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Long-term effect on mother-infant behaviour of extra contact during the first hour post partum: V. Follw-up at three years
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics. (Department of Child and Adolescent Psychiatry, Karolinska Institute, St Göran's Hospital, Stockholm, Sweden)
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics. (Department of Child and Adolescent Psychiatry, Karolinska Institute, St Göran's Hospital, Stockholm, Sweden)
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics. (Department of Child and Adolescent Psychiatry, Karolinska Institute, St Göran's Hospital, Stockholm, Sweden)
1989 (English)In: Scandinavian journal of social medicine, ISSN 1403-4948 Print; 1651-1905 Online, Vol. 17, no 2, 181-191 p.Article in journal (Refereed) Published
Abstract [en]

Primiparous mothers and their infants who had had an extra 15–20 minutes skin-to-skin and suckling contact (P+) during the first hour after delivery behaved differently, had a longer duration of breast-feeding, and expressed different opinions on child rearing practices at follow-ups 36 hours, 3 and 12 months after delivery as compared with a control group (P) of primiparous mothers and their infants, who were given routine care immediately after birth. The present report is based on parts of the results of the follow-up at 3 years. Asked in retrospect more P mothers found the time together with their infants immediately after delivery to have been insufficient. More P+ children were reported to have been earlier continent during the day and also earlier stubborn than the children in the P group. The Denver Developmental Screening Test showed similar results in both groups. Catecholamine levels in the urine of extra contact mothers and their boys were found to be slightly higher than those of routine care mothers and boys. Two separate analyses of video-tapes of free play showed that mothers and children in the P+ group were smiling/laughing more often than P mothers and children. The P+ mothers were more encouraging and instructing towards their children than the P mothers. Articulated conflicts were more common in the P+ group. Regardless of the type of conflict, more conflicts in the P+ group were solved. As in earlier parts of this longitudinal study differences related to type of neonatal care were more pronounced for boy-mother than for girl-mother pairs.

Place, publisher, year, edition, pages
Associations of Public Health in the Nordic Countries Regions , 1989. Vol. 17, no 2, 181-191 p.
Keyword [en]
Mother–infant behaviour, extra contact, neonatal period, follow up
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-66899DOI: 10.1177/140349488901700209OAI: oai:DiVA.org:umu-66899DiVA: diva2:609681
Projects
digitalisering@umu
Available from: 2013-03-06 Created: 2013-03-06 Last updated: 2015-04-10Bibliographically approved
In thesis
1. The first hour of life: description of the early reciprocal interaction : mother-infant behaviour and development of their mutual relationship
Open this publication in new window or tab >>The first hour of life: description of the early reciprocal interaction : mother-infant behaviour and development of their mutual relationship
1990 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The immediate post partum period may be particularly important for the developing relationship between mother and infant. This report consists of two studies: the first study (paper I) gives descriptions of the interaction between infants and their parents during the first hour post partum and the second study (papers II-IV) in this report examines the effect of extra contact during the first hour following delivery.

In the first, descriptive study, the study group consisted of 12 families, who were videotaped immediately after the birth of their infant. The aims of this study were to examine the absolute first contact between the newborn and its parents and to test Mahler's theory (1975) of the normal autistic phase. The videotapes were analysed by independent observers, who have examined the activities of the infants, the mothers, and the fathers with special emphasis on interaction. The typical process of activity development is presented and commented on and one case study is described in detail as an example (in Swedish in Appendix IV of paper I). The newborn's own capacity of intentionality and interaction through movements and sounds gives the mother a feeling of being the person who is sought by the infant during the first post partum hour. As this typical process is one of activity and of non-verbal interaction, it seems more appropriate to call this period a turning point phase or a phase of reciprocal adjustment immediately after delivery rather than a normal autistic phase as it was termed by Mahler.

In the second, longitudinal, prospective study, an extra naked skin-to-skin contact and suckling contact, during 15-20 minutes during the first hour post partum, was given to 22 primiparous mothers and their infants (P+ group). A control group of 20 primiparous mothers and their infants received routine care immediately after delivery (P group). The aim of the study was to examine what possible influence extra contact, in contrast to routine care, might have on the behaviour of mother and infant and on the development of their mutual relationship, also taking the sex of the infant into account. Follow-up studies were made at 36 hours, 3 months, 1 year, and 3 years after the birth of each infant. In this thesis the results of the 1-year and 3-year follow-up studies are included, both presenting main effects between the experimental group and the control group and effects in relation to boys and girls. The results of this study are discussed to some extent in relation to Mahler's theory of symbiosis and individuation.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 1990. 112 p.
Keyword
First hour post partum, mother-infant behaviour, early interaction between mother and infant, observations, development, follow-up, Mahler's theory of symbiosis and individuation
National Category
Psychology
Identifiers
urn:nbn:se:umu:diva-66901 (URN)91-7174-503-3 (ISBN)
Public defence
1990-10-05, Humanisthuset, hörsal E, Umeå universitet, Umeå, 09:15
Projects
digitalisering@umu
Available from: 2013-03-06 Created: 2013-03-06 Last updated: 2013-03-06Bibliographically approved

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