EMOTIONAL/PSYCHOSOCIAL ADAPTATIONS IN PREGNANCY

A. FIRST TRIMESTER
1. Normal denial to confirmation of pregnancy
2. Ambivalence about pregnancy, child, and parenting
3. Mood swings or emotional lability
4. Focusing on the self
B. SECOND TRIMESTER
1. Acceptance of the baby as distinct from self; enhanced by quickening.
2. With fantasy and daydreaming
3. Introspective; evaluates marriage, career, in-laws
4. Most comfortable stage
C. THIRD TRIMESTER
1. Fear/anxiety/dreams about labor, pain, mutilation and death
2. Anxiety related to responsibilities
3. Preparation for birth: nesting behavior; role playing

Paternal Reactions Sibling Reactions

 Generally parallel to those of the mother  May have normal rivalry dependent on
 Ambivalence and anxiety (1st trimester) developmental stage
 Thinks about role change  Regression in behavior (bedwetting,
 Identifies with mother’s 1st trimester thumb sucking)
discomforts (Couvade Syndrome)  May need more love and attention
 Increased confidence and interest in
pregnancy/mother’s care (2nd trimester)
 Changing self concept; fears about labor
(3rd trimester)

D. PSYCHOLOGIC TASK
1. Acceptance of pregnancy as a reality and incorporation of the fetus into the body image
2. Preparation for physical separation from fetus (birth)
3. Attainment of maternal role
E. NURSING IMPLEMENTATION
1. Encouraged to verbalize and express her feelings, concerns and discomforts.
2. Validate normalcy of her feelings and reaction.
3. Provide psychological support.
4. Health teachings related to prevention and management of common discomforts of
pregnancy.
5. Recommend to attend prenatal classes.