Trajectories of Maternal Needs and their Impact on Mother Infant Interactions

母亲需求的轨迹及其对母婴互动的影响

• 批准号: 10462143
• 负责人: Bonnie Hepler
• 金额: $ 4.14万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-28 至 2024-09-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10462143
• 关键词: 37 weeks gestation; Abdominal colic; Address; Adverse event; Affect; American; Anxiety; Birth; Black race; Caring; Cessation of life; Characteristics; Child; Contraceptive methods; Data; Data Collection; Developed Countries; Developmental Delay Disorders; Discipline of obstetrics; Education; Emotional; Ethnic Origin; Family; Fatigue; Frequencies; Friends; Gynecology; Health Care Visit; Healthcare; Hemorrhage; Home; Hospitals; Incidence; Infant; Infant Health; Interview; Knowledge; Maternal Health; Maternal Mortality; Medical; Mental Depression; Mental Health; Methods; Moods; Mothers; Outcome; Participant; Pharmaceutical Preparations; Physiological; Policies; Policy Maker; Post-Traumatic Stress Disorders; Postpartum Depression; Postpartum Hemorrhage; Postpartum Period; Pre-Eclampsia; Provider; Race; Recovery; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Schedule; Self-Injurious Behavior; Sepsis; Sexuality; Sleep; Stress; Suicide; Techniques; Text Messaging; Time; United States; Visit; Woman; base; behavior observation; cognitive development; college; diaries; digital; experience; falls; feeding; follow-up; health care service utilization; mortality; parity; postpartum care; postpartum morbidity; programs; psychosocial; social

ABSTRACT Mothers experience many needs in the initial 6 weeks postpartum.1–9 Recently, mothers in the US are experiencing a rising incidence of postpartum hemorrhage, sepsis and preeclampsia,1,2 and reporting more mental health problems, such as postpartum anxiety or depression, than in 1990s.6,10 Despite increasing postpartum morbidity and mortality rates, mothers in the United States do not follow-up with a provider until 6 weeks postpartum.12 The timing of this postpartum visit has been debated by the American College of Obstetrics and Gynecology (ACOG) with increasing evidence that the 6 weeks postpartum visit may be insufficient.13,14 Current research falls short of describing the trajectory of needs between the time a mother is discharged from the hospital to the routine follow-up visit at 6 weeks postpartum. The purpose of this longitudinal mixed method study is to describe the needs of 60 mothers with healthy, infants >37 weeks gestation at birth during the first 6 weeks postpartum and to explore how maternal needs affect mother-infant interactions. Asynchronous digital diary data collection will occur through text messages and will allow mothers to provide data at a time convenient to them and their infants. Data can be collected with limited participant burden from 1 to 6 weeks postpartum. Additionally, one face-to-face interview at 6 weeks and 2 behavioral observations at baseline and 6-weeks will allow the researcher to explore gaps using text message data collection and explore the impact of maternal needs on mother-infant interactions. Using these techniques, this study aims to 1) Describe the trajectory of maternal needs and resources across the first 6 weeks postpartum by race/ethnicity, parity and education, and 2) Explore the characteristics of early mother-infant interactions based on mothers with more or fewer needs.

抽象的 母亲在产后最初的6周中经历了许多需求。1-9最近，美国的母亲是 发生产后出血，败血症和前启动前的发生事件，并报告更多 心理健康问题，例如产后焦虑或抑郁，比1990年。6,10 产后发病率和死亡率，美国的母亲在6岁之前才跟进提供商 产后周。12这次产后访问的时机已由美国学院辩论 妇产科（ACOG）越来越多的证据表明产后6周可能是 13,14当前的研究缺乏描述母亲是在母亲是 从医院出院到产后6周的例行后续访问。这个目的 纵向混合方法研究是描述60位健康婴儿> 37周的母亲的需求 产后最初6周出生时妊娠并探索基质需求如何影响母亲 互动。异步数字日记数据收集将通过短信进行，并将允许母亲 在一次方便地提供数据。数据可以收集有限的参与 产后1到6周的负担。此外，在6周和2个行为上进行一次面对面的面试 基线和6周的观察将允许研究人员使用短信数据探索空白 收集和探索产生互动的影响。使用这些技术， 研究目的是1）描述产后最初6周的孕产妇需求和资源的轨迹 根据种族/种族，平等和教育，以及2）探索早期母亲互动的特征 基于有或更少需求的母亲。