Maternal representations during pregnancy and early motherhood

The aim of the present study was to study the maternal representations of pregnant women and mothers in their early postpartum period, by beginning the process of validating the maternal representations questionnaire L'entretien R₁ and by developing a means to assess the content‐free aspects of the representations. Participants were 23 primiparous (first‐time mothers) pregnant women in their fourth to seventh month of pregnancy and 22 primiparous mothers in their early (zero to six months) postpartum period. It was found that the four subscales of L'entretien (self‐as‐mother, self‐as‐person, own‐mother, and partner) produced meaningful results for Turkish subjects. The results were compatible with the idea of integrated representations of self‐as‐person and self‐as‐mother even in the second trimester of their pregnancy and also showed that they could differentiate themselves from their mothers as early as that period. The results revealed no significant differences in the content and content‐free dimensions of the representations of pregnant women and mothers. ©2004 Michigan Association for Infant Mental Health.     

‘You've got to grow up when you've got a kid’: Marginalized young women's accounts of motherhood

Teenage motherhood has been a source of considerable debate in policy and media circles in recent years. This paper explores the meanings of teenage motherhood for young women who were mothers before the age of 21, who were living in economically deprived areas of England and most of whom had been in residential or foster care. Qualitative interviews were carried out at several sites across England, with a total of 33 young women taking part in group interviews and one‐to‐one interviews. The accounts of the young women suggest that they talk about motherhood in three main ways: as ‘hardship and reward’, ‘growing up and responsibility’ and ‘doing things differently’. It is argued that these ways of talking about motherhood present a different picture of teenage motherhood from that of dominant discourses. Furthermore, the young women are active in negotiating and constructing their own identities as mothers, carers and women. Copyright © 2008 John Wiley & Sons, Ltd.     

When two are a family: looking backward and looking forward in a group intervention with single‐by‐choice mothers

Objective: We describe a preventive short‐term group intervention with nine single‐by‐choice (SBC) mothers to provide maximal support for parental functioning and to minimize possible emotional and/or developmental difficulties in their children. Method: Dynamically oriented group work (fifteen one‐and‐a‐half‐hour sessions) focused on: elaboration of painful experiences in the peri‐natal period; reducing stress, tension and guilt; helping mothers with problematic aspects of parenting through work on parental self‐image and perceptions of the child and the dyadic interaction; and strengthening their acceptance of the chosen family model. Results: Therapeutic gains described by mothers and facilitators include: reduced tension, anxiety and guilt; improved integration of the mother's parental self‐image and perception of the child; reduced ambivalence in dyadic relationships; strengthening the mother's fantasized triadic relationships; better acceptance of chosen family pattern; mothers' willingness to tell children their birth story. Conclusion: Dynamically oriented preventive group intervention with SBC mothers can identify potential psychological risk factors and help mothers with sensitive aspects of parenting.     

Attitudinal and demographic predictors of breast-feeding and bottle-feeding behavior by mothers of six-week-old infants

The demographic and attitudinal characteristics of 42 bottle feeding and 41 breast feeding mothers of 6 week old infants were compared. The women were patients of private physicians in Nashville, Tennessee. Data was obtained from self-administered questionnaires distributed through the physicians' offices. The women were primarily middle class whites and one-half of the women were multiparous and one-half were primiparous. On the basis of the information obtained in the questionnaires respondents were given scores on 13 demographic and family history characteristics and on 16 attitudinal scales which measured the mothers' preceptions of family life, child rearing, and breast feeding. Discriminant function analysis was used to assess the differences in the mean scores on each of the 29 variables for the 2 groups of mothers. Major findings were: 1) breast feeding mothers were significantly more educated and had significantly more breast feeding friends than bottle feeding mothers; 2) breast feeding mothers viewed their husbands as significantly more supportive of their feeding method than bottle feeding mothers; 3) bottle feeding mothers perceived more conflict in their marriages than breast feeding mothers; 4) bottle feeding mothers tended to favor accelerating the development of their infants more than the other mothers; and 5) breast feeding mothers had more positive attitudes toward breast beeding than bottle feeding mothers. Most of the women in both groups decided on their method of feeding prior to delivery, and complications during and following delivery did not alter their plans significantly. The 2 groups did not differ significantly in the degree to which they: 1) fostered dependency in their infants; 2) felt possessive toward their infants; 3) rejected the housewife role; and 4) were secluded at home.     

The relation between remembered parental acceptance in childhood and self‐acceptance among young Turkish adults

This study examined the relation between young adults' age and remembrances of parental acceptance in childhood, and their current self‐acceptance. The study was based on a sample of 236 young adults in Turkey (139 women and 97 men). The adult version of the Parental Acceptance‐Rejection/Control Questionnaire for mothers and fathers along with the Self‐Acceptance subscale of the Psychological Well‐Being Scale, and the Personal Information Form were used as measures. Results showed that both men and women tended to remember having been accepted in childhood by both their mothers and fathers. Women, however, reported more maternal and paternal acceptance in childhood than did men. Similarly, the level of self‐acceptance was high among both men and women. However, women's self‐acceptance was higher than men's. Correlational analyses showed that self‐acceptance was positively related to remembrances of maternal and paternal acceptance among both women and men. Results indicated that age and remembered paternal acceptance significantly predicted women's self‐acceptance. Age and remembered maternal acceptance made significant and independent contributions to men's self‐acceptance. Men's remembrances of paternal acceptance in childhood did not make significant contribution to their self‐acceptance. Finally, the relation between women's age and self‐acceptance was significantly moderated by remembrances of paternal acceptance in childhood.     

Parenting contributors to early emerging problem behaviour in children of mothers in methadone maintenance treatment

This study explored whether variations in parenting provided by mothers with substance‐abuse disorders are related to behaviour problems in their young children and whether specific parenting practices are associated with specific types of behaviour problems. Mother‐reported and observational assessments were used to examine contributions of parenting behaviour and home environment to internalizing and externalizing behaviour problems in 150 preschool children of mothers receiving methadone‐maintenance treatment for heroin addiction. In multivariate analyses, mother‐reported child externalizing behaviour was related to greater maternal harshness and to mother history of illicit drug use during pregnancy but not other features of substance use and treatment history. Observer‐coded child internalizing behaviour was related to less maternal sensitivity and less provision of learning activities in the home. Additionally, mother report of her own psychopathology symptoms was related to mother‐reported, but not observer‐coded, child internalizing and externalizing problems. Findings suggest that women in substance abuse treatment should receive parenting interventions and that interventions should focus on increasing maternal sensitivity, reducing harshness, and providing children with cognitively stimulating environments. Findings also suggest that the need for attention to ongoing mental health problems of women in substance abuse treatment—both for their own well‐being and the well‐being of their children.

Highlights

• This study explored whether variations in parenting provided by mothers with substance‐abuse disorders are related to behavior problems in their young children.
• Maternal harshness was related to child externalizing behavior, low sensitivity, and low provision of learning opportunities to child internalizing problems.
• Findings suggest that women in substance abuse treatment should be provided access to parenting interventions.

     

Limited effects of pre‐existing maternal antisocial behaviours on infant neurodevelopment: A pilot study

Antisocial behaviour disorders (ABDs) are among the most costly and treatment resistant of all psychiatric syndromes. Select neurodevelopmental abnormalities have been labelled a risk factor for ABDs, but it is unknown if maternal ABDs are associated with early neurodevelopmental abnormalities. This study tested whether infants of ABD mothers had more neurodevelopmental abnormalities than mothers with no psychiatric disorder (ND). Thirty‐nine pregnant women (49% with ABDs; 51% no psychiatric disorder) were recruited from the community. Infant neurodevelopment was assessed at ≤1 and 8 weeks using the Neonatal Behavioural Assessment Scale and at 16 weeks of age using the Bayley Scales of Infant and Toddler Development‐III. There was no significant group difference at ≤8 weeks. At 16 weeks, ABD mothers rated their infants higher on the Adapted Behaviours subscale, specifically on the leisure and self‐directed scales, when corrected for substance use and socio‐economic status. This pilot study found higher maternal ratings of Adapted Behaviours at 16 weeks, which may be due to unrealistic expectations about infant development.

Highlights

• Maternal Antisocial behaviour disorders (ABDs) do not impact early infant neurodevelopment at ≤ 8 weeks old as measured by standardized assessment.
• Mothers with ABDs view their infants at 16 weeks as better adapted than women without any psychiatric disorder.
• Specifically, mothers with ABDs reported their infants as better adapted on the leisure and self‐direction subscales of the Bayley Scales of Infant and Toddler Development‐III. This finding may be due to less knowledge about normal infant adaptive behavior.

     

PREDICTORS OF SELF‐REPORTED GAINS IN A RELATIONSHIP‐BASED HOME‐VISITING PROJECT FOR MOTHERS AFTER CHILDBIRTH

We assessed mothers’ self‐reported gains from a postpartum home‐visiting (HV) project in which home visitors are volunteer mothers from the community. Hypotheses were that gains are positively related to (a) mothers’ felt‐closeness with their home visitor, (b) mothers’ level of sociodemographic risk, and (c) the home visitors’ preproject training in support services for families or children (Professionalism). One hundred sixty‐four clients returned written evaluations of the HV project. Items assessing gains were reduced to two factors: Improved Well‐Being (“Self”) and Improved Infant Care (“Infant”). Repeated measures general linear models, with Gains (Self, Infant) as the repeated measure, and multiple regression analyses evaluated the hypotheses. Across the sample, gains on both factors were moderate, although gain scores were higher regarding Self than for Infant. Results show that (a) Mothers’ felt‐closeness with their volunteer was strongly related to mothers’ gains; (b) high‐risk mothers gained more from the project than did mothers of lower risk, particularly regarding Infant Care; and (c) mothers visited by volunteers who were professionals reported more substantial gains than did mothers visited by volunteers who were not professionals. Findings can help explain variance in mothers’ gains from such projects and could be useful in improving their efficacy.     

An Exploration of Mothers' Successful Completion of Family-Centered Residential Substance Use Treatment

Behavioral health and substance use centers have started focusing efforts on creating, adopting, and implementing evidence-based practices and programs that effectively address the needs of women and, particularly, mothers entering treatment with children. However, women with substance use disorders (SUDs) remain an underserved and understudied population; even less studied are the complexities and unique SUD treatment needs of women who have children. Family therapists' systemic training is a valued approach in conceptualizing and implementing treatment for mothers with SUDs and their families. This study explored the construct of mothering children during family-centered substance use treatment using a transcendental phenomenological approach. Analysis revealed themes related to motherhood, parenting, and support for mothers and children. Two themes emerged from the data: (a) grappling with motherhood and addiction leading to the decision for treatment and (b) specific aspects of the treatment program conducive to motherhood. Results indicated the positive impact of mothers' experiences in family-centered substance use treatment, aligning with previous literature that suggests mothers are more engaged in treatment when their children remain in their care. The insights gleaned from the participants in this study provide suggestions for further improving programming that supports mothers and their children during the recovery process. Treatment considerations are offered for family therapists working with mothers with SUDs and their families.     

Caregiving behavior and interactions of prenatally depressed mothers (antidepressant‐treated and non‐antidepressant‐treated) during newborn acute pain

This exploratory study aimed to examine time‐based measures of the behaviors and interactions of prenatally depressed serotonin reuptake inhibitors (SRI)‐medicated mothers to their infant's pain (n = 10) by comparing them with similar measures obtained from prenatally depressed nonmedicated mothers and their infants (n = 10), and nondepressed mothers and their infants (n = 10). During the second trimester of their pregnancy, the 30 study mothers were assessed for depression and anxiety, with no further measures of maternal mood taken. Maternal and infant interactions were continuously videorecorded while the infant underwent a scheduled heel lance for routine blood screening that occurred when study infants were between the ages of 24 and 60 hr. Maternal behavior and infant cry, for all 30 cases, were coded second‐by‐second for the full duration of each infant's heel lance using a reliable coding system and analyzed using odds ratio and regression analyses. Infants exposed to prenatal SRIs and depressed maternal mood were more likely to have lower Apgar scores and to exhibit weak and absent cry. Even when duration of the heel lance was controlled for, women with depression during the second trimester were more likely to exhibit depressed behavior at 2 days' postpartum despite sustained SRI antidepressant treatment. Both groups of prenatally depressed mothers were more likely to exhibit diminished response to their infants' pain cue although nonmedicated mothers' expressions of depressed behavior were more similar to healthy controls. Comprehensive understanding is essential to optimize the clinical care of mothers and their infants in this complex setting. This study contributes preliminary new findings that warrant prospective and longitudinal studies to clarify further the impacts of prenatal SRI and maternal mental mood (e.g., chronic depression and anxiety) effects on the mother–infant interaction and infant pain and stress reactivity.     

For Shame: Feminism,Breastfeeding Advocacy,and Maternal Guilt

In this paper, we provide a new framework for understanding infant‐feeding‐related maternal guilt and shame, placing these in the context of feminist theoretical and psychological accounts of the emotions of self‐assessment. Whereas breastfeeding advocacy has been critiqued for its perceived role in inducing maternal guilt, we argue that the emotion women often feel surrounding infant feeding may be better conceptualized as shame in its tendency to involve a negative self‐assessment—a failure to achieve an idealized notion of good motherhood. Further, we suggest, both formula‐feeding and breastfeeding mothers experience shame: the former report feeling that they fail to live up to ideals of womanhood and motherhood, and the latter transgress cultural expectations regarding feminine modesty. The problem, then, is the degree to which mothers are vulnerable to shame generally, regardless of infant feeding practices. As an emotion that is less adaptive and potentially more damaging than guilt, shame ought to be the focus of resistance for both feminists and breastfeeding advocates, who need to work in conjunction with women to oppose this shame by assisting them in constructing their own ideals of good motherhood that incorporate a sense of self‐concern.     

What do mothers know? Maternal knowledge of child development

Maternal knowledge of child development has been shown to affect how mothers raise their children and the environments they provide. This study examines maternal knowledge of child development and whether level of knowledge varies by content area. Additionally, this study explored maternal characteristics that predict knowledge levels globally and by content area. Low‐income women (N = 203) in the waiting room of an obstetric clinic (n = 97) and pediatric clinic (n = 106) in a southern state were asked to complete questionnaires on typical child development and demographic characteristics. Overall, women correctly answered 65% of the criterion‐referenced knowledge questions. Mothers lacked the most knowledge about infant sleep patterns and developmental ability of 6‐month‐old infants. Maternal education, race, number of children, and assistance with childcare were significantly related to maternal knowledge. Identifying gaps in maternal knowledge and characteristics that correspond to knowledge deficits provides insight into how best to tailor educational interventions for mothers. ©2005 Michigan Association for Infant Mental Health.     

The impact of domestic violence on mothers' prenatal representations of their infants

This study examined the relationship between domestic violence during pregnancy and mothers' prenatal representations of their infants and themselves as mothers. Two hundred and six women were recruited from the community and interviewed during their last trimester of pregnancy. Forty‐four percent of women reported experiencing domestic violence during the current pregnancy, while 56% reported no domestic violence during the pregnancy. Maternal representations were assessed using the Working Model of the Child Interview (WMCI; Zeanah, Benoit, Hirshberg, Barton, & Regan, 1994). Multiple analysis of variance (MANCOVA) and χ² analyses revealed that women who experienced domestic violence had significantly more negative representations of their infants and themselves as mothers and were significantly more likely to be classified as insecurely attached (either Disengaged or Distorted) than women who had not experienced domestic violence. These results, along with several excerpts from battered women's interviews, highlight the importance of domestic violence as a risk factor for maternal and infant well being. These findings and their clinical implications are discussed in light of attachment theory. ©2004 Michigan Association for Infant Mental Health.     

Emotional availability and psychosocial correlates among mothers in substance‐abuse treatment and their young infants

Emotional availability (EA) was investigated among low‐income mothers enrolled in substance‐abuse treatment and their young infants (n = 21) compared with a demographically matched group of mother–infant pairs who, by self‐report, were not at risk for substance abuse (n = 27). The mother–infant dyads in the treatment group generally demonstrated poorer EA functioning than those in the comparison group, but few differences between the groups on individual dimensions of EA were significant. This finding was notable considering that mothers in treatment reported significantly higher levels of depressive symptoms and psychological stress. Treatment effects may have buffered the negative impact of depression and psychological stress on mothers' EA scores. The clinical implications of the findings are discussed as they relate to substance‐abuse‐treatment services for pregnant and parenting women.     

The Substance Abuse Counseling Needs of Women in the Criminal Justice System: A Needs Assessment Approach

The authors assessed the substance abuse counseling needs of women in the criminal justice system using interviews (n = 304) and surveys (n = 1,170). On the basis of the results, the authors call for gender‐specific treatment as well as family‐oriented support for women who are mothers.     

Perceptions of Mate Selection for Marriage Among African American,College‐Educated,Single Mothers

This ethnographic study researched the perceptions of mate selection for marriage and the decisions of college‐educated, African American mothers who bore children while single. Twenty‐five senior‐level African American students who attended a college in New York City participated in the study. There has been a significant change in the family life‐cycle stage of coupling and marriage for these women because of their lived experiences.     

Mothers' attachment representations and choice of infant care: center care vs. home

In the debate concerning the effects of day care on infant development, insufficient attention has been paid to the potential relationship between pre‐existing emotional differences among mothers and the type of care they choose for their infants. To shed light on this issue, this study examines the attachment representations of mothers who choose day‐care centres as opposed to mothers who choose to remain at home with their infants. Participants were 76 primiparous mothers. Mothers' attachment classifications were assessed by the Adult Attachment Interview [AAI; Main M, Kaplan N, Cassidy J. 1985. Security in infancy, childhood, and adulthood: a move to the level of representation. In Growing Points of Attachment Theory and Research. Monograph of the Society for Research in Child Development, 50, (1–2, serial no. 209), Bretherton I, Waters E (eds); 66–104]. Results indicate that more Day‐care than Home‐Care mothers are classified as insecurely attached. These results highlight the contribution of maternal emotional characteristics to the effects of diverse child care arrangements on infant development. Copyright © 2001 John Wiley & Sons, Ltd.     

Balancing Act: Career and Family During College-Educated Women’s 30s

We assessed career, marriage, and motherhood expectations of 118 White Women and 82 Women of Color in 1993, when they were seniors at five northeastern U.S. colleges. Sixteen years later, in 2009, 77.5 % responded to our survey and answered questions about their career, marriage, motherhood, attitudes, and life satisfaction outcomes. As seniors, they wanted it all, career, marriage, and motherhood. In 2009, nearly two thirds were employed full time, 91 % had married, nearly three quarters were mothers, and about 57 % were combining full-time employment and motherhood. Comparisons are made among three role-status outcome groups: Have It All (mothers, employed full time); Traditional (mothers, employed part time or not at all), and Employed Only (childfree, employed full time). Educational level of the women did not predict role status. Spouses’ educational level relative to the women’s predicted role status, with Have It All women more likely to be married to less educated spouses than Traditional or Employed Only women. The role-status groups did not differ in their attitudes toward women in general, but Have It All mothers had lower levels of employment-related concerns about separation from their children than Traditional mothers. Most of the women still wanted to have it all. Many Traditional women looked forward to returning to employment, and many of the Employed Only women wanted to have children. Being a mother was associated with higher life satisfaction than being childfree. Results are discussed in terms of multiple-role theory and the positive influence of having family roles in the mix.