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Mother’s Behavior in the Neonatal Intensive Care Unit: The Role of Maternal and Baby’s Characteristics and Associations with Mother-Infant Interaction at Three Months of Age |
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Abstract:
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Background/Aims: Attachment research shows that mental representations regarding attachment are the main antecedent of parental behavior. Nevertheless, many other contingent conditions can influence and interfere with mothers’ behavior in interaction with the baby, as those associated with prematurity. Mother’s emotional distress and baby’s behavioral difficulties due to immaturity and illness, may lead mothers to inadequate interactive behaviors. Moreover, the highly technological NICU environment may interfere with the construction of an intimate relationship. An extensive literature has demonstrated interactive difficulties between mother and premature infant in the first months of life, but little attention has been paid to mother’s early behavior in the NICU, when baby is hospitalized. The study analyzes, from the perspective of attachment theory, mothers’ behaviors in the NICU, focusing on the role of maternal characteristics (mental representations regarding attachment, traumatic and emotional impact of prematurity) and baby’s medical condition. Moreover, associations with mother-infant interaction at 3 months of age are investigated.
Method: The sample includes 20 premature infants (birth weight= 750-1499gr) and their mothers. Data on baby’s medical condition were collected. Within the first month of life, mothers completed questionnaires on traumatic and emotional responses to prematurity; their mental representations regarding attachment were assessed using the Adult Attachment Interview. Videos at 15°,30°,45° day from birth, of mothers’ behaviors in the NICU, in front of the incubator, or alternatively, holding the baby, were coded for direction of look, touching, verbal and emotional expressions. At 3 months-corrected age, videos of mother-infant interaction were collected and coded for mothers’ sensitivity, structuring, intrusiveness and hostility.
Results: Preliminary results, available for the direction of mother’s look at 15 days, show significant correlations with birth weight (r=-.54, p<.05), Apgar ‘5 (r=-.69, p<.05), hour of assisted ventilation (r=.56, p<.05), indicating this behavior is associated with the severity of the baby’s medical condition. Mothers’ looking away from the baby and focusing on the NICU technological equipment/monitors was significantly associated with intrusiveness (r= .55, p<.05) and hostility (r=.56, p<.05) with the 3-month infant.
Conclusions: Early interactive behaviors in the NICU may be important indicators for the quality of later interaction. These results may have important implications for early interventions supporting mothers behavior in the NICU. |
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Association:
Name: XVth Biennial International Conference on Infant Studies URL: http://www.isisweb.org
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Citation:
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MLA Citation:
| Coppola, Gabrielle., Cassibba, Rosalinda. and Mansi, Adriana. "Mother’s Behavior in the Neonatal Intensive Care Unit: The Role of Maternal and Baby’s Characteristics and Associations with Mother-Infant Interaction at Three Months of Age" Paper presented at the annual meeting of the XVth Biennial International Conference on Infant Studies, Westin Miyako, Kyoto, Japan, Jun 19, 2006 <Not Available>. 2009-05-25 <http://www.allacademic.com/meta/p115741_index.html> |
APA Citation:
| Coppola, G. , Cassibba, R. and Mansi, A. , 2006-06-19 "Mother’s Behavior in the Neonatal Intensive Care Unit: The Role of Maternal and Baby’s Characteristics and Associations with Mother-Infant Interaction at Three Months of Age" Paper presented at the annual meeting of the XVth Biennial International Conference on Infant Studies, Westin Miyako, Kyoto, Japan <Not Available>. 2009-05-25 from http://www.allacademic.com/meta/p115741_index.html |
Publication Type: Individual Poster Abstract: Background/Aims: Attachment research shows that mental representations regarding attachment are the main antecedent of parental behavior. Nevertheless, many other contingent conditions can influence and interfere with mothers’ behavior in interaction with the baby, as those associated with prematurity. Mother’s emotional distress and baby’s behavioral difficulties due to immaturity and illness, may lead mothers to inadequate interactive behaviors. Moreover, the highly technological NICU environment may interfere with the construction of an intimate relationship. An extensive literature has demonstrated interactive difficulties between mother and premature infant in the first months of life, but little attention has been paid to mother’s early behavior in the NICU, when baby is hospitalized. The study analyzes, from the perspective of attachment theory, mothers’ behaviors in the NICU, focusing on the role of maternal characteristics (mental representations regarding attachment, traumatic and emotional impact of prematurity) and baby’s medical condition. Moreover, associations with mother-infant interaction at 3 months of age are investigated.
Method: The sample includes 20 premature infants (birth weight= 750-1499gr) and their mothers. Data on baby’s medical condition were collected. Within the first month of life, mothers completed questionnaires on traumatic and emotional responses to prematurity; their mental representations regarding attachment were assessed using the Adult Attachment Interview. Videos at 15°,30°,45° day from birth, of mothers’ behaviors in the NICU, in front of the incubator, or alternatively, holding the baby, were coded for direction of look, touching, verbal and emotional expressions. At 3 months-corrected age, videos of mother-infant interaction were collected and coded for mothers’ sensitivity, structuring, intrusiveness and hostility.
Results: Preliminary results, available for the direction of mother’s look at 15 days, show significant correlations with birth weight (r=-.54, p<.05), Apgar ‘5 (r=-.69, p<.05), hour of assisted ventilation (r=.56, p<.05), indicating this behavior is associated with the severity of the baby’s medical condition. Mothers’ looking away from the baby and focusing on the NICU technological equipment/monitors was significantly associated with intrusiveness (r= .55, p<.05) and hostility (r=.56, p<.05) with the 3-month infant.
Conclusions: Early interactive behaviors in the NICU may be important indicators for the quality of later interaction. These results may have important implications for early interventions supporting mothers behavior in the NICU. |
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