Fatores associados à sensibilidade materna em um grupo de primíparas cariocas

• Ano de defesa: 2017
• Autor(a) principal: Ribeiro-Accioly, Ana Carla Lima
• Orientador(a): Seidl-de-moura, Maria Lucia
• Banca de defesa: Pedrosa, Maria Isabel Patrício de Carvalho , Pessôa, Luciana Fontes , Bastos, Ana Carolina Monnerat Fioravanti
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Psicologia Social
• Departamento: Centro de Educação e Humanidades::Instituto de Psicologia
• País: BR
• Palavras-chave em Português: Fatores associados; Características maternas; Sensibilidade materna; Interação mãe-bebê; Suporte social; Estilo de relacionamento; Bem-estar subjetivo; Gravidez não desejada; Gravidez não planejada; Psicologia Social; Gravidez indesejada; Bem-estar
• Palavras-chave em Inglês: Associated factors; Maternal characteristics; Maternal sensitivity; Mother-infant interaction; Social support; Relationship style; Well-being subjective; Unwanted pregnancy
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA SOCIAL
• Link de acesso: http://www.bdtd.uerj.br/handle/1/15404

This work, based on developmental psychology from the perspective of evolutionary and socio-cultural psychology, aims at understanding factors associated with the development of maternal sensitivity in primiparous women from the city of Rio de Janeiro. The focus of analyses were: age, marital status, education level, maternal subjective well-being, maternal perception of social support, adult relationship style, use of synthetic oxytocin during childbirth, if the pregnancy was wanted and/or planned, gender/maternal preference of the baby's sex, baby's apgar, exclusive breastfeeding / use of complement. The study had the participation of 113 pregnant women in the first interview and 22 postpartum women and their babies in the second interview. The research methodology consisted of: two semi-structured interviews based on a script prepared in advance (one at the fifth month of pregnancy and the second two months after the baby's birth), systematic naturalistic observation, and the following instruments were used: Relationship Style Scale, Social Support Scale and Subjective Well- being Scale. The semi-structured interviews aimed to collect data on pregnant women, pregnancy, socio-demographic data, the labor description, breastfeeding, maternal perception of their support network. The systematic naturalistic observation was performed with the video recording of the mother-infant interaction in a natural environment for 15 minutes to analyze the sensitivity and maternal interference. The participants were between 14-42 years (M = 26.73, SD = 7,90), 27,3% were single and 72.7% were married / living with the child's father. The high school education represented 31,8% of the group of participants, 77,3% of pregnancies were unplanned and 40.9% unwanted. Single mothers had higher scores on the negative affect subscale of the Subjective Well-Being Scale and Relationship Style Scale compared to married / live together with baby´s father. Pregnant women who reported having an unwanted and unplanned pregnancy had lower scores on the subscale positive affect of the Subjective Well- Being Scale compared to the pregnant women who desired and planned pregnancy. A positive correlation was found between age and maternal sensitivity and a negative correlation between the onset of prenatal care and the factors of affective support / positive social interaction and emotional / informational support from the Social Support Scale and maternal sensitivity. There was also a difference in maternal sensitivity between the mothers who had rupture of the perineum and the ones who did not have. There were also differences among the women with exclusive breastfeeding of those who used a complement to the two months of the baby's life in relation to the maternal sensitivity of the 22 postnatal mothers who participated in the observation of the mother-baby interaction. These results contribute to the literature in the area, to widen the knowledge about early mother-infant interaction and to indicate paths for new studies. The evidence suggests the presence of significant psychosocial risks in the primiparous studied. However, they can be used for the development of health promoting intervention programs mothers and infants