Psychosocial Adaptation In Pregnancy

A groundbreaking analysis of the psychology of pregnancy, now in a second edition. The author identifies seven distinct areas where the most change and development occur during the nine months of pregnancy, based on her in-depth interviews with pregnant women. The original research on first-time mothers is presented along with information from the author's new research with mothers having second and subsequent children. The scholarly development of theory is intertwined with the "voices" of women describing the emotions experienced in pregnancy in their own words, making this a valuable resource for students, researchers, and clinicians in maternal-child health.

The fourth edition of this book updates and elaborates on the seven dimensions of maternal emotional health that have significant impact on delivery, postpartum adaptation, infant health, and early childhood development. Supported by the authors’ original research and interviews, the book provides readers with an analysis of the role of these core functions throughout pregnancy, as well as practical materials for use with pregnant clients in the form of assessment instruments and evidence-based interventions for promoting positive development. The book provides a theoretical framework with rationales for the seven psychosocial dimensions, therapeutic and counseling intervention strategies to improve adaptive development in each of the seven psychosocial dimensions, findings specific to women in diverse cultural groups, a chapter devoted to women in the military and military spouses, and discussion of salient issues of pregnancy, including physical changes, body image, intimacy, trust, and ambivalence. The book focuses on the seven dimensions of maternal prenatal emotional health: Acceptance of the pregnancy. Motivation and preparation for motherhood. Relationship with husband/partner. Relationship with her own mother. Preparation for labor. Sense of control in labor Self-Esteem and Well-Being in labor. Psychosocial Adaptation to Pregnancy is a significant addition to the psychosocial assessment literature, a needed resource for clinical and health psychologists, clinical social workers, marriage and family therapists, professional counselors, midwives, and obstetrical nurses. It is also adaptable to undergraduate and graduate courses in maternal reproductive health and obstetrical nursing.

presented in the Introduction (Chapter 1). The focus of Chapter 1 is twofold: (1) to present the research foundations for the psychophysiological correlates of prenatal psychosocial adaptation and the seven prenatal personality dimensions with progress in labor and birth outcomes, and particularly (2) to present the theory underlying the seven dimensions of prenatal psychosocial adaptation, which are further analyzed in the following seven chapters. Chapters 2–8 present a content analysis of the interview responses to the seven significant prenatal personality dimensions that are predictive of pregnancy adap- tion, progress in labor, birth outcomes, and postpartum maternal psychosocial adaptation, and they include: (1) Acceptance of Pregnancy, (2) Identification with a Motherhood Role, (3) Relationship with Mother, (4) Relationship with Husband, (5) Preparation for Labor, (6) (Prenatal) Fear of Pain, Helplessness, and Loss of Control in Labor, and (7) (Prenatal) Fear of Loss of Self-Esteem in Labor. There is no other comparable comprehensive, in-depth, prenatal personality research or empirical and content analysis of pregnancy-specific dimensions of maternal psychosocial adaptation to pregnancy.

This handbook is currently in development, with individual articles publishing online in advance of print publication. At this time, we cannot add information about unpublished articles in this handbook, however the table of contents will continue to grow as additional articles pass through the review process and are added to the site. Please note that the online publication date for this handbook is the date that the first article in the title was published online. Perinatal psychology is a field devoted to understanding the biopsychosocial experiences of women and men during the transition to parenthood. These experiences include pregnancy, labor, delivery, adjustment and parenting during the postpartum period, lactation, family planning, adoption, infertility, and adjustment to perinatal loss.

Co-published with the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), this book is a comprehensive clinical resource for practicing perinatal nurses and an excellent staff educator's guide and textbook. It provides commonly accepted guidelines for practice and evidence-based care and includes algorithms to support decision-making. Numerous photographs complement the text and summary boxes highlight key points. Appendices provide patient care examples and practice guidelines. This edition has been extensively revised and updated. New features include more than 650 end-of-chapter review questions and answers and selected AWHONN protocols.