Journal
BMJ OPEN
Volume 6, Issue 5, Pages -Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2015-009699
Keywords
MENTAL HEALTH; PERINATOLOGY; TRAUMA MANAGEMENT
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Funding
- Centre for Child and Adolescent Mental Health, Eastern and Southern Norway
- University College of Oslo and Akershus
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Objective Pregnancy, birth and health complications, maternal mental health problems following preterm birth and their possible impact on early mother-infant interaction at 6 and 18months corrected age (CA) were explored. Predictors of mother-infant interaction at 18months CA were identified. Design and methods This prospective longitudinal and observational study included 33 preterm mother-infant (<33 gestational age (GA)) interactions at 6 and 18months CA from a socioeconomic low-risk, middle-class sample. The Parent-Child Early Relational Assessment (PCERA) scale was used to assess the mother-infant interaction. Results Bleeding in pregnancy' predicted lower quality in preterm mother-infant interaction in 6 PCERA scales, while high maternal trait anxiety' predicted higher interactional quality in 2 PCERA scales and family size' predicted lower interactional quality in 1 PCERA scale at 18months CA. Mothers with symptoms of post-traumatic stress reactions, general psychological distress and anxiety at 2weeks postpartum (PP) showed significantly better outcome than mothers without symptoms in 6 PCERA subscales at 6months CA and 2 PCERA subscales at 18months CA. Conclusions Our study detected a correspondence between early pregnancy complications and lower quality of preterm mother-infant interaction, and an association between high levels of maternal mental health problems and better quality in preterm mother-infant interaction.
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