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Taking-in: 1st PP day or 2 ; preoccupied /c own needs;
tells her story; passive, independent;
touches & explores infant Taking-hold:
2nd or 3rd day ready to resume control; obsessed with
body functions; anticipatory guidance most effective; rapid mood swings Taking-hold – in other texts:
mothering functioning established; sees infant as unique person
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Your text: Maternal role
attainment: takes abour 3 – 10 months
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1.Anticipatory stage during pregnancy; role model
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2.Formal stage – birth of child; influenced by others; tries to please
everybody
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3.Informal – mother begins making own decisions
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4.Personal stage – final; comfortable with her concept of maternal role
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Challenges: finding time for
self; feelings of incompetence; fatigue from sleep deprivation; loss of
freedom/added responsibility; challenge caring for active baby. Nurses can
give anticipatory guidance
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Postpartum blues: transient
depression 1st few days &/or within 1st 2 wks,
manifested by mood swings, anger, tearfulness, felling let-down, anorexia,
& insomnia; usually resolves spontaneously; evaluation necessary if
persistent
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Bonding: also known
as attachment: process by which parents form emotional relationship with
infant over time; influenced by many factors: family, stability of home
environment, nurturing she received as child. Certain characteristics
important: level of trust, level of self esteem, reactions to present
pregnancy; interest in child rearing.
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Initial attachment behavior:
mother explores infant with fingertips, then palms, & then enfolding
newborn with whole hands & arms; holds infant in en face position,
face-to-face position about 20cm , same plane; mother uses soft, high-pitched
voice; engrossment - father’s
absorption, preoccupation, & interest in infant; stimulated by active
participation in the birth
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Cultural influences:
remember that mother’s expectations may be different from what the nurse or
physician expect; foods, hygiene practices, support from family members vary
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