Factors to keep in mind during and after

Delivery

By :
Pooja Nargacche
RCI Licensed
Clinical Psychologist

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 Pregnancy

•Pregnancy is an experience full of growth, change ,

enrichment and challenge.

•Fears and expectations about becoming parents.

•Emotions in both mother and father.

•Pregnancy and childbirth are events that touch nearly

every aspect of human experience.

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 Pregnancy
Biological, psychological, social and cultural individual
adaptations to childbearing on each of these levels may be
quite different depending on age, health, social economic
status and cultural background of the women and her
family.

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 Pregnancy- First Trimester
Ambivalence- most of the pregnancies are unintended
and unexpected. Once the pregnancy is confirmed
many women have conflict feeling is known as
ambivalence.

Pregnancy cause permanent life changes for women.

The way of approaching pregnancy will affect her

relationship with her children.

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 Pregnancy- acceptance
The areas to be assessed in acceptance of pregnancy

1. Extent to which the pregnancy was planned and wanted

by the women and her partner
2. Amount of time the women in happy versus depressed
cause of pregnancy
3. Amount of reported discomfort during pregnancy and
the women's response to the discomfort
4. Extent to which the women except or rejects changes in
her body

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 Second trimester- adaptations

Role assumption- pregnancy

enable her assume the
maternal role actually will
alive, it is long process of
informal socialization
(identifying - learning -
affirming)

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 Self image and body image
during pregnancy

1. The ideal self

2. The self image
3. The body image

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 Self
Ideal self is composed all of the attributes qualities and
images a person would like to have and hope to
include the self.

Self image refers to the more reality oriented active self,

it is the self that interfaces with the real world, here
and now.

Body image during pregnancy has to do the women's

perception of her size how she moves and her own
physical beauty or ugliness

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 Third trimester adaptations

Lack of knowledge and preparation for maternal role

Establishing relationship with a maternal role

Attainment - That acquisition of the mothering role is

described as process that begins parentally and ends with
forming of a maternity.

Results can be seen during the infants first years

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 Fantasy - during pregnancy
• Experience strange dreams about
childhood newborn baby and life as a
new mother.

• Babies gender and nightmares

• Fantasy is an important factor in

assumption of the maternal role and
transition into the lifestyle of a women
and child Fantasies during pregnancy.

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 Realistic fantasies of potential problems that
might occur during pregnancy and labor and
delivery can help the women prepared herself to
cope with these problems or complications,
when they actually occur

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 The New Mother

Rest
Nutrition

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 What to Expect Physically?

• Sore breasts. Your breasts may be painfully engorged for several days
when your milk comes in and your nipples may be sore.
• Constipation. The first postpartum bowel movement may be a few days
after delivery, and sensitive hemorrhoids, healing episiotomies, and sore
muscles can make it painful.
• Episiotomy. If your perineum (the area of skin between the vagina and the
anus) was cut by doctor or if it was torn during the birth, the stitches may
make it painful to sit or walk for a little while during healing. It also can be
painful when you cough or sneeze during the healing time.

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 What to Expect Physically?

Hemorrhoids. Although common, hemorrhoids (swollen blood

vessels in the rectum or anus) are frequently unexpected.

Hot and cold flashes. Your body's adjustment to new hormone and
blood flow levels can wreak havoc on your internal thermostat.

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 What to Expect Physically

Vaginal discharge (lochia). Initially heavier than your period

and often containing clots, vaginal discharge gradually fades
to white or yellow and then stops within several weeks.

Weight. Your postpartum weight will probably be about 12 or

13 pounds (the weight of the baby, placenta, and amniotic
fluid) below your full-term weight, before additional water
weight drops off within the first week as your body regains its
balance.

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 What to Expect Emotionally ?

• "Baby blues." Many new moms have irritability, sadness,

crying, or anxiety, beginning within the first several days after
delivery. These baby blues are very common and may be
related to physical changes (including hormonal changes,
exhaustion, and unexpected birth experiences) and the
emotional transition as you adjust to changing roles and your
new baby. Baby blues usually go away within 1 to 2 weeks.

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 What to Expect Emotionally ?

• Postpartum depression. More serious and longer lasting than

the baby blues, this condition may cause mood swings,
anxiety, guilt, and persistent sadness. PPD can be diagnosed up
to a year after giving birth, and it's more common in women
with a history of depression, multiple life stressors, and a
family history of depression.

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 What to Expect Emotionally ?

• Depression - signs and symptoms of depression during pregnancy?

• Excessive anxiety about your baby
• Low self-esteem, such as feelings of inadequacy about parenthood
• The inability to experience pleasure from activities usually found
enjoyable
• Poor response to reassurance
• Poor adherence to prenatal care
• Smoking, drinking alcohol or using illicit drugs
• Poor weight gain due to a decreased or inadequate diet
• Thoughts of suicide

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 What to Expect Emotionally ?

Postpartum depression - Some risk factors for depression

during pregnancy include:
• Anxiety
• Life stress
• History of depression
• Poor social support
• Unintended pregnancy
• Intimate partner violence

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 What to Expect Emotionally ?

Also, when it comes to intimacy, you and your

partner may be on completely different pages.
Your partner may be ready to pick up where you
left off before baby's arrival, whereas you may not
feel comfortable enough — physically or
emotionally — and might crave nothing more than
a good night's sleep. Doctors often ask women to
wait a few weeks before having sex to allow them
to heal.

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 The Healing Process
It took your body months to prepare to give
birth, and it takes time to recover. If you've
had a cesarean section (C-section), it can take
even longer because surgery requires a
longer healing time. If unexpected, it may
have also raised emotional issues.

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 When to Call the Doctor?

• have bad headaches or vision changes

• become depressed or have hallucinations,
suicidal thoughts, or any thoughts of harming
your baby

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 What Else You Can Do ?

• Birth Control
• Breastfeeding
• Episiotomy Care
• Exercise
• Getting Help From Others

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