title: Maternal-infant separation at birth among substance using pregnant women: implications for attachment.
abstract: The potential for substance use to interfere with initial maternal-infant contact and attachment was examined. Data were collected from confidential interviews with pregnant women and reviews of the medical charts of these women and their infants. Substance users (N = 60) were found to experience significantly (p = .03) more maternal-infant separation at birth than nonusers (N = 22), most often due to health concerns for mother and/or infant. Substance using mothers scored negatively more frequently than nonusing mothers on variables of attachment. Reasons for these differences are explored and some strategies for dealing with this population in the hospital milieu are suggested.
authors.affiliation: Project AFTER, School of Social Work, University of Washington, Seattle 98195.
authors.forename: L D
authors.initials: LD
authors.lastname: Mundal
authors.forename: T
authors.initials: T
authors.lastname: VanDerWeele
authors.forename: C
authors.initials: C
authors.lastname: Berger
authors.forename: J
authors.initials: J
authors.lastname: Fitsimmons
mesh_terms: D005260:Female; D006801:Humans; D008425:Maternal Behavior; D016389:Maternal-Child Nursing; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D010500:Perinatology; D011247:Pregnancy; D011248:Pregnancy Complications; D019966:Substance-Related Disorders / Q000150:complications*