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| Analysis of the influencing factors and the countermeasures of the maternal-infant relationship of women with premature delivery in their early postpartum period |
| Shanxi Provincial People's Hospital, Xi 'an, Shanxi Province, 710068 |
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Abstract To explore the influencing factors of the maternal-infant relationship of women with premature delivery in their early postpartum period, and to put forward the countermeasures. Methods: A total of 170 women with premature delivery from August 2022 to July 2023 were selected as the research objects. These women were investigated by general data questionnaire when they came to the hospital for reexamination in the 42th day after delivery. Chinese version of maternalinfant attachment scale (CMAI), Chinese version of postpartum fatigue scale (PFS), Chinese version of parenting confidence scale (KPCS) and infant temperament questionnaire (EITQ) were used for investigation. Multivariate linear regression model was used to analyze the influencing factors of the maternal-infant relationship of the premature women with premature delivery in early postpartum period. Results: A total of 170 questionnaires were distributed, and 158 valid questionnaires were effectively recovered, with an effective recovery rate of 92.9 %. The scores of CMAI, PFS and KPCS of the women were 73.48±10.62 points, 22.56±3.28 points and 35.61±4.12 points, respectively. Pearson correlation analysis showed that the PFS score of the women was negatively correlated with their CMAI score, and the KPCS score of the women was positively correlated with CMAI score (all P<0.001). Univariate analysis showed that there was significant difference in the CMAI score in the early postpartum period among the women with different ages, among the women with different family monthly income, among the women with different delivery mode, among the women with different parity, among the women with different temperament type of premature infants, among the women with different feeding mode, and between the women with and without maternal-infant separation during hospitalization. Multivariate analysis showed that the age <35 years old, the parity, the maternal-infant separation during hospitalization, the temperament type of the premature infants, the artificial feeding mode, the high degree of the postpartum fatigue and the low parenting confidence of the women with premature delivery were the independent influencing factors of their maternal-infant relationship in early postpartum period (all P<0.05). Conclusion: This survey has showed that the maternal-infant attachment of the women with premature delivery in their early postpartum period is at the medium level. The intervention should be conducted aimed at the correlated factors, so as to establish and maintain the good maternal-infant relationship.
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