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Impact of attachment at developmental stages
Maternal attachment theory
Role of attachment during infancy
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The case study that I will be looking at in this assignment is case study 2. This relates to Niamh and her partner who are pregnant with their second child. Their daughter from the previous pregnancy is now four years old, but the memories of the birth have caused anxiety to linger with them as they found it to be very traumatic. They are both very excited and happy to be pregnant again and are looking forward to the arrival of their second child. However, they both have very differing views on the delivery. Niamh is hoping for a natural vaginal birth, but her partner feels that an elective caesarean section would be the best option. Niamh felt quite low after the birth of their daughter and did not feel that she bonded well initially. She is scared that this may happen again; however she is also worried that she may bond very well with the new baby and develop a greater feeling of love for the new baby than she has for her daughter. Niamh also fears her daughter reaction towards having a new baby in the house.
There are many psychological factors in this case; however the three factors that I am going to discuss in this assignment are the maternal/infant attachment, maternal mental health and pain and coping. I shall begin by discussing each of these factors, using psychological research and evidence. I will then discuss the role of the midwife in relation to each factor.
Attachment is an emotional bond between two people. In his theory of attachment, Bowlby states that the bonds that are formed early in life can impact throughout the rest of a persons life. The bond between mother and baby is the earliest bond to occur between two people and it is extremely individualized. It can happen at or after the birth of the baby, a...
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Mitchell, M. Williams, J. Hobbs, E. Pollard, K. The Use of Complementary Therapies
in Maternity Services: A Survey British Journal of Midwifery, October 2006, Vol 14, No 10
Winson, N. 2003 Transition to Motherhood
Carly Miller, Sarah E. Newton 2006 Pain Perception and Expression: The Influence of Gender, Personal Self-Efficacy, and Lifespan Socialization Pain Management Nursing
December 2006 (Vol. 7, Issue 4, Pages 148-152) McCaffery, M. 1968
Flink 2009 Pain in childbirth and postpartum recovery – The role of catastrophizing
Farnworth A. and Pearson P. 2007 Choosing mode of delivery after previous caesarean birth British Journal of Midwifery, April 2007, Vol 15, No 4
Rich, A. 1995 Of woman born: motherhood as experience and institution Norton (New York).
O’Hare and Fallon (2011) British Journal of Midwifery • March 2011 • Vol 19, No 3
Pairman,S., Tracy, S., Thorogood, C., & Pincombe, J. (2013). Theoretical frameworks for midwifery practice. Midwifery: Preparation for practice.(2nd ed, pp. 313-336). Chatswood, N.S.W. : Elsevier Australia
The Bishop score is a pelvic scoring system developed to make it easier to determine whether a multiparous woman was a suitable candidate for induction of pregnancy. Although the information in the Bishop score was known by many obstetricians for many years, Edward H. bishop is credited because he pulled the pieces together and formed an organized system accompanied by research and statistics to back up his findings. His paper is called the “Pelvic Scoring for Elective Induction”. In this paper, Bishop describes basic minimal requirements that must be met before any patient can be considered for elective induction of labor (1964).
Johnson, K. C., & Daviss, B. A. (2005). Outcomes of planned home births with certified professional midwives: large prospective study in North America. Bmj, 330(7505), 1416.
The attachment theory, presented by Mary Ainsworth in 1969 and emerged by John Bowlby suggests that the human infant has a need for a relationship with an adult caregiver, and without a subsequent, development can be negatively impacted (Hammonds 2012). Ainsworth proposes that the type of relationship and “attachment” an infant has with the caregiver, can impact the social development of the infant. As stated by Hammonds (2012), attachment between a mother and a child can have a great impact on the child 's future mental
the dynamics at home as new roles emerge, like parenthood. This new situation creates a stress in the family that can lead to a depressive state in some members of the family. The term post-partum is also well-known and it not only affects the mother but the interaction between parents and children. The enforcement of Bernard’s Model helps nurses detect the different risk situations that can involve the child and in turn intervene since the beginning to avoid future complications in the development of the child.
A great deal of emotions occur in the postpartum period, emotions that you could never understand unless you have been there. Before I attended a conference on depression in pregnancy & postpartum the thought of fathers suffering from postnatal depression never even entered my mind. As far as I was concerned, It was only associated it with giving birth. The knowledge I gained has not only changed my outlook on the subject but the way that I interact with and educate my patients. My focus is no longer just on the dyad of mom and baby it’s on mom, dad and baby if there is a partner involved at all. The purpose of this essay is to explore a particular concept related to professional caring in nursing. It will discuss the patient/client situation, exploration of the concept, how the concept relates to personal caring through noticing, interpreting, responding and reflection. The concept that will be explored in this paper is empathy.
As defined by Lowdermilk, Perry and Cashion, preterm labor is “cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy”. Preterm birth is a dramatic event causing distress for both the child and parents. There is a significant amount of information available on the risk factors related to preterm labor. Seeing the ineffectiveness of interventions directed towards known risk factors emphasizes the lack of maternal understanding of possible underlying pathways.
It is important to understand what women commonly experience during pregnancy. With a better understanding of what happens during prenatal development and childbirth, physicians can competently develop the best plan for the mother and baby. I interviewed two women who have been previously pregnant in order to evaluate how the ideas in the book translate into real-life experiences.
The attachment style that a child endures with their mother initially begins before the child is even born. In the mother’s womb, the infant becomes aware of their mother and father’s voices, where they begin to develop a bond with them and feel nurtured and comforted by the things they hear their parents sing and speak to them. According to Bowlby, the development of attachment takes place in four different phases and are reinforced as they grow older from the Preattachment (birth to age 6 weeks), attachment-in-the-making (age 6 weeks to 8 months), clear cut attachment (between 8 months to 1 ½ years of age) and the reciprocal relationship (from 1 ½ or 2 and on). As the child grows older, then begin to understand their parent’s feelings and motives and are able to organize their efforts and reciprocate the same i...
"7 Tips For Having A Natural Childbirth." Fit Pregnancy. N.p., n.d. Web. 25 Nov. 2013. .
John Bowlby was the first attachment theorist, he describes attachment as a “lasting psychological connectedness between human beings” (Bowlby, 1969, p.194), he believed that the earliest bonds that were formed between child and caregiver has a huge impact that continues throughout the infants life. Attachment is said to help keep the infant close to their mother, so it improves the child’s chance of survival.
Attachment is an important aspect through the developmental stages of a child. It is the process through which an individual develops specific bonds with others (). John Bowlby theorized Attachment Theory, which focuses on a behavioral system that demonstrates the response of an adult when a child signals which can lead to a strong trusting relationship (). Through attachment infants develop strong emotional bonds with others, which can result in a more positive outcome later in life.
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.
There are many different areas to consider when preparing for and having a newborn. Whether the pregnancy was planned or unplanned or the couple is married or not, a newborn baby brings new responsibilities. Having a baby also forces people to make adjustments both financially and within the family. Parents also express concerns and expectations when having a newborn comma especially when it is their first; including what roles each parent and family member should play, how much confidence they have in their parenting skills, and how much financial strain would be placed on the family once the newborn has arrived. The newest issue in today’s society is the fact that many women are delaying childbirth and having more children in their later years of life.
Poster, E. (1984). Human Responses to Child Bearing. Western Journal of Nursing Research, 6(3), 99. Retrieved from Academic Search Premier database.