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Créée le : 10 Mar 2004
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Operative intervention in delivery is associated with compromised early mother-infant interaction. BJOG. 2001 Oct;108(10):1068-75.

Auteur·e(s) :

Rowe-Murray HJ, Fisher JR.

Année de publication :

2001

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To investigate the effects of mode and place of delivery on first mother-infant contact and maternal emotional wellbeing. DESIGN: A prospective, longitudinal study. PARTICIPANTS: A sociodemographically representative sample of 203 consecutive primiparous women was recruited, of whom 81% (n = 164) were followed up. SETTING: Four metropolitan hospitals, including one accredited baby friendly hospital, in Melbourne, Australia, 1997. METHODS: During the postnatal hospital stay women were interviewed and medical records were inspected. PARTICIPANTS: completed two self-report psychometric measures: the Edinburgh Postnatal Depression Scale (EPDS) and the Profile of Moods States (POMS). Follow up at eight months postpartum comprised completion of a postal questionnaire and repeat administration of the standardised self-report psychometric mood questionnaires. RESULTS: The First Contact Index provides a measure of the first contact between a mother and her baby after the birth. Two-way analysis of variance revealed significant differences in First Contact Index between three modes of delivery groups: spontaneous, instrumentally-assisted, and caesarean section (P < 0.001) and four hospital of delivery groups (P < 0.001), but there was no significant interaction effect (P = 0.55). Significant negative correlations existed between the First Contact Index and both the POMS and EPDS scores at two days postpartum (POMS, r = -0.339, 95% Cl -0.46 to -0.22; EPDS, r = -0.279, 95% CI -0.41 to -0.16), even within delivery groups, and these were still present at eight months postpartum (POMS, r = -0.298, 95% CI -0.44 to -0.14, EPDS, r = -0.206, 95% CI -0.36 to -0.03). CONCLUSION: Instrumental and surgical delivery exert a negative impact on first postnatal contact between a mother and her baby which has persistent adverse maternal emotional correlates. Hospital practices associated with obstetric intervention in delivery also varied and are amenable to change, enabling optimal first mother-baby interaction regardless of mode of delivery.

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Mots-clés :

➡ césarienne ; dépression, anxiété ; psychologie ; extraction instrumentale

Auteur·e de cette fiche :

Cécile Loup — 10 Mar 2004