| Term | Definition |
| Pregnancy and childbirth touch nearly every aspect of the human experience | biologic, psychological, social, culutural |
| Two major concerns that face health care providers during pregnancy | -the quality of a woman's psychosocial adaptation to pregnancy is related to her physical health during the childbearing year. Problems in the family unit during pregnancy may contribute to later family problems and deterioration in other family relationships |
| Family | a social system made up of two or more interdependent persns who reamin united over time and mediate individual needs with demands of the larger society |
| Family | is a group of interdependent and interacting personalities |
| Family | a group of individuals related by blood, marriage or adoption, residing in the same household, sharing a common history and interacting with each other on the basis of their roles in the group |
| Developmental tasks | Preparing to provide for the physical care of the newborn, acquiring knowledge and planning for needs of pregnancy, childbirth, parenthood, adapting financial patterns to meet increaseing needs, defining evolving role patterns, adjusting patterns of sexual expression to accommodate pregnancy, expanding communication to meet emotional needs, reorienting relationships with friends and community to take into account the realities of pregnancy and the anticipated newborn, maintaining a healthy outlook and philosophy of life |
| To accomplish developmental taks of pregnancy | Lays the groundwork for later more complex adaptation required when the newborn is added to the family unit, requires reorganization in current patterns of activityand interaction consuming considerable amounts of time and energy, failure to reorganize leads to monitoring unmet needs and the family's coping mechanisms may become overwhelmed. |
| Pregnancy has been described as a | turning point, developmental task, Crisis (coping patterns not adequate-crisis can result, successful use of coping skills-no crisis) |
| Successful resolution of the crisis depends on | How realistically the situation is perceived, the individual's and family's precrisis level of functioning, the range of coping patterns available, past success or failure in dealing with crisis, anxiety, and stress, the resource available to individual and family, the ability to mobilize and use resources |
| Maternal Attachment | usually aware of the fetus 20 weeks or more before birth, woman demonstrates some investment in a relationship with the fetus by themiddle trimester, evidenced by maternal behaviors as talking to fetus, interpreting movements |
| Paternal Attachment | Father has to "go through" the pregnant woman to interact with the fetus, the father's experience is always "one step removed" |
| Cultural aspects to consider | dietary customs, activity/rest (some culutres the postpartum woman is confined to home as long as 40 days), preparation (some cultures preparation in advance may be seen as tempting fate or the evil eye), birth practices (some cultures expression of pain different-some cry or moan in labor, others are stoic), Prenatal care (not be a priority for women of southeast asian culture who view pregnancy as a natural occurrence) |
| Usual Prenatal visits | every 4 weeks to 28 weeks, then every 2 weeks to 36 weeks, then every week until delivery |