Key Phases of Maternal Role Attainment Chapter 18 PDF

**Key Phases of Maternal Role Attainment** Phase Description ------------------------------------ ----------------------------------------------------------------------------------- Dependent: Taking-in First 24 to 48 hours; focus on personal nee...

**Key Phases of Maternal Role Attainment** Phase Description ------------------------------------ ----------------------------------------------------------------------------------- Dependent: Taking-in First 24 to 48 hours; focus on personal needs and reviewing the birth experience. Dependent-independent: Taking-hold Begins on day 2 or 3; focus on baby care and improving caregiving competency. Interdependent: Letting-go Focus on family as a unit and resuming previous roles outside of motherhood. **Key Nursing Actions** - **Facilitate Bonding**: Encourage skin-to-skin contact and immediate parent-newborn interaction after birth. - **Promote Rooming-in**: Create a quiet environment that enhances family bonding. - **Teach Newborn Care**: Provide education to parents about newborn care to build confidence and facilitate bonding. **Key Complications** - **Maternal Mood Disorders**: Assess for signs of postpartum depression or anxiety, which can affect bonding. - **Sibling Rivalry**: Monitor for adverse responses from siblings, such as jealousy or regression in behavior. - **Parental Anxiety**: Address any anxiety or nervousness parents may feel about caring for the newborn. **Key Assessment Techniques** - **Observing Bonding Behaviors**: Assess for positive behaviors such as eye contact, holding the newborn, and verbal interaction. - **Identifying Impairments**: Look for signs of apathy, disappointment, or lack of interest in the newborn. - **Evaluating Maternal Adaptation**: Monitor emotional readiness and comfort level in providing care for the newborn. **Facts to Memorize** - Phases of Maternal Role Attainment: Dependent (taking-in), Dependent-independent (taking-hold), Interdependent (letting-go). - Signs of positive parent-newborn bonding: Eye contact, naming the newborn, responding to cries. - Signs of impaired bonding: Apathy, disgust, disappointment in the newborn. - Stages of co-parent transition: Expectations, confronting reality, creating the role, reaping rewards. **Reference Information** - Normal postpartum psychological changes include commitment, attachment, and preparation for the newborn. - Factors influencing bonding: Maternal emotional state, newborn\'s physical condition, cultural background, age, and socioeconomic status. **Concept Comparisons** Concept Description Key Differences -------------------------- -------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- Maternal Role Attainment The process by which a mother becomes accustomed to her new role and identity. Involves phases: taking-in, taking-hold, and letting-go. Co-parent Adaptation The process by which a partner adjusts to their role in parenting. Focuses on bonding behaviors and transitioning to co-parenting responsibilities. Sibling Adaptation How siblings adjust to the arrival of a new baby. Involves assessing both positive and negative responses from siblings. **Problem-Solving Steps** 1. Assess the client\'s emotional and physical condition post-birth. 2. Observe for signs of bonding or lack thereof with the newborn. 3. Identify any factors that may be affecting bonding (e.g., maternal history, newborn\'s health). 4. Implement nursing actions to facilitate bonding (e.g., skin-to-skin contact, education on newborn care). 5. Evaluate the effectiveness of interventions and adjust as necessary.