Early mother-infant relationships after cardiac surgery in infancy
| Autor: | Elisabeth Northam, Nadia Albert, Vicki Anderson, Candice Franich-Ray, Andrew D. Cochrane, Samuel Menahem, Brigid Jordan |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Referral Heart malformation media_common.quotation_subject Reproductive medicine Mothers Surveys and Questionnaires Humans Medicine Cardiac Surgical Procedures Child media_common business.industry Infant Mental health Mother-Child Relations Patient Discharge Edinburgh Postnatal Depression Scale Pediatrics Perinatology and Child Health Anxiety Female medicine.symptom Worry business Psychopathology |
| Zdroj: | Archives of Disease in Childhood. 99:641-645 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/archdischild-2012-303488 |
| Popis: | Objective The critical importance of a secure mother-infant attachment relationship for long-term physical and mental health of the child is well established. Our study aim was to explore mothers’ subjective experience of the mother-infant relationship after discharge from hospital following neonatal cardiac surgery. Design Participants were 97 infants who underwent cardiac surgery before the age of 3 months and their mothers. Mothers completed Maternal Postnatal Attachment Scale (MPAS) and Edinburgh Postnatal Depression Scale (EPDS) questionnaires and were interviewed after the infant had been discharged home for 4 weeks. Interviews were analysed using inductive thematic analysis. Results Mean sores on the MPAS were similar to community norms (84.5 (SD 7.2) vs 84.6 (SD 7), p=0.47). 66/91 mothers interviewed described impacts which encompassed four themes; enhanced emotional ties (n=34, 37%), ‘bonding’ difficulties (n=22, 23%), anxiety and worry (n=17, 19%), and caregiving behaviours (n=10, 11%). Mothers who described bonding difficulties had lower MPAS scores (mean 80.6 (SD 10) vs 85.7 (SD 5.7), p=0.0047), were more likely to have a prenatal diagnosis of the cardiac abnormality (OR 2.6, 95% CI 0.89 to 8.9) and higher EPDS score (9.1 (SD 5.3) vs 6.2 (SD 3.9), p=0.01). Higher EPDS scores were associated with lower MPAS scores (r=−0.44, p=0.0001). Conclusions Most mothers report a positive relationship with their infant following cardiac surgery but almost a quarter have difficulties forming a strong emotional tie. Clinical care (including prenatal) of the infant with congenital heart disease requiring surgery should include screening, assessment and appropriate referral for early intervention if mothers are struggling to form a bond with their infant. |
| Databáze: | OpenAIRE |
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