirizzi:
Univ Melbourne, Fac Med Dent & Hlth Sci, Key Ctr Womens Hlth Soc, Melbourne, Vic 3010, Australia Univ Melbourne Melbourne Vic Australia 3010 elbourne, Vic 3010, Australia
Titolo Testata:
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
fascicolo: 10, volume: 108, anno: 2001,
pagine: 1068 - 1075
SICI:
1470-0328(200110)108:10<1068:OIIDIA>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
EMERGENCY CESAREAN-SECTION; POSTNATAL DEPRESSION SCALE; MATERNITY CARE; CHILDBIRTH; EXPERIENCES; PERCEPTIONS; PRIMIPARAS; OUTCOMES; BIRTHS; BREAST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Rowe-Murray, HJ Univ Melbourne, Fac Med Dent & Hlth Sci, Key Ctr Womens Hlth Soc, Melbourne, Vic 3010, Australia Univ Melbourne Melbourne Vic Australia 3010 10, Australia
Citazione:
H.J. Rowe-Murray e J.R.W. Fisher, "Operative intervention in delivery is associated with compromised early mother-infant interaction", BR J OBST G, 108(10), 2001, pp. 1068-1075

Abstract

Objective To investigate the effects of mode and place of delivery on first mother-infant contact and maternal emotional wellbeing. Design A prospective, longitudinal study. Participants A sociodemographically representative sample of 203 consecutive primiparous women was recruited, of whom 81% (n = 164) were followed up. Setting Four metropolitan hospitals, including one accredited baby friendly hospital, in Melbourne, Australia, 1997. Methods During the postnatal hospital stay women were inter-viewed and medical records were inspected. Participants completed two self-report psychometric measures: the Edinburgh Postnatal Depression Scale (EPDS) and the Profile of Moods States (POMS). Follow up at eight months postpartum comprisedcompletion of a postal questionnaire and repeat administration of the standardised self-report psychometric mood questionnaires. Results The First Contact Index provides a measure of the first contact between a mother and her baby after the birth. Two-way analysis of variance revealed significant differences in First Contact Index between three modes of delivery groups: spontaneous, instrumentally -assisted, and caesarean section (P < 0.001) and four hospital of delivery groups (P < 0.001), but there was no significant interaction effect (P = 0.55). Significant negative correlations existed between the First Contact Index and both the POMS and EPDS scores at two days postpartum (POMS, r = -0.339, 95% Cl -0.46 to -0.22. EPDS, r = -0.279, 95% Cl -0.41 to -0.16), even within delivery groups, andthese were still present at eight months postpartum (POMS, r = -0.298, 95%Cl 0.44 to -0.14, EPDS. r = -0.206. 95% Cl -0.36 to -0.03). Conclusion Instrumental and surgical delivery exert a negative impact on first postnatal contact between a mother and her baby which has persistent adverse maternal emotional correlates. Hospital practices associated with obstetric intervention in delivery also varied and are amenable to change, enabling optimal first mother-baby interaction regardless of mode of delivery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 14:29:42