Vez med nosečnico in njenim nerojenim otrokom

Abstract

, Nataša Tul Mandić in Vislava Globevnik Velikonja Univerzitetni klinični center Ljubljana, Ginekološka klinika, Klinični oddelek za perinatologijo Povzetek: Vez med materjo in otrokom se začne vzpostavljati že pred rojstvom, se z napredovanjem nosečnosti krepi in je povezana s kvaliteto odnosa med materjo in otrokom po porodu. Kljub temu, da številni avtorji za opisovanje vedenj, čustev in zaznav, ki jih bodoča mati izraža do nerojenega otroka, uporabljajo izraz navezanost med materjo in plodom ali prenatalna navezanost, uporaba tega pojma ni ustrezna. Če upoštevamo Bowlbyevo in Ainsworthovo teorijo navezanosti, potem lahko odnos med materjo in nerojenim otrokom opišemo z vedenjskim sistemom skrbi. Namen prispevka je predstaviti dileme glede ustrezne terminologije, različne definicije, ocenjevalne lestvice ter dejavnike, ki so povezani z razvojem vezi med nosečnico in plodom. Ker je kvaliteta tega odnosa napovedni dejavnik številnih izidov za mati in otroka po porodu, morajo biti cilji prihodnjih raziskav usmerjeni v natančnejšo konceptualizacijo in definicijo pojma, v razvoj ustreznih merskih instrumentov ter v raziskovanje napovednih dejavnikov in dejavnikov tveganja. Abstract: The bond between a mother and a child starts to develop before birth, increases with the gestational age of the child and is related to the quality of postpartum mother-infant interaction. Even though the expression maternal-fetal or prenatal attachment is commonly used to describe the parent's emotions, behaviors and perceptions that are related to the fetus, its use seems to be unsuitable. Considering Bowlby's and Ainsworth's theory of attachment, the relationship between mother and her unborn child is guided by the caregiving system. The purpose of this article is to lay out the dilemmas about the terminology, to present different definitions, measurements and variables, related to the relationship between the mother and her fetus. This relationship is a predictor of various maternal and child outcomes postnatally, which is why the goals of future investigation should be directed towards greater clarity in conceptualization, definition and measurement of the concept, and in exploration of the risks and mediating factors.