Subscribe to RSS
The Mother–Child Relationship during the First Months of Life: Preliminary Considerations in Preterm as Compared with Term Mother–Infant DyadsFunding This study was supported by grants of the Italian Ministry of Health RC 2010–2017 to Fondazione IRCCS Policlinico San Matteo, Pavia, Italy and by grants of the Italian Ministry of Health RC 2013–2016 to IRCCS Mondino Foundation, Pavia, Italy. No external funding was secured for this study.
25 April 2018 (online)
Introduction From the prognostic perspective, the quality of the mother–child relationship during the first months of life has been variously associated with different factors such as the child's psychomotor/cognitive development and emotional–behavioral disorders.
Methods The main aim of this study was to describe, at term age and 3 months of corrected age, the features and the prevalent patterns of the mother–child relationship in a group of 20 mother–preterm infant dyads and to compare them with those of a group of 20 mother–term infant dyads.
Results A relatively high rate of inadequate dyadic synchrony was found in our sample of preterms at 40 weeks of gestational age (half of the sample analyzed). The quality of the dyadic relationship and the prevalent patterns of the mother–child relationship were found to differ between the two groups we studied; moreover, the subjects at risk of relational problems remained substantially the same during the first 3 months of life.
Discussion These data underline that in preterm children, the first weeks of life, coinciding with their hospitalization, represent a crucial time for establishing a valid dyadic relationship and for considering and planning any preventive interventions; after all, the earlier the risk of relational problems becomes a real possibility, the more likely it is to negatively impact on a child's overall development.
- 1 Lasiuk GC, Comeau T, Newburn-Cook C. Unexpected: an interpretive description of parental traumas' associated with preterm birth. BMC Pregnancy Childbirth 2013; 13 (Suppl. 01) S13
- 2 Montirosso R, Provenzi L, Calciolari G, Borgatti R. ; NEO-ACQUA Study Group. Measuring maternal stress and perceived support in 25 Italian NICUs. Acta Paediatr 2012; 101 (02) 136-142
- 3 Ionio C, Lista G, Mascheroni E. , et al. Premature birth: complexities and difficulties in building the mother-child relationship. J Reprod Infant Psychol 2017; 35: 509-523
- 4 Pisoni C, Garofoli F, Tzialla C. , et al. Risk and protective factors in maternal-fetal attachment development. Early Hum Dev 2014; 90 (Suppl. 02) S45-S46
- 5 Helle N, Barkmann C, Ehrhardt S, von der Wense A, Nestoriuc Y, Bindt C. Postpartum anxiety and adjustment disorders in parents of infants with very low birth weight: cross-sectional results from a controlled multicentre cohort study. J Affect Disord 2016; 194: 128-134
- 6 Wolf M-J, Koldewijn K, Beelen A, Smit B, Hedlund R, de Groot IJ. Neurobehavioral and developmental profile of very low birthweight preterm infants in early infancy. Acta Paediatr 2002; 91 (08) 930-938
- 7 Forcada-Guex M, Pierrehumbert B, Borghini A, Moessinger A, Muller-Nix C. Early dyadic patterns of mother-infant interactions and outcomes of prematurity at 18 months. Pediatrics 2006; 118 (01) e107-e114
- 8 Bilgin A, Wolke D. Maternal sensitivity in parenting preterm child: a meta-analysis. Pediatrics 2015; 136 (01) e177-e193
- 9 Forcada-Guex M, Borghini A, Pierrehumbert B, Ansermet F, Muller-Nix C. Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship. Early Hum Dev 2011; 87 (01) 21-26
- 10 Neri E, Agostini F, Salvatori P. , et al. Mother-infants interactions at three months of corrected age: influence of maternal depression, anxiety and neonatal birth weight. Front Psychol 2015; 6: 1234
- 11 Gerstein ED, Poehlmann-Tynan J, Clark R. Mother-child interactions in the NICU: relevance and implications for later parenting. J Pediatr Psychol 2015; 40 (01) 33-44
- 12 McManus BM, Poehlmann J. Parent-child interaction, maternal depressive symptoms and preterm infant cognitive function. Infant Behav Dev 2012; 35 (03) 489-498
- 13 Vermont Oxford Network. Vermont Oxford Network database manual of operations: Release 6.0. Burlington. 2001
- 14 Scheiner AP, Sexton ME. Prediction of developmental outcome using a perinatal risk inventory. Pediatrics 1991; 88 (06) 1135-1143
- 15 Crittenden P. CARE-Index: Coding Manual (not published). Miami: Family Relationship Institute; 1997. –2007
- 16 Udry-Jørgensen L, Pierrehumbert B, Borghini A. , et al. Quality of attachment, perinatal risk, and mother-infant interaction in a high-risk premature sample. Infant Ment Health J 2011; 32 (03) 305-318