The purpose of this study is to explore and describe the experiences of first-time mothers with colic infants. Based on the results, implications for clinical practice are described for the clinical psychologist with regards to providing psychological support for these mothers. The research design is qualitative, exploratory, descriptive and contextual. Data was collected by means of in-depth, semi-structured, phenomenological interviews and a descriptive analysis was done. The results show that the real versus the imagined experience of having a baby does not meet mothers' expectations. Furthermore, a colic baby elicits numerous anxieties including anxiety about the baby being damaged/ill, the feeding and leaving the baby in the care of others. Mothers battle with feelings of failure, which may be compounded by a stressful labour/delivery. Multiple attempts to soothe the baby or find an effective treatment result in feelings of helplessness and inadequacy. In turn, hopelessness and depression result. Mothers also perceive others' making judgments about their ability as a mother, while anxiety about failure undermines their capacity to accept support. Furthermore, mothers require affirmation from their baby. Their continued search for a cure offers hope that understanding and control can be gained. However, conflicting information and advice leave them feeling anxious and overwhelmed. Moreover, mothers feel disillusioned with medical personnel and the profession. Both medical and psychological factors are perceived as possible causes of, or contributing factors to, colic, and mothers experience guilt that stressors during their pregnancy may have contributed to their babies' being colicky. In addition, colic is seen as a punishment for perceived wrongdoings during pregnancy. Given the above, mothers need a containing figure, a function fulfilled by some husbands. If their own mothers are unavailable to contain their anxieties, substitute figures are found. In addition, practical support is experienced as helpful. Regarding maternal grandmothers, mothers identify with them, resulting in a new understanding of them and of the mother-daughter relationship. They also draw on their mothers' perception of their childhood experiences as positive or negative role models of parenting. Mothers feel ambivalent regarding the baby. They exhibit empathy although they perceive the baby as demanding, intrinsically difficult or rejecting. Consequently, mothers experience feelings of rage, resulting in fears of losing control and harming or abandoning the baby. These negative feelings are perceived as impacting on empathy for and bonding with the baby and result in feelings of shame and guilt. A colic baby is a source of stress in the couple's relationship, resulting in strained marital relations. Lastly, mothers renegotiate their identity as women and mothers. Several psychological defence mechanisms are used as a means of resolving emotional conflict and anxiety, and maintaining self-esteem. Clinical implications include adopting parent-infant psychotherapy as a framework for providing psychological support for these mothers. The study concludes that the colic period is stressful, places strain on the marital relationship and may pose a risk to the parent-infant relationship and child development. Lastly, psychological based interventions should be included as a resource for these mothers. / Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2008.

The purpose of this study is to explore and describe the experiences of first-time mothers with colic infants. Based on the results, implications for clinical practice are described for the clinical psychologist with regards to providing psychological support for these mothers. The research design is qualitative, exploratory, descriptive and contextual. Data was collected by means of in-depth, semi-structured, phenomenological interviews and a descriptive analysis was done. The results show that the real versus the imagined experience of having a baby does not meet mothers' expectations. Furthermore, a colic baby elicits numerous anxieties including anxiety about the baby being damaged/ill, the feeding and leaving the baby in the care of others. Mothers battle with feelings of failure, which may be compounded by a stressful labour/delivery. Multiple attempts to soothe the baby or find an effective treatment result in feelings of helplessness and inadequacy. In turn, hopelessness and depression result. Mothers also perceive others' making judgments about their ability as a mother, while anxiety about failure undermines their capacity to accept support. Furthermore, mothers require affirmation from their baby. Their continued search for a cure offers hope that understanding and control can be gained. However, conflicting information and advice leave them feeling anxious and overwhelmed. Moreover, mothers feel disillusioned with medical personnel and the profession. Both medical and psychological factors are perceived as possible causes of, or contributing factors to, colic, and mothers experience guilt that stressors during their pregnancy may have contributed to their babies' being colicky. In addition, colic is seen as a punishment for perceived wrongdoings during pregnancy. Given the above, mothers need a containing figure, a function fulfilled by some husbands. If their own mothers are unavailable to contain their anxieties, substitute figures are found. In addition, practical support is experienced as helpful. Regarding maternal grandmothers, mothers identify with them, resulting in a new understanding of them and of the mother-daughter relationship. They also draw on their mothers' perception of their childhood experiences as positive or negative role models of parenting. Mothers feel ambivalent regarding the baby. They exhibit empathy although they perceive the baby as demanding, intrinsically difficult or rejecting. Consequently, mothers experience feelings of rage, resulting in fears of losing control and harming or abandoning the baby. These negative feelings are perceived as impacting on empathy for and bonding with the baby and result in feelings of shame and guilt. A colic baby is a source of stress in the couple's relationship, resulting in strained marital relations. Lastly, mothers renegotiate their identity as women and mothers. Several psychological defence mechanisms are used as a means of resolving emotional conflict and anxiety, and maintaining self-esteem. Clinical implications include adopting parent-infant psychotherapy as a framework for providing psychological support for these mothers. The study concludes that the colic period is stressful, places strain on the marital relationship and may pose a risk to the parent-infant relationship and child development. Lastly, psychological based interventions should be included as a resource for these mothers. / Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2008.

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The aim of this research was to support new mothers in groups, so that they can function optimally as educators. During the research mothers with babies up to three months of age were used by means of a support group. This research project was done after it became evident from a literature study that new mothers suffered with unique problems during this adaption phase. In the empirical survey the researcher gave attention to the new mothers' specific needs and problems during this trimester. The researcher aimed to explore the experiences of the new mother as educator through weekly group sessions. From the results it was clear that there was a need of support from other mothers that is going through the same experiences. In this way new mothers could receive emotional support and obtain knowledge regarding relevant issues experienced during this unique life phase. / Educational Studies / M. Ed. (Guidance and Counselling)

The aim of this research was to support new mothers in groups, so that they can function optimally as educators. During the research mothers with babies up to three months of age were used by means of a support group. This research project was done after it became evident from a literature study that new mothers suffered with unique problems during this adaption phase. In the empirical survey the researcher gave attention to the new mothers' specific needs and problems during this trimester. The researcher aimed to explore the experiences of the new mother as educator through weekly group sessions. From the results it was clear that there was a need of support from other mothers that is going through the same experiences. In this way new mothers could receive emotional support and obtain knowledge regarding relevant issues experienced during this unique life phase. / Educational Studies / M. Ed. (Guidance and Counselling)

The present study is an existential phenomenological investigation of the experiences of maternal guilt of five first-time mothers with infant children. Maternal guilt is a powerful, pervasive, and complex phenomenon that effects and is experienced by mothers in different ways. This research explores the experiences of these five mothers in feeling guilt related to being a mother and, using an adapted research methodology utilizing Focusing Technique (Gendlin, 1981), their embodied reflections about a particular memory of feeling maternal guilt. This study utilizes procedures explicated by Colaizzi (1978), Giorgi & Giorgi (2003), Todres (2007), von Eckartsberg (1998), Walsh (1995; 2004) and Wertz (1984). All participants provided data via a written account of a particular memory of feeling a sense of guilt related to being a mother, an individual interview which incorporated a modified Focusing component, and written and verbal feedback related to the write-up of the provisional thematic analysis of the interview. The interpreted analyses of the five interviews indicate seven formulated themes; physical and emotional connection to their babies, intense feelings of responsibility, feelings of being divided, multi-dimensionality of guilt with other emotions, pre-verbal miscommunication, anxiety over the unknown in the beginning, and social expectations and comparisons. The findings suggest that the process of embodied reflection regarding a new mother's emotional experiences of guilt can foster important awareness for how she can care for her own and her child's needs. Relationships between contemporary cultural discourses on motherhood and philosophical interpretations of guilt are discussed. Implications for creating networks of support and community for new parents are also explored. / McAnulty College and Graduate School of Liberal Arts; / Clinical Psychology / PhD; / Dissertation;

Bakgrund: Föräldragruppsutbildning, arrangerad av barnhälsovården, ska erbjudas alla nyblivna föräldrar. Region Skåne har 2011 infört en manual med rekommendationer för hur föräldragruppsutbildningen skall läggas upp i syfte att få en mer enhetlig föräldragruppsverksamhet. Syfte: Syftet med studien var att undersöka förstagångsmammors upplevelser av föräldrastöd i grupp. Metod: Öppna individuella intervjuer genomfördes med elva förstagångsmammor. Intervjumaterialet analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Resultatet visar att mammorna upplevde ett bristande engagemang och ett otydligt ledarskap från BHV-sjuksköterskan. De upplevde att mötet och gemenskapen med de andra mammorna var det som gav dem det främsta stödet. Resultatet sammanfattas i två kategorier; BHV-sjuksköterskans delaktighet och kunskaps- och erfarenhetsutbyte. Slutsats: För att kunna möta mammornas förväntningar och ge det stöd som de behöver bör BHV-sjuksköterskan vara lyhörd för och visa ett engagerat intresse för mammornas behov. Ett sätt att nå detta kan vara att fullt ut följa det upplägg som finns beskrivet i manualen. Det är begränsat med forskning angående förstagångsmammors upplevelser av stöd i föräldragrupp därför finns behov av ytterligare forskning. / Background: Parent education, organized by child health service, should be offered to all new parents. In 2011 Region Skåne introduced a manual with recommendations on how parent education can be organized in order to obtain a more uniform parent group activity. Aim: The aim of the study was to describe first-time mothers' experiences of parental support group. Method: Open individual interviews with eleven first-time mothers were conducted. The interviews were analyzed using qualitative content analysis. Results: The result showed that the mothers experienced a lack of commitment and an unclear leadership from the nurses. They felt that the most important was being able to meet other mothers. The results are summarized in two categories; child health -nurses´ participation and knowledge- and experience exchange. Conclusion: In order to meet mothers' expectations and provide the support they need child health care nurses need to be responsive and interested in mothers' needs. One way to achieve this would be to follow the recommendation described in the manual. There is limited research on first-time mothers' experiences of support in parental support groups and therefore a need for further research.

Bakgrund: Barnmorskans bemötande är av stor betydelse för kvinnans upplevelse av att känna sig trygg och hantera smärtan under latensfasen och förlossningen. Målet är att kvinnan ska vara hemma under latensfasen då sjukhusmiljön kan ha en negativ inverkan på det fysiologiska förlossningsförloppet. Mödrahälsovården har en viktig roll genom att stötta och förbereda den gravida kvinnan inför förlossningen. Syfte: Att undersöka kvinnors upplevelse av att under latensfasen sökt vård på förlossningsavdelningen och sedan fått åka hem. Metod: En kvalitativ intervjustudie har gjorts och baseras på fem enskilda intervjuer med förstföderskor. Datamaterialet analyserades enligt innehållsanalys. Resultat: Kvinnorna kände sig oförberedda och uttryckte en okunskap om latensfasen. Bemötandet från barnmorskan på förlossningen var av betydelse för hur kvinnorna upplevde och kunde hantera latensfasen och förlossningen. Smärtsamma förvärkar och sömnbrist var de huvudfaktorer som gjorde att de besökte förlossningen. Slutsats: Studien visade att  informationen från barnmorskan på mödrahälsovården gällande latensfasen var bristfällig och behöver förbättras. Kvinnorna hade svårt att avgöra när de var i aktiv fas och skulle åka in till förlossningen. Barnmorskan på förlossningen behöver se den enskilda kvinnan och anpassa omhändertagandet individuellt. Även partner/närstående kan vara i behov av råd och stöd från barnmorskan för att lättare kunna hjälpa kvinnan under latensfasen. / Background: The midwife's attitudes are important for a woman’s experience of feeling secure and manage pain during latent phase and delivery. The goal is that the woman should be at home during latent phase, because of that the hospital environment can have a negative impact on the physiological delivery process during this phase. Maternal health care has an important role by supporting and preparing the pregnant woman for birth. Objective: To explore women's experiences of latent phase, sought care at the maternity ward, and then had to go home. Method: A qualitative study has been done and is based on five individual interviews with first-time mothers. The data were analyzed according to content analysis. Results: The women felt unprepared and expressed ignorance about latent phase. The treatment from the midwife at the maternity ward was important for the women and how they could handle their experience of latent phase and delivery. Painful contractions and sleep deprivation were the main factors that made the women visit the maternity ward. Conclusion: The study showed that the information about latent phase from the midwife at the maternal health care center was inadequate and need improvement. The women found it  difficult to determine when they were in active phase and would go into the maternity ward. The midwife at the maternity ward need to see the individual woman and adapt care individually. Partners / relatives may be in need of advice and support from the midwife to make it easier to help the woman in latent phase.

Breastfeeding offers numerous health benefits to both the mother and infant, yet it is not routinely practiced due to a number of internal and external factors that influence the mother's decision. Guided by the social ecological model, the purpose of this study was to examine the effect of required reporting to The Joint Commission on perinatal measures, a proxy measure for maternity care practices, and those professional effects on breastfeeding initiation and exclusivity for first-time mothers. The hypotheses were that the mandatory reporting, and thus an increase in maternity care practices, would increase the initiation of breastfeeding and exclusive breastfeeding on discharge in first-time mothers. This study was a quantitative retrospective study design that included data collected from the medical records of 1,000 mothers from Southeast Alabama Medical Center who gave birth between 2013 and 2014. The multiple logistic regression analysis indicated that the odds ratio for initiation of breastfeeding was greater among first-time mothers after implementation of mandatory reporting measures (OR = 2.07; p = 0.0007); however, the odds for exclusive breastfeeding on discharge did not show a statistically significant change (OR = 0.94; p = 0.7507). These findings may inform the work of healthcare providers at hospitals, community centers, and public health workers, guiding their maternity care practices to increase the number of first-time mothers who will breastfeed for longer periods of time and improving children's health outcomes.