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Time of emotional stress:
need to “tell her story”; feelings of inadequacy d/t “not coping well” in
L&D. Mother must adjust to loss of
fantasized child & accept child born, esp if birth defects, wrong sex. Review the stages: taking-in & taking-hold; “let-down” feeling may be
surprising to new mother.
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Parent education: assess
learning needs thru observation. Plan & implement logically, in
non-threatening manner, & respect family’s cultural values & beliefs.
Various methods: Channel 42, handouts, breastfeeding classes, 1-to-1. TIMING
IS CRUCIAL! More receptive /f 1st 24hrs.
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Family wellness: most
facilities have mother-baby or couplet care; rooming-in. Learning in a
supportive environment; allows father, siblings, friends to help.
Flexibility: mother needs respite & can return baby to nursery.
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Reactions of siblings: visit
to mother-baby unit assures sibling that mother is well & still loves
them. Arriving home: requires adjustment; have father carry newborn so Mom
can hug older children. Use of doll. Expect anger & need for regression.
Let child help.
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Parent-Infant attachment:
support parents in childbirth & childrearing goals; postpone eye
prophylaxis 1 hr – promote eye contact; provide privacy; enc integration of
siblings; help identify & understand negative feelings; support, support,
support!
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Table 22-4: Parent
Attachement Behaviors, p 476
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Cultural considerations:
developing cultural competence: enc class stories
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