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Abstract(s)
A sensibilidade materna afeta a qualidade da vinculação e, consequentemente, o desenvolvimento da criança. Contudo, existem poucos estudos realizados em Portugal, particularmente com bebés de extremo pré-termo (com menos de 32 semanas de gestação). O presente estudo dedica-se a investigar a qualidade e a continuidade das interações mãe-bebé de extremo pré-termo, antes dos 12 meses. Para o efeito, foram recrutadas 20 díades mãe-bebé observadas, em interação livre, aos 3 e aos 9 meses. Os bebés participantes, 12 meninas e 8 meninos, tinham em média 30.7 semanas de idade gestacional (IG) e 1385.95g de peso gestacional. Comparados com outros estudos portugueses com bebés de termo de 32 a 36 semanas de IG, em média as mães dos bebés da nossa amostra apresentaram menor sensibilidade materna e os bebés menor cooperação infantil em interação livre tanto aos 3 como aos 9 meses. Adicionalmente, o estudo indica uma forte associação e continuidade entre os comportamentos maternos aos 3 e aos 9 meses. A mesma associação e continuidade de comportamentos, dos 3 para os 9 meses, são observadas no comportamento dos bebés. Por fim, os nossos resultados indicam que o comportamento materno e comportamento infantil são afetados pelo peso gestacional e idade gestacional à nascença, pelo Apgar do bebé e pelo número de dias de internamento. Os resultados, embora não generalizáveis, indicam que, para além dos riscos de saúde e comorbilidades associadas à prematuridade, estas díades também se debatem com dificuldades no estabelecimento de uma relação positiva, prazerosa e recíproca que contribua para o desenvolvimento do bebé. O presente estudo associa-se a um corpo de conhecimento que indica que a sensibilidade materna deve ser um aspeto central da intervenção precoce com bebés prematuros, desde o seu nascimento.
ABSTRACT Maternal sensitivity affects mother-infant attachment and, thereby children development. However, little research was performed in Portugal, particularly with extremely preterm infants (less than 32 weeks of pregnancy). This study investigates the quality and continuity mother-infant quality of interactions in dyads with of extremely preterm infants. For this purpose, 20 mother-infant dyads were recruited and observed, in free play interactions, at 3 and at 9 months. The participants were mother-infants dyads with extremely preterm infants (12 girls and 8 boys, mean of 30.7 weeks of gestational age (GA) and 1385.95 g of gestational weight (GW). Compared with other Portuguese studies with full term infants and with infants born with 32 to 36 weeks of GA, in our sample with extremely preterm, the mean of maternal sensitivity and infant cooperation is quite low during free interaction at both 3 and 9 months. In addition, the study indicates a strong association and continuity amongst maternal behaviors at 3 and 9 months. The same association and continuity of behavior, from 3 to 9 months, are observed in infant’s behavior. Finally, our results indicate that maternal and infant behavior are affected by: GA, GW, Apgar score and the number of days of hospitalization. The results, although not generalizable, indicate, in addition to the health risks and comorbidities associated with prematurity, that these dyads also struggle with difficulties in establishing a positive, pleasant and reciprocal relationship that contributes to children development. This study is in line with a body of knowledge that indicates that maternal sensitivity must be a central aspect for early intervention practices with prematurely born infants.
ABSTRACT Maternal sensitivity affects mother-infant attachment and, thereby children development. However, little research was performed in Portugal, particularly with extremely preterm infants (less than 32 weeks of pregnancy). This study investigates the quality and continuity mother-infant quality of interactions in dyads with of extremely preterm infants. For this purpose, 20 mother-infant dyads were recruited and observed, in free play interactions, at 3 and at 9 months. The participants were mother-infants dyads with extremely preterm infants (12 girls and 8 boys, mean of 30.7 weeks of gestational age (GA) and 1385.95 g of gestational weight (GW). Compared with other Portuguese studies with full term infants and with infants born with 32 to 36 weeks of GA, in our sample with extremely preterm, the mean of maternal sensitivity and infant cooperation is quite low during free interaction at both 3 and 9 months. In addition, the study indicates a strong association and continuity amongst maternal behaviors at 3 and 9 months. The same association and continuity of behavior, from 3 to 9 months, are observed in infant’s behavior. Finally, our results indicate that maternal and infant behavior are affected by: GA, GW, Apgar score and the number of days of hospitalization. The results, although not generalizable, indicate, in addition to the health risks and comorbidities associated with prematurity, that these dyads also struggle with difficulties in establishing a positive, pleasant and reciprocal relationship that contributes to children development. This study is in line with a body of knowledge that indicates that maternal sensitivity must be a central aspect for early intervention practices with prematurely born infants.
Description
Dissertação apresentada à Escola Superior de Educação de Lisboa para obtenção de grau de mestre em Intervenção Precoce
Keywords
Cooperação Infância Prematuridade Relação diádica Sensibilidade materna Extreme prematurity Dyadic relationship Maternal sensitivity Cooperation Infancy
Citation
Ribeiro, I. M. (2021). Estudo sobre a qualidade da interação dos bebés de extremo pré-termo com as suas mães aos 3 e aos 9 meses (Dissertação de mestrado não publicada). Instituto Politécnico de Lisboa, Escola Superior de Educação, Lisboa Disponível em: http://hdl.handle.net/10400.21/13206
Publisher
Escola Superior de Educação de Lisboa, Instituto Politécnico de Lisboa