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Study Guide for Week 2 Content(Chapters 5, 6 & 9)Chapter 5Overview of the transition the woman goes through into her new maternal roleoRubin’s Maternal Tasks of PregnancyEnsuring a safe passage for herself and her child Ensuring a social acceptance of the child by significant others Attaching or “binding-in” to the childAccording to Rubin, the mother-to-be needs to accept the pregnancy and incorporate it into her own reality and self-conceptThis process is known as binding in.Giving of oneself to the demands of being a motheroWhen does the mom accept the pregnancy? When she feels the baby move, when they feel it, when they visualize it. It is going to be different for everyone, some people as soon as they find out, and some until after the baby is actually born. oLederman’s “Seven Dimensions of Maternal Role Development” Accepting the pregnancy Identification with the motherhood roleRelationship to her mother Re-ordering relationships with her partnerPreparation for labor Prenatal fear of loss of control in labor Prenatal fear of loss of self-esteem in laborCommon psycho-social changes that accompany pregnancyoDecreased ability to deal with stress and cope with changes of pregnancyoMajor developmental phases ambivalence and conflicting emotions oNursing care tailored through each pregnancy milestoneoRefer to table 8-4 (psychosocial adaptations to pregnancy. Special needs regarding specific patient populationsoTeenagersSpecific concerns regarding teenage parentsTeen mothers are 7 times more likely to commit suicide than non-mothers. 57% of teen mothers in one study wanted to go to college but they lacked the resources to make it a reality. 75% of unmarried teen mothers go on welfare within 5 years of the birth of their first child. 64% of children born to an unmarried teenage high-school dropout live in poverty.
Normal adolescent developmental tasks conflict with tasks of pregnancy oErickson’s “Ego Identity vs Role Confusion” No prenatal care or delayed entry into care oShe may get pregnant and then try to hide it, she may diet so that she can lose weight, higher risk of abuse. Not future oriented – may not accept reality of unborn child Acceptance of pregnancy hindered Difficulties with body image changes Higher rates of abuseThey do not have the maturity yet, and often times 90% of teen parents are likely not going to stay together. They are still trying to figure out who they are Rape, teens, intimate partner violence, intimate partner violence is pretty high. Intimate partner violenceoRisk factors1 in 12 pregnancies Up to 20% in some studies Often begins or escalates in pregnancy Unintended pregnancy: 3 fold risk of abuseMore common then preeclampsia or gestational diabetes oScreening tools and possible barriers to screeningInfrequently screened for in office Screening barriers oAssessment findingsOver 300,000 women in the US experience intimate partner violence during pregnancy each year.