Browse > Article

The Relationship between Early Neo-maternal Exposure, and Maternal Attachment, Maternal Self-esteem and Postpartum Depression in the Mothers of NICU Infants  

Ahn Young-Mee (Department of Nursing, College of Medicine Inha University)
Kim Mi-Ran (Department of Nursing, College of Medicine Inha University)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.5, 2005 , pp. 798-809 More about this Journal
Abstract
Purpose: This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU. Method: Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU. Result: The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression. Conclusion: The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are neededfor the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.
Keywords
Infant; NICU; Attachment; Self-esteem; Postpartum depression;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Cho, K. J., Jun, E. Y. (1992) The Study of the Mother-Infant Interaction in Low Birth Weight Infants , Kyung Hee University 22, 339-366
2 Kim, J. S., & Cho, K. J. (2004). The effect of mother-fetus integration promotion program of talking and tactile stimulation on maternal-fetal attachment. J Korean Acad Child Health Nurs, 10(2), 153-164
3 Kim, T. Im. (2002). Effects of massage therapy on growth parameters of orphaned infants during first six months of life. Korean Parent-Child Health Journal, 5(2), 224-240
4 Ahn, Y. M., & Lee, S. M. (2004). The effects of the integrated NICU hospitalization education on maternal attachment, maternal self-esteem, and postpartum depression in the mothers of high-risk infants. J Korean Acad Child Health Nurs, 10(3), 180-187
5 Ainsworth, M. D. (1989). Attachment beyond infancy. American Psychologists, 44(4), 709-716   DOI   ScienceOn
6 Kim, M. Y, Kim, S. H., & Jang, G. J. (2004). The effects of sensory stimulation on mater-infant interaction in premature infants. J Korean Acad Child Health Nurs, 10(2), 180-187
7 Han, K. E. (2001). The relationship of maternal self-esteem and maternal sensitivity with mother-to-infant attachment. Unpublished master dissertation. Hanyang University of Korea, Seoul
8 McGrath, M, M., &, Meyer, E. C. (1992). Maternal self-esteem: From theory to clinical practice in a special care nursery. CHC, 21(4), 199-205
9 Oh, J. A., & Lee, J. H. (2003). An analysis of nursing research related to the mother-child interaction in Korea. J Korean Acad Child Health Nurs. 9(2), 149-158
10 Shea, E., & Tronick, E. Z(1984) The Maternal self-report inventory : A research and clinical instrument for assessing Maternal self esteem. In H. E. Fitzgerald, B. Lester ,& M. W. Yogam(Eds). Theory and research in behavioral pediatrics (vol.4)
11 Lee, Y E. (1991). An Experimental study on the Impact of an agreement on the means to achive nursing goals in the early postpartum period of primiparouse mothers and enhance their self-confidence and satisfaction in maternal role performance. Unpublished doctoral dissertation Ewha Womans University
12 Moon, Y I., & Koo, H. Y. (2000). The effects of Kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low-birth weight infants. J Korean Acad Child Health Nurs. 6(3) 281-290
13 Stamp, G. E., Williams, A. S., & Crowther, C. A. (1996). Predicting postnatal depression among pregnant women. BIRTH, 23(4), 218-223   DOI   ScienceOn
14 Park, Y. J., Shin, H. J., Ryu, H. S., Cheon, S. H., & Moon, S. H. (2004). The predictors of postpartum depression. J Korean Acad Nurs, 34(5), 722-728
15 Ahn, Y. M. (2004). The Effects of a the systemic follow up health care program on the health promotion and the risk reduction in premature infants and their mothers. J Korean Acad Nurs, 34(6), 903-916
16 Kennedy, A. M., Elward, A. M., & Fraser, V. J. (2004). Survey of knowledge, beliefs, and practices of neonatal intensive care unit health care workers regarding nosocomial infections, central venous catheter care, and hand hygiene. Infect Control Hosp Epidemiol, 25(9), 747-752   DOI   ScienceOn
17 Park. H. S. (1983). A Study on the effects of early infant caretaking activity to the material attachment behavior. Unpublished master dissertation Ewha Womans University
18 Lee, M. S. (1986). A Study on the mother-newborn interaction that the bonding of mother & newborn in the early postpartum period Unpublished master dissertation Ewha Womans University
19 Huang, Y. C., & Mathers, N. (2001). Postnatal depression biological or cultural? A comparative study of postnatal women in the UK and Taiwan. J Adv Nurs, 33(3), 279-287   DOI   ScienceOn
20 Beck, C. T., & Gable, R. K. (2001). Comparative analysis of the performance of the postpartum depression screening scale with two other depression instruments. Res Nurs, 50(4), 242-250   DOI   ScienceOn
21 Hulley, S. B., Cummings, S. R., Brown, W. S., Grady, D., Hearst, N. & Newman, T. B. (2001). Designing Clinical Research(2nd ed). Lippincott Williams & Wilkins
22 Cassidy, J., & Shaver, P. R. (1999). Handbook of Attachment(eds.), Guilford. 44-67
23 Muller (1994) A Question to measure mother to infant attach. J Nurs Meast 2(2) 129-141
24 White- Traut, R. (2004). Providing a nurturing environment for infants in adverse situations: multisensory strategies for newborn care. J Midwifery Womens Healt,. 49(Suppl 1), 36-41   DOI   PUBMED   ScienceOn
25 Kim, M. Y., & Kim, S. H. (2000). Effects of the massage therapy on weight, stress hormone and mother-infant interaction. Korean Parent-Child Health Journal, 3(1), 1-14
26 Ahn, Y. M., & Kim, J. H. (2003). Comparison of Maternal Self-esteem, Postpartal Depression, and Family Function in Mothers of Normal and of Low Birth-weight Infants. J Korean Acad Nurs, 33(5), 580-590
27 Han, K. J., & Bang, K. S. (1999). Confirmatory analysis of maternal self-report inventory (Maternal Self-Esteem). Korean Parent-Child Health Journal, 2, 64-82
28 Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression development of the 10 item Edinburgh Postnatal Depression Scale. Br J Psychiatry, 150, 782-786   DOI   ScienceOn
29 Rubin, R. (1984). Maternal Identity and Maternal Experience. NY: Springer Publishing Company
30 Beck, C. T. (1998). The effects of postpartum depression on child development: A meta-analysis. Arch Psychiatr Nurs, 12, 12-20   DOI   PUBMED   ScienceOn