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Publication details

Document type
Journal articles

Document subtype
Full paper

Title
The Association between Prematurity, Antibiotic Consumption, and Mother-Infant Attachment in the First Year of Life

Participants in the publication
Marina Fuertes (Author)
FACULDADE DE PSICOLOGIA E CIÊNCIAS DA EDUCAÇÃO DA UP
 ESCOLA SUPERIOR DE EDUCAÇÃO DE LISBOA
 INSTITUTO POLITÉCNICO DE LISBOA
 Anabela Faria (Author)
Joana L. Gonçalves (Author)
Sandra Antunes (Author)
Francisco Dionisio (Author)
Dep. Biologia Vegetal
 cE3c
Summary
Antibiotics have individual and public-health drawbacks. Nevertheless, mother-infant attachment quality and maternal sensitivity are associated with antibiotic use. Ambivalent-attached infants are more likely to consume antibiotics than other infants. Conceivably, the emotional over-externalization of ambivalent-attached infants and maternal anxiety when infants are ill raise concerns in healthcare professionals, leading to antibiotic over-prescriptions. However, because infants prematurely born, particularly those with less than 32 weeks of gestation, are under more accurate health vigilance, the impact of infant and maternal behavior on antibiotic prescription may vanish in this sample. To test this hypothesis, we performed a longitudinal study to compare antibiotic use and the quality of mother-infant attachment in three groups: 86 infants born at full-term, 44 moderate-to-late preterm infants (32–36 gestation weeks), and 58 very-to-extreme preterm infants (<32 gestation weeks). Infants’ attachment was observed with the Ainsworth Strange Situation’s experimental paradigm at 12 months of corrected age. Findings indicate that infant attachment strategy is associated with antibiotics uptake, but results vary across samples. The proportion of infants that used antibiotics is highest among ambivalent-attached infants in the full-term sample but highest among avoidant-attached infants in the very-to-extreme premature sample. Moreover, higher infant gestational age and lower maternal sensitivity determine higher antibiotic use.

Date of Publication
2023-02-02

Institution
FACULDADE DE CIÊNCIAS DA UNIVERSIDADE DE LISBOA

Where published
Antibiotics

Publication Identifiers
ISSN - 2079-6382

Publisher
MDPI AG

Volume
12
Number
2

Number of pages
12
Starting page
309

Document Identifiers
DOI - https://doi.org/10.3390/antibiotics12020309
URL - http://dx.doi.org/10.3390/antibiotics12020309

Rankings
Web Of Science Q1 (2021) - 5.222 - PHARMACOLOGY & PHARMACY - SCIE

Keywords
prematurity; antibiotic prescription; mother-infant attachment; maternal sensitivity; Strange Situation; infant cooperation; microbiota; microbiome; dysbiosis


Export

APA
Marina Fuertes, Anabela Faria, Joana L. Gonçalves, Sandra Antunes, Francisco Dionisio, (2023). The Association between Prematurity, Antibiotic Consumption, and Mother-Infant Attachment in the First Year of Life. Antibiotics, 12, ISSN 2079-6382. eISSN . http://dx.doi.org/10.3390/antibiotics12020309

IEEE
Marina Fuertes, Anabela Faria, Joana L. Gonçalves, Sandra Antunes, Francisco Dionisio, "The Association between Prematurity, Antibiotic Consumption, and Mother-Infant Attachment in the First Year of Life" in Antibiotics, vol. 12, 2023. 10.3390/antibiotics12020309

BIBTEX
@article{57436, author = {Marina Fuertes and Anabela Faria and Joana L. Gonçalves and Sandra Antunes and Francisco Dionisio}, title = {The Association between Prematurity, Antibiotic Consumption, and Mother-Infant Attachment in the First Year of Life}, journal = {Antibiotics}, year = 2023, volume = 12 }