产妇母乳喂养行为、育儿胜任感与早产儿智能发育的关系

Correlation between the maternal breastfeeding behavior and the parenting competence of women and the intelligent development of their preterm infants

目的:分析早产儿智能发育与产妇母乳喂养行为、育儿胜任感的关系。方法:将2021年4月-2022年4月本院出生且1周岁时婴幼儿智能发育量表(CDCC)异常的40例早产儿纳入异常组,CDCC评分正常的50例早产儿纳入正常组,收集所有早产儿及产妇临床资料,记录产妇母乳喂养行为及育儿胜任感,采用Spearman及Pearson相关性分析早产儿智能发育与产妇母乳喂养行为及育儿胜任感的相关性。结果:异常组与正常组早产儿性别、出生胎龄、早产原因、出生后合并症、产妇年龄、产妇类型、产妇文化程度对比均无差异(P>0.05),异常组早产儿出生体重(2.09±0.18 kg)低于正常组(2.22±0.17 kg),母乳喂养占比(52.5%)低于正常组(75.0%),早产儿母亲中文版育儿胜任感量表(C-PSOC)评估的育儿效能评分(36.76±2.08分)、育儿满意度评分(43.78±2.87分)均低于正常组(40.89±1.02分、45.01±1.45分)(均P<0.05),早产儿智能发育与产妇母乳喂养行为、育儿胜任感均呈正相关(r=0.645、0.633,均P<0.05)。多因素logistic回归分析显示,出生体重低、产妇母乳喂养行为及育儿胜任感低均为早产儿智能发育异常的影响因素(均P<0.05)。结论:早产儿智能发育与出生体重、产妇母乳喂养行为、产妇育儿胜任感密切相关,且为影响因素,临床应予以关注。

Objective:To analyze the correlation between the intelligent development of the preterm infants and their maternal breastfeeding behavior and parenting competence.Methods:40 preterm infants with the age of one year old who had born in the hospital and were abnormal evaluated by the Chinese version of developmental center for children(CDCC)from April 2021 to April 2022 were included in study group,and 50 preterm infants with normal CDCC score during the same period were included in control group.The clinical data of the preterm infants and their mother in the two groups were collected.The breastfeeding behavior and parenting competence of the women in the two groups were recorded.Spearman and Pearson correlation analysis were used to analyze the correlation between the intelligent development of the preterm infants and their maternal breastfeeding behavior and parenting competence.Results:There were no significant differences in the gender,the gestational weeks at birth,the cause of preterm birth,the postnatal complications,the maternal age,type and education level of the preterm infants between the two groups(P>0.05).The birth weight(2.09±0.18kg)of the preterm infants in the study group was significantly lower than that(2.22±0.17kg)of the preterm infants in the control group.The proportion of breastfeeding(52.5%)of the preterm infants in the study group was significantly lower than that(75.0%)of the preterm infants in the control group.The scores of the maternal parenting efficacy(36.76±2.08 points)and parenting satisfaction(43.78±2.87 points)evaluated by the Chinese version of parenting sense of competence scale(C-PSOC)of the preterm infants in the study group were significantly lower than those(40.89±1.02 points and 45.01±1.45 points)of the preterm infants in the control group(all P<0.05).The intellectual development of the preterm infants was positively correlated with their maternal breastfeeding behavior and parenting sense of competence(r=0.645 and 0.633,all P<0.05).Multivariate logistic regression analysis showed that the low birth weight,the maternal breastfeeding behavior and low parenting sense of competence of the preterm infants were the influencing factors of their intellectual development disorders(all P<0.05).Conclusion:The birth weight and their maternal breastfeeding behavior and parenting sense of competence of the preterm infants were closely related to their intellectual development,and which are all the factors influencing the intelligent development of the preterm infants,and so these preterm infants should be paid attention to in the clinical practice.