降低剖宫产率 维护母婴利益

剖宫产作为一种生产方式,其比率居高不下,已经引起医学界和卫生管理部门的重视。分析其原因,开展相应的对策研究,已成为当务之急。通过健康教育使产妇走出认识误区;加强医务人员职业道德建设;加强医疗卫生法制建设;完善医疗卫生管理体制;建立和谐的医患关系是降低剖宫产比率,维护母婴利益的重要保证。     

Episodic emotions of Tshivenda cultural community mothers towards their adolescent children’s pregnancies

This study explored Tshivenda mothers’ emotional reactions to the learning of unplanned pregnancies of their adolescent daughters. Ten purposively selected mothers with early parent adolescent children were informants (age range = 40 to 55 years). They responded to semi-structured face-to-face interviews on their reactions to the learning of the pregnancies of their daughters. The interview data were thematically analysed. Findings suggest the mothers experienced anger and embarrassment, objective and subjective burdens supporting their early parent daughter, and fears for the health of their mother-to-be daughters. The mothers reported to cope with pregnancy of their daughters by religion supplication, acceptance and social support, as well as open communication with their adolescent daughters about the pregnancies.     

Predictors of Parenting Stress for Abusive and Nonabusive Mothers

We examined a model of parenting stress for abusive mothers (n = 80) and nonabusive mothers (n = 86) using linear regression analyses. Predictors in the model included (a) the degree to which mothers were bothered by child misbehavior, (b) mothers’ general psychological functioning, and (c) observed child behavior during parent–child interactions. Whether abuse status moderated the relations between each predictor and parenting stress was also explored. Results indicated that mothers’ psychological functioning significantly predicted parenting stress; however, neither mothers’ intolerance for their children’s misbehavior nor observed child behavior were significant predictors of parenting stress in the regression model. A test of moderation revealed a significant interaction between parental intolerance and abuse status such that intolerance predicted parenting stress level only for abusive mothers. A comparison of correlations indicated that abusive mothers’ level of parenting stress was more closely related to their intolerance for child conduct problems than to the child’s behavior during play with their mothers. Findings are discussed in terms of implications for interventions to reduce parenting stress experienced by nonabusive and abusive mothers.     

Both maternal sensitivity and atypical maternal behavior independently predict attachment security and disorganization in adolescent mother-infant relationships

Extant theory holds that variation in attachment security is largely determined by caregiver sensitivity whereas disorganization has its roots in atypical interactions that frighten the infant. These hypotheses were confirmed in the current study of a high-risk sample but, contrary to current theory, both atypical maternal behavior and maternal sensitivity were also significant independent predictors of attachment disorganization and security.     

Examining the Link Between Infant Attachment and Child Conduct Problems in Grade 1

Abtract  We examined the extent to which infant attachment status is directly related to child conduct problems 6 years later, and assessed the potential mediating roles of hostile parenting and maternal depression. The sample included 84 adolescent mothers and their children (45 girls, 39 boys). Infant attachment status was assessed using the Strange Situation when the study children were 1-year-old. Hostile parenting was coded during a parent–child interaction task when the study children were 4.5-years-old. Maternal depression was self-rated, also when the study children were 4.5-years-old, using the Beck Depression Inventory. Mothers reported child conduct problems at Grade 1 on the Child Behavior Checklist. Infant attachment status at 1 year of age was directly related to child conduct problems but not to hostile parenting or maternal depression. Neither hostile parenting nor maternal depression mediated the relationship between infant attachment status and child conduct problems. However, the pattern of relations differed by attachment security. For securely attached children, maternal depression, but not hostile parenting, was directly related to conduct problems. For insecurely attached children, hostile parenting, but not maternal depression, was directly related to child conduct problems. Implications for intervention and future research are discussed.     

抑郁情绪大学生反应抑制的眼动特点

本研究采用反眼动实验范式,通过BDI和 SDS量表筛选11名抑郁情绪组和12名正常对照组被试,以高兴、中性和悲伤面孔图片作为实验材料,旨在探讨抑郁情绪大学生对情绪刺激的眼动抑制能力。结果发现：抑郁情绪组的正确眼跳反应时慢于正常组;反朝向眼跳任务中,抑郁情绪组在情绪面孔图片,尤其是悲伤面孔图片上的错误率比正常组高。研究表明,抑郁情绪个体的认知加工速度慢于正常个体,且对情绪面孔,尤其对悲伤面孔存在抑制缺陷。     

The Significance of Employment for Chronic Stress and Psychological Distress among Rural Single Mothers

Considerable research has found elevated levels of stress and psychological distress among single mothers. However, little research has addressed the relevance of employment for stress processes in this population, and few studies have focused on links between employment, stress, and mental health among single mothers living in rural areas. Based on a probability sample of 508 single mothers age 18-39 living in rural Northern New England, this study: (1) documents variations in chronic stress and psychological distress for employed and unemployed single mothers, (2) considers the extent to which different forms of chronic stress mediate or explain the employment-distress relationship, and (3) examines whether employment status modifies associations between chronic stress and psychological distress. Findings indicated that rural single mothers who were employed reported significantly less financial stress, childcare stress, and rural residence stress, relative to mothers who were not employed, independent of variety of other factors. Employed mothers also experienced significantly less psychological distress which was partially mediating by their lower financial stress. However, there was also a statistical interaction between employment status and financial stress such that the harmful effect of financial stress on well-being was greater for employed women. Implications of the findings are discussed.     

Risk and Protective Factors for Children of Adolescents: Maternal Depression and Parental Sense of Competence

We investigated the relationship between depression and parental sense of competence to child cognitive outcomes for a sample of 49 adolescent mothers and their young children (Mean age=9 1/2 months) enrolled in a student parenting program. Cognitive development of the infants and toddlers was assessed using the Bayley Scales of Infant Development. Maternal depression was assessed with the CES-D and parental competence measured with the Parental Sense of Competence Scale. Results indicated that maternal depression and parental sense of competence alone did not predict children’s cognitive scores; the interaction of the variables significantly predicted children’s outcomes. Mothers reporting high levels of depression, who self-reported high levels of parental competence, had children who scored higher on the Bayley. Children of mothers with high levels of depression, and low reported levels of competence scored lower on the Bayley. The relationship was not significant for mothers reporting low levels of depression. Our findings suggest additional research needs to focus on the buffering effect of parental sense of competence for adolescent mothers experiencing depression.     

Young mothers' play with their toddlers: individual variability as a function of psychosocial factors

There is no one style of parenting which characterizes young mothers as a group. In addition, life circumstances play an important role in shaping maternal behaviour. The aim of this study was to identify patterns of maternal play behaviour and contextual (social and personal) factors associated with these different patterns. In this study, 107 young mothers were observed at home during play with their toddlers; maternal behaviour was coded for joint attention (shared focus of mother and toddler attention) and emotional availability (e.g. sensitivity, intrusiveness, hostility). Mothers reported on aspects of their childhood history and current personal functioning and social support. A person‐centred analytic approach, using cluster analysis, revealed three distinct groups of maternal play behaviour: (1) ‘sensitive‐engaged’ (2) ‘inconsistent‐directive,’ and (3) ‘intrusive‐prohibitive’. Multivariate analyses revealed that contextual factors in mothers' lives (e.g. childhood abuse, depressive symptomatology, partner violence, social support, and parenting self‐confidence) were differentially associated with parenting clusters. Copyright © 2007 John Wiley & Sons, Ltd.