exam #2 Flashcards
(117 cards)
Transition to parenthood
- newborns require constant care
- many adjustments are required
- decline in martial satisfaction common
adjustments required in transition to parenthood
- daily schedules
- work schedules
a) 6 weeks of partial paid leave
b) 1-2 wks paternal leave if lucky
c) sometimes additional time off w/o pay - personal identity
decline in martial satisfaction common with kid
1. for various reasons
a) lack of intimacy
b) primary role mom/dad
c) lots of stress
2. but it declines as we age anyway so who cares
3. worse for moms than dads
a) based on parental involvement
parental involvement
- affected by motivation, skills, self-confidence and the marital relationship
- dad’s feel insecure about their connection to baby
(moms may feel also but they have to be primary parent at beginning so no choice) - some moms are “gatekeepers” and reluctant to let hubbies engage in childcare
parenting the newborn Klaus and Kennel (1972)
- no evidence of immediate “bond”
a) not imprinting
b) golden hour is for health not imprinting - parents must become proficient at tasks of feeding, clothing, diapering, comforting and stimulating
- developing sensitivity to newborn is importnat
a) i.e. babies do have different cries
b) mothers who can tell diff cries are the best
c) this involves quick, dependable and successful responses to infant’s needs/ distress
benefits of breastfeeding
- protects body against infectious disease
- decreases likelihood of developing diabetes, obesity or asthma
- it’s free
- releases oxytocin and prolactin in mother
downside of breastfeeding
really hard on mom
- cracked boobs
- demands high
- stressful and anxiety provoking to first time moms
- gets in the way of working
- etc.
breastfeeding facts
- although breast is best feeding is better
- 77% of moms start it right after birth
a) adols, Af Ams and low SES moms least likely to try - feeding must occur every 1-2 hrs
- milk production: amt of supply is related to amt of demand
a) there must be pumping/sucking to have enough supply - after 6 mons only 49% of moms still at it; after 12 mons only 27%
challenges of breastfeeding
- difficulty establishing a latch
a) depends on nipple and mouth sizes - insufficient supply of milk
- pain
- mastitis (clog in duct leads to infection)
- too time consuming/ inconvenient
PPD and Psychosis
- depression occurs in 12-40% of new moms
a) rates higher in moms of unintended kids - PPD: it lasts longer than 2 wks and are characterized by various sympts of depression
a) lack of motivation, anhedonia and psychomotor retardation - risk remains stable up to 1 yr after birth
- dangerous to mom and baby
- postpartum psychosis: rare but most dangerous
a) mother loses it and tries to harm/ kill baby - support groups and antidepressants effective
a) chem rxn in brain that stops you enjoying kid
b) if you start antidepressants you’ll haveta give up breastfeeding
c) heart defects most common risk of antidepressants when preg
infant mortality
- dramatically lower than prev centuries
- rate in us varies by ethnic/racial group
a) Af Am wom: 13.3/ 1000 live births
b) hispanic wom: 4.6/1000 live births - 50 countries lower rate than us
- mortality due to:
a) poverty
b) lack of prenatal care
c) edu deficit
d) lack of screening infants for health probs
7 (preventable) deadly diseases
- polio
- measles
- tetanus
- diphtheria
- pertussis/whooping cough
- Heaomophilus influenza type b
- Hep B
- > saves lives and costs to society
- > all immunizations are only given to 68-81% of kids BY CHOICE
vaccines don’t cause autism
- wakefield et al., 1998 (MMR-> autism)
a) uncontrolled
b) funded by lawyers against vaccine manufacturers
c) retracted in 2010
d) data falsified - Thimersoal Controversy, 1999
a) mercury based preservative
b) no evidence
c) removed from vaccines in 2001
Bradley’s (220) first task
- keep your infants healthy!
- appropriate nutrition breastfeeding
- adequate sleep (only for baby)
- well-baby visits and immunizations (often)
daily routines, sleeping, crying
- newborns sleep ~16-17 hrs/ day
- decreases from 65 to 57% over first year
- moms don’t get sleep
fussing and crying
- peaks at 6 wks (2hrs/day)
- colic: when baby cries more than ave and you dunno why
- usually related to gastrointestinal distress
likely to result in shaken baby syndrome
shaken baby syndrome
- violent shaking or shaking and impacting of the head of an infant/small cihld
- ~1300 cases/ yr in US
- ~80% long term disability; ~25% death
- leading cause of phy child abuse death in US
- period of purple crying
brain development
- triples in size during first 5 yrs
- grows from 1/4-3/4 of adult brain weight
- key processes:
a) neurogenesis (in womb)
b) synaptic pruning
c) myelination
promoting healthy brain and cog dev
- appropriate levels of stimulation
a) no over enrich environs
b) breastfeed for 1st yr
c) engage in happy loving interactions
d) avoid conflicts
e) introduce variety in daily experiences
purple crying
- peak of crying
- unexpected
- resists soothing
- pain-like face
- long lasting
- evening
nurturant caregiving actions
- soothing
- feeding
- sheltering
- bathing
- protecting
origins of social interactions
- turn-taking
- synchrony
- reciprocity
- complementarity
synchrony
- taking on AFFECT of baby
- when baby cries, mom frowns
- beginning of empathy
reciprocity
- recognizing cries
2. baby learns mom’s voice``