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: 10721885
• 负责人: Bonnie Hepler
• 金额: $ 3.97万
• 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 2024-08-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10721885
• 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; Techniques; Text Messaging; Time; United States; Visit; Woman; behavior observation; cognitive development; college; diaries; digital; empowerment; experience; falls; feeding; follow-up; health care service utilization; mortality; parity; postpartum care; postpartum morbidity; programs; psychosocial; social; suicidal

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 6 周内会经历许多需求。1-9 最近，美国的母亲 产后出血、败血症和先兆子痫的发病率不断上升，1,2 并报告更多 与 20 世纪 90 年代相比，产后焦虑或抑郁等心理健康问题有所增加。6,10 由于产后发病率和死亡率，美国的母亲直到 6 岁才与医疗服务提供者进行随访 产后几周。12 美国学院对这次产后检查的时间安排进行了争论。 妇产科 (ACOG) 越来越多的证据表明，产后 6 周就诊可能是 13,14 目前的研究未能描述母亲怀孕期间的需求轨迹。 出院至产后6周常规随访。 纵向混合方法研究旨在描述 60 名拥有健康婴儿 > 37 周的母亲的需求 产后前 6 周内出生时的妊娠情况，并探讨母亲的需求如何影响母婴 异步数字日记数据收集将通过短信进行，并允许母亲进行。 在他们及其婴儿方便的时间提供数据 可以在有限的参与者范围内收集数据。 产后 1 至 6 周的负担 此外，6 周时进行 1 次面对面访谈和 2 次行为访谈。 基线和 6 周的观察将使研究人员能够使用短信数据探索差距 使用这些技术收集并探索母亲需求对母婴互动的影响。 研究旨在 1) 描述产后前 6 周内孕产妇需求和资源的轨迹 按种族/民族、胎次和教育程度分类，2) 探索早期母婴互动的特征 根据母亲的需要或多或少。