The book presents an analysis of seven dimensions of maternal psychosocial development during pregnancy. They serve as the foundation for assessment of maternal prenatal adaptation and for psychoeducational and counseling intervention to enhance maternal adaptation. The seven dimensions of maternal adaptation pertain to motivation for and acceptance of the pregnancy, processes involved in evolving a maternal role prenatally, changes in significant kin relationships (with husband/partner and mother), and preparatory emotional, physical, and adaptive processes for labor and delivery. The…mehr
The book presents an analysis of seven dimensions of maternal psychosocial development during pregnancy. They serve as the foundation for assessment of maternal prenatal adaptation and for psychoeducational and counseling intervention to enhance maternal adaptation. The seven dimensions of maternal adaptation pertain to motivation for and acceptance of the pregnancy, processes involved in evolving a maternal role prenatally, changes in significant kin relationships (with husband/partner and mother), and preparatory emotional, physical, and adaptive processes for labor and delivery. The approach is a scientific analysis of maternal adaptive and maladaptive responses within each psychosocial dimension with excerpts of maternal responses to illustrate differences in adaptation. The book is proposed to address a void in human psychosocial assessment.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.
Regina Lederman, MNEd, MA, PhD, is a behavioral scientist, as well as a nurse and a practicing marital and family therapist, who also has 30 years of research experience in the field of maternal psychosocial development. She has published extensively, both original research and reviews, on intervention approaches to decrease maternal anxiety and promote adaptation to pregnancy. Dr. Lederman is a Professor in the School of Nursing and in the Department of Preventive Medicine and Community Health at the University of Texas Medical Branch in Galveston. She has an extensive writing background of scientific journal articles, books and questionnaires pertaining to pregnancy, childbirth, and early adaptation to motherhood. She has been editor of International Journal for Psychosomatic Obstetrics and Gynaecology, and most recently served as a consultant on a pregnancy and postpartum adaptation assessment project conducted with four branches of the military. An earlier edition of the proposed book, published by Prentice-Hall in 1985, received the American Journal of Nursing Book of the Year Award. She is a member of the Society of Behavioral Medicine, the Nurses Association of the American College of Obstetrics and Gynecology, the American Nurses Association, the Society for Research in Child Development, the American Association for the Advancement of Science, and the American Society for Psychosomatic Obstetrics and Gynecology.
Introduction.- Acceptance of Pregnancy.- Identification with a Motherhood Role.- Relationship with Mother.- Relationship with Husband.- Preparation for Labor.- Prenatal Fear of Pain, Helplessness, And Loss of Control in Labor.- Prenatal Fear of Self-Esteem in Labor.- Prenatal and Postnatal Psychosocial Adaptation in Military Women.- Prenatal Adaptation among Multigravidas.- Quantitative and Qualitative Results.- Methods of Assessment: Psychosocial Adapatation to Pregnancy Questionnaire Scales and Interview Schedules, and Review of Interventions to Enhance Adaptation.
From the reviews of the third edition: "This book, which describes seven specific dimensions of maternal emotional health during pregnancy, is based on the authors' research into psychosocial risk factors and potential interventions. ... The audience ... includes Lamaze and other prenatal educators, as well as psychiatrists, psychologists, social workers, marriage and family therapists, professional counselors, the general public, and pregnant women. ... This is an excellent book. ... Anyone who conducts clinical activities with women of childbearing age will find this book informative." (Gary B. Kaniuk, Doody's Review Service, March, 2010)
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