scholarly journals Using co-design to explore how midwives can support the emerging mother-infant relationship during the early postnatal period: Protocol for a mixed-method study. (Preprint)

2021 ◽  
Author(s):  
Cathy Stoodley ◽  
Lois McKellar ◽  
Ian Gwilt ◽  
Tahereh Ziaian ◽  
Mary Steen ◽  
...  

BACKGROUND The postnatal period can be a challenging time for women, with mothers experiencing a range of emotions. As a woman transitions to motherhood, she adjusts to a new sense of self and forms a new relationship with her infant. Becoming a mother is a complex cognitive and social process that is unique for each woman and is influenced and shaped by culture. The emerging mother-infant relationship is a significant factor in maternal wellbeing and infant development, with the bond between the mother and her baby being critical to the development of secure attachment. It has been recognised that the strength of this relationship is the main predictor of how well a child will do throughout life. Significantly, there has been a global focus on the importance of the first 1000 days, with Australia identifying this as a national priority. Midwives are ideally placed to support mothers during the development of the mother-infant relationship, providing care through the early postnatal period which has been identified as a ‘sensitive period’ for the development of the mother-infant relationship. OBJECTIVE The purpose of this project is to explore how midwives can support the emerging mother-infant relationship in the context of cultural diversity and develop an appropriate co-designed intervention in the early postnatal period. METHODS This study will utilise an exploratory sequential design (intervention development variant), mixed-methods approach. This will be undertaken in three phases: initially, a qualitative phase which is followed by two quantitative phases. Phase one will include a scoping review to explore interventions that have influenced the development of the mother-infant relationship, then interviews will be undertaken with women exploring their early experiences of motherhood, followed by three co-design workshops. The workshops will engage with multilevel stakeholder representatives where, through partnership and participation they will propose and develop an intervention to support the emerging mother-infant relationship. Phase two will develop and pilot two purpose-designed evaluation surveys to evaluate the co-designed intervention from the perspective of both mothers and midwives. Phase three will implement and evaluate the co-designed intervention using pre-and post-measures and feedback from the purpose-designed surveys. RESULTS Phase one has commenced with the expected completion in August 2021. Phase two is expected to be completed by September 2021, with phase three commencing in October 2021. The project will be completed by March 2023. CONCLUSIONS The results from the study will be shared with a variety of audiences and will contribute to the body of knowledge on the mother-infant relationship, potentially improving the understanding of this relationship for women and midwives. This may result in improved strategies for care, with mothers also benefiting from an enhanced experience and satisfaction during the early postnatal period.

2021 ◽  
Vol 935 (1) ◽  
pp. 012044
Author(s):  
V G Semenov ◽  
E S Matveeva ◽  
D E Biryukova ◽  
A N Maykotov ◽  
S G Kondruchina ◽  
...  

Abstract A scientific and practical substantiation of the need for the timely formation of colostral immunity in calves to create nonspecific protection of the body and adaptation of newborns to new environmental conditions is given, which is the most important problem of modern veterinary science and practice. Colostral immunity is immunity that develops in newborns due to colostral immunoglobulins during the first 24-36 hours of life. For some newborn farm animals (horses, ruminants and pigs), antibodies are transmitted to offspring only through colostrum in the early postnatal period. In order to increase the nonspecific defenses of the body of mothers cows, the formation of colostral immunity in newborn calves and the realization of the biological resource potential of the body, immunostimulants were used, developed by scientists of the Chuvash State Agrarian University: Prevention-N-B-S and Salus-PE.


The paper provides an analysis of the structuralist and phenomenological traditions in interpretation of female body practices. The structuralist intellectual tradition bases its methodology on concepts from social anthropology and philosophy that see the body as ‘ordered’ by social institutions. Structuralist approaches within academic feminism are focused on critical study of the social regulation of female bodies with respect to reproduction and sexualisation (health and beauty practices). The author focuses on the dominant physical ideal of femininity and the means for body pedagogics that have been constructed by patriarchal authority. In contrast to theories of the ordered body, the phenomenological tradition is focused on the “lived” body, embodied experience, and the personal motivation and values attached to body practices. This tradition has been influenced by a variety of schools of thought including philosophical anthropology, phenomenology and action theories in sociology. Within academic feminism, there are at least three phenomenologically oriented strategies of interpretation of female body practices. The first one is centred around women’s individual situation and bodily socialization; the second one studies interrelation between body practices and the sense of the self; and the third one postulates the potential of body practices to destabilize the dominant ideals of femininity and thus provides a theoretical basis for feminist activism. The phenomenological tradition primarily analyses the motivational, symbolic and value-based components of body practices as they interact with women’s corporeality and sense of self. In general, both structuralist and phenomenological traditions complement each other by focusing on different levels of analysis of female embodiment.


Reproduction ◽  
1993 ◽  
Vol 97 (1) ◽  
pp. 13-20 ◽  
Author(s):  
L. Pinilla ◽  
E. Trimino ◽  
P. Garnelo ◽  
C. Bellido ◽  
R. Aguilar ◽  
...  

Physiotherapy ◽  
2014 ◽  
Vol 22 (4) ◽  
Author(s):  
Agnieszka Stępień ◽  
Sylwia Chładzińska-Kiejna ◽  
Katarzyna Salamon-Krakowska

AbstractDissociative psychopathology is understood as an immature defence mechanism of personality, based on the techniques of reality distortion. The natural cause of a disorder reflects the lack of sense of coherence between identity, memory, awareness, perception and consequently - goal orientated action. Its symptoms manifest the separation of emotions, thoughts and behaviours bound with an event in order to maintain an illusory sense of control of demanding and unbearable experience.We describe the case of a 57-year-old woman suffering from broad range of dissociative symptoms from early childhood. Decomposition of integrity between memories, a sense of self-identity and control of the body has become the cause of numerous suicide attempts, multiple psychiatric hospitalizations and not fully effective therapy attempts. Destructive influence of psychopathological symptoms negatively influenced patient’s life course, decisions made as well as family, work and social life.


Author(s):  
Eli Natvik ◽  
Målfrid Råheim ◽  
Randi Sviland

AbstractBased in narrative phenomenology, this article describes an example of how lived time, self and bodily engagement with the social world intertwine, and how our sense of self develops. We explore this through the life story of a woman who lost weight through surgery in the 1970 s and has fought against her own body, food and eating ever since. Our narrative analysis of interviews, reflective notes and email correspondence disentangled two storylines illuminating paradoxes within this long-term weight loss process. Thea’s Medical Weight Narrative: From Severely Obese Child to Healthy Adult is her story in context of medicine and obesity treatment and expresses success and control. Thea’s Story: The Narrative of Fighting Weight is the experiential story, including concrete examples and quotes, highlighting bodily struggles and the inescapable ambiguity of being and having one’s body. The two storylines coexist and illuminate paradoxes within the weight loss surgery narrative, connected to meaningful life events and experiences, eating practices and relationships with important others. Surgery was experienced as lifesaving, yet the surgical transformation did not suffice, because it did not influence appetite or, desire for food in the long run. In the medical narrative of transforming the body by repair, a problematic relationship with food did not fit into the plot.


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