Document Detail

Impact of delayed development in premature infants on mother-infant interaction: a prospective investigation.
MedLine Citation:
PMID:  2447255     Owner:  NLM     Status:  MEDLINE    
We examined events that precede a diagnosis of developmental delay by comparing 16 very low birth weight premature infants whose condition was diagnosed as developmental delay at 18 months corrected age with 16 matched developmentally normal infants. All infants were observed with their mothers during maternal visits to the nursery and during home visits 1, 3, 6, and 9 months after discharge. The mothers' reactions to their infants were rated at these times. All the children were followed up at a neonatal clinic, and detailed clinic records were used to document the time when a physician first suspected a delay and when this delay was first mentioned to the mother. The results indicate that parents had usually been told of their child's handicap by the time the child was 6 to 9 months old; yet mothers of the delayed children changed the interaction with their children as early as 1 month after discharge from hospital. These mothers initially touched, smiled at, and talked to their developmentally delayed infants significantly more often, but by 9 months they did so much less often than mothers of nondelayed children. The degree of change in mothers' behavior was related to their psychosocial background, with better-adjusted mothers showing the most change. We conclude that mothers' statements about their infants are usually valid and that physicians may share their potential concerns about infants more freely.
K Minde; M Perrotta; J Hellmann
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  112     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1988 Jan 
Date Detail:
Created Date:  1988-02-23     Completed Date:  1988-02-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  136-42     Citation Subset:  AIM; IM    
Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
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MeSH Terms
Attitude to Health
Child Behavior
Developmental Disabilities / psychology*
Infant, Low Birth Weight / physiology,  psychology
Infant, Newborn
Infant, Premature, Diseases / psychology*
Longitudinal Studies
Maternal Behavior*
Parent-Child Relations*
Prospective Studies
Psychomotor Performance
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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