Psycholosocial Adaptations During Pregnancy

Common feelings during 2nd trimester:

Mother begins to see fetus separate from herself

What classifies acceptance during pregnancy?

Physical and tangible signs develop during the 2nd trimester that help the woman conceptualize the fetus as a separate being.

What are Rubin's four tasks:

1. Seek acceptance of new child by others 2. Seek commitment and acceptance of herself as a mother 3. Learn to give of oneself on behalf of the child 4. Ensureing safe passage through pregnancy, labor & birth

The maternal role of learning to give of oneself:

1st tri - identifies what must be given up to assume role 2nd tri - identifies with infant, learns self denial 3rd tri - questions ability to become a good mother

The maternal role of acceptance of self in a maternal role (binding in):

1st tri - mother accepts idea of pregnancy but not of an infant yet 2nd tri- sensation of fetal movement, mother acknowledges fetus as a separate entitiy 3rd tri - mother longs to hold infant and becomes tired of pregnancy

The maternal role of ensuring safe passage throughout pregnancy includes:

1st tri - women focuses on herself not the fetus 2nd tri - attachment to the fetus develops 3rd tri - concerns for self and fetus as a unit evolve participation in positive self-care related to diet, exercise and overall well-being through out pregnancy.

The maternal role of seeking acceptance of infant by others:

1st tri - works toward acceptance by self and others 2nd tri - family needs to relate to the fetus as a family member 3rd tri- unconditional acceptance without rejection

Common feelings during 3rd trimester:

Anxiety about labor/birth; nesting occurs, bursts of energy

During pregnancy a woman has many psychological adaptations that must be made. The nurse must remember that the baby's father is also experiencing the pregnancy and has adaptations that must be made. Some fathers actually have symptoms of the pregnancy along with the mothers. What is this called

Couvade syndrome

Common feelings during first trimester:

Disbelief and ambivalence

What classifies introversion during pregnancy?

During the 2nd trimester women become hyper-focused on themselves and their fetus. Sometimes withdrawing from outside world appearing passive to family and friends. Considered normal introspective behavior.

What classifies ambivalence during pregnancy?

Experiencing a full spectrum of emotions, often abruptly; conflicting feelings at the same time. Most common in 1st trimester and usually resolves by 2nd trimester.

Antepartum hemorrhage in placenta previa

Vaginal bleeding before birth

Fathers' emotional and psychologic changes during 1st trimester:

May feel left out Disbelief confused about mood changes Resent attention she gets

Family and sibling psychologic changes

May view baby threat to relationship with parents Reactions vary by age Preparation for birth is essential

Potential complications of sex during pregnancy:

Preterm labor Pelvic inflammatory disease antepartum hemorrhage in placenta previa venous air embolism

Grandparents emotional changes in lieu of pregnancy:

Usually supportive Excited Unsure how much to be involved

Fathers emotional and psychologic changes during 2nd and 3rd trimester:

contemplates which behaviors of own father he wants to imitate or discard. Anxiety about labor and birth

Placenta previa

implantation of the placenta over the cervical opening or in the lower region of the uterus