ENHANCED BONDING IN THE HIGH RISK NEONATE

Abstract

An intervention program designed to enhance maternal infant bonding in high risk dyads significantly improved maternal child behavior and interaction. The preterm neonate, whose appearance, behavior and prognosis violate maternal expectations, has disrupted mother-infant relationship because of diminished contact, erratic responsivity and stressed maternal emotions.Thirty four mothers of high risk infants (BW 1630±330g, GA 32+2 wks, Parmalee risk factor 77.5±12.3) comprised the study group, and were exposed to videotapes designed to reduce emotional crises, increase confidence, and enhance ability to interact with the infant. Mother infant contact, discussion, and demonstrations followed each session. Controls consisted of mothers of 35 infants (BW 1590±380g, GA 32±2, Parmalee risk factor 72.5±15.3), exposed to conventional communication.Evaluation with a behavioral rating scale was performed one month post discharge (GA 40±lwk). The results demonstrated increased maternal attention (P 0.01), maternal responsivity (P 0.05) and maternal infant mutuality (P 0.05) in the study group. Repeat examination at 8 months post discharge showed increased smiling behavior (P 0.01) in study infants. Significant inverse correlations were noted between the effects of intervention and socioeconomic status. In these mother-infant dyads improved relationships were achieved by a specifically designed program.