Psychological changes of pregnancy


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Psychological changes of pregnancy

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Psychological changes of pregnancy

  1. 1. Psychological Changes of Pregnancy Reynel Dan L. Galicinao
  2. 2. A woman‟s attitude toward a pregnancy depends a great deal on psychological aspects: • The environment in which she was raised • The messages about pregnancy her family communicated to her as a child
  3. 3. • The society and culture in which she lives as an adult• Whether the pregnancy came at a good time in her life
  4. 4. Mother’s Reactions• Initial reaction includes wide range of emotions• May be surprised, pleased, disturbed, disapp ointed, frightened• There is element of surprise in every pregnancy• As the pregnancy progresses they must reach an acceptance
  5. 5. • Social Influences• Cultural Influences• Family Influences
  7. 7. In the past: Today: • The pregnancy was • Our society view conveyed as a 9- pregnancy as a time month-long illness of health • The pregnant woman • Women bring their went alone to a families for prenatal physician‟s office for care care
  8. 8. In the past: Today:• At the time of • Instead of general birth, she was anesthetics to “sleep separated from her through” labor and family and admitted birth, they are urged to to a hospital actively participate in the experience• She was hospitalized in seclusion from • Birthing rooms and visitors and even family-centered care from the new baby for helped involved families a week afterward in childbirth
  9. 9. • The couple‟s outlook about pregnancy and childbirth are affected by:  Their cultural background  Their personal experiences  Experiences of friends and relatives  Current public philosophy of childbirth
  10. 10. • People‟s opinion about the following have changed:  Adolescent pregnancy  “Late in life” pregnancy  Lesbian pregnancy
  11. 11. • Nurses can make pregnancy and childbirth more enjoyable for clients and their families by:  Informing women about their new health care options  Continuing to work with other health care providers to “demedicalize” childbirth
  13. 13. • Psychological changes and associated behaviors are triggered not only by uterine enlargement and hormone levels, but also by the womans culture• Certain cultural beliefs and taboos may place restrictions on a woman‟s behavior and activities regarding her pregnancy
  14. 14. • During prenatal visit, ask the woman and her partner if there is anything they believe that should or should not be done to make the pregnancy successful and keep the baby healthy.
  15. 15. • Examples:  Lifting your arms over your head during pregnancy will cause the cord to twist.  Watching a lunar eclipse will cause birth deformities
  16. 16. • Listen to such “tell tales” to show respect for the person‟s beliefs, but encourage the woman to ask her health care provider to find out if there is any substance to them.
  18. 18. Positive Influence• Woman and her siblings were loved and seen as a pleasant outcome of a happy marriage• Pregnancy is natural and simple Positive attitude toward her pregnancy
  19. 19. Negative Influence• Woman and her siblings were seen as intruders or were blamed for the break-up of a marriage• Excruciating pain and endless suffering in labor• “If you hadn‟t come along:  I could have had gone to college.”  I could have had a career.”
  20. 20. View pregnancy as a disaster
  21. 21. • „People love as they have been loved.‟• To mother her baby well, she should be able to feel pleasurable anticipation at the prospect of rearing a child
  22. 22. • Becoming a mother is a second adjustment above and beyond being pregnant• The mother who views mothering as a positive activity is more likely to be pleased when she becomes pregnant than one who devalues mothering
  23. 23. Mother’s EmotionalResponses• Narcissistic response is an early reaction• Extroversion, glowing behavior is common• Difficulty staying focused• Emotional mood swings Husbands need to be forewarned about these changes to expect in wife
  24. 24. Steps in Preparing forMotherhood • Mimicry and role-playing  Association with other pregnant women or new mothers  Spend time with own mother  Identifies parenting role she wants to mimic
  25. 25. • Fantasy--How will it be to be a mother• Grief work--giving up her current lifestyle as life will never again be the same
  26. 26. Hindrances associated with amothering breakdown• Multiple births• Children born within 10--12 months apart• Moving
  27. 27. • Loss of security (job/illness of self or family)• Loss of husband/ or infant‟s father• Previous loss of a child
  28. 28. Father’s Reaction toPregnancy• Acceptance is also his major developmental task to be achieved• Need preparation for the changes that will take place for his wife• Narcissistic or self-centered response of mother may be misunderstood
  29. 29. • May have feelings of jealousy• His childhood background will also influence his preparation• Needs to also identify a role- model or parenting style he wants to mimic• Preparation also includes fantasy and grief work
  30. 30. Concerns of Fathers • Breadwinner--most are still primarily concerned with the financial obligations • Protective and supportive role • Symptoms of pregnancy often are felt by dads
  31. 31. Effects of Pregnancy toOther Children• Most parents agree children will need some warning• Effects of the pregnancy may occur early for the children  Mood swings of Mom and unpredictable response to behavior  Physical changes in the home
  32. 32. The Unwed PregnantPatient• Overall birth rate is decreasing, but for the teen-age mother under age 15, it is rising
  33. 33. • Teens are more prone to complications than older mothers• Infant mortality is higher as well• Often may have a problem with acceptance of the pregnancy and seek to hide it
  34. 34. Teen-age Mothers • Often the first major decision is to tell the parents of the pregnancy • There may be an initial reaction of anger, disappointment and even grief • After parents have time to adapt and accept the pregnancy, they can be the teen-age mother‟s best ally
  35. 35. Options facing the teen-age Mother• Stay in school is the first option to be stressed• Marriage may be considered• Abortion--may feel initial relief, and then guilt and depression• Adoption• Single-parenting
  36. 36. A baby is somethingYou carry inside you for nine months, In your arms for three years,And in your heart till the day you die. -Anonymous (A Mother)
  37. 37. THANK YOU!Have a nice day.