During the taking-hold phase the nurse would expect the new mother to
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The assumption of the maternal role: a developmental processBarbara Attrill. Aust J Midwifery. 2002. AbstractJust as the mother's body undergoes normal physiological changes to meet the demands of the growing fetus, there are also normal psychological changes taking place to prepare her for her new responsibilities. The midwifery curriculum has very adequately prepared the midwife to observe, identify and understand the normal physiological changes that must occur for a successful outcome to the pregnancy. However, little emphasis has been placed on the equally important psychological changes that are also taking place and upon which the establishment of a successful parent/child relationship depends. These normal psychological changes have been described as developmental tasks, and occur with each pregnancy. During the antenatal period there are four major psychological tasks the mother should accomplish. Failure to achieve these tasks during this period may lead to a lack of emotional response to the infant at delivery. There is an elaboration of the prenatal themes during the immediate newborn period, as well as the addition of two new tasks. The mother actually assumes her maternal role in the postnatal period, working through three phases--Taking In, Taking Hold, and Letting Go. These phases are accompanied by stages in maternal touch which indicate to the observer the phase the mother has reached in the assumption of her role. Similar articles
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TAKING-IN PHASE: FIRST 3 DAYS 1. Mother focuses on her own primary needs, such as sleep and food. 2. For the nurse to listen and help the mother interpret the events of delivery to make them more meaningful is important.
3. This phase is not an optimum time to teach the mother about baby care. TAKING-HOLD PHASE: DAYS 4 TO 10 1. The woman is more in control of independence. 2. The woman begins to assume the tasks of mothering. 3. This phase is an optimum time to teach the mother about baby care. LETTING-GO PHASE 1. Mother may feel deep loss over separation of the baby from part of the body and may grieve over the loss. 2. Mother may be caught in a dependent-independent role, wanting to feel safe and secure yet wanting to make decisions. 3. Teenage mothers needs special consideration because of the conflict taking place within them as part of adolescence. References: Information retrieved from: Saunder's NCLEX-RN examination What is the taking hold phase of postpartum?Taking Hold Phase
The woman starts to initiate actions on her own and making decisions without relying on others. Women who underwent anesthesia reach this phase only hours after her delivery. She starts to focus on the newborn instead of herself and begins to actively participate in newborn care.
Which behavior indicates to the nurse that a new mother is in the taking hold phase?Which behavior indicates to a nurse that anew mother is in the taking-hold phase? The mother has moved into the taking-hold phase when she takes control and becomes actively involved with her infant and calls the infant by name. She has completed the taking-in phase when her own needs no longer predominate.
During which phase of maternal adjustment will the mother?During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby? Accepting the real infant and relinquishing the fantasy infant occurs during the letting-go phase of maternal adjustment.
What are the 3 phases of early postpartum adjustment?The postpartum period can be divided into three distinct stages; the initial or acute phase, 8–19 hours after childbirth; subacute postpartum period, which lasts two to six weeks, and the delayed postpartum period, which can last up to eight months.
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