Bonding

• Bonding: a close connection, especially a physical bond, between parents and the newborn in the period shortly after birth.

• Nurturing behavior is facilitated by the hormones oxytocin and lactin.

• While initial days are important, it is a qualitative and continuous process

• NOT a critical period

• Important for parents to consider what would be best to optimize emotional connectedness, as long as all of baby’s needs are being met

Transition to Parenthood

• Physical and Emotional Recovery of Mother

  • Recover physically and adjust to massive hormonal shifts in her body.

  • Mother more prone to infections, health issues, constipation, hemorrhoids, mastitis

• Changes in the Family Dynamics and System

  • The partner needs to become a part of this new threesome while supporting the birthing person in recovery.

  • Role and status of siblings or other family members

  • New parenthood may lead to more traditional gender roles, particularly in heterosexual couples

  • Sharing caregiving predicts greater happiness and sensitivity to the baby.

• Financial instability or insecurity

• Postpartum Depression / PPMAD

  • Some women experience postpartum depression, mood or anxiety disorders, which emerges or strengthens after childbirth

  • Paternal depression, like maternal depression, can interfere with effective parenting.

  • PPD can have serious negative effects on all domains of child development.

  • Early IDENTIFICATION, treatment, and support is vital.

Intervention for New Parents

• PPMAD usually temporary and responds well to intervention - rest, self-care, social support, therapy and, if needed, medication.

• High-risk parents, such as those with med history, or in special category, may benefit from more intensive intervention.

• Low-income parents may require tangible support (food, money, transportation, affordable child care).

• Like any new life changes and transitions --- adjusting to life with new baby takes TIME!

• Prebirth counseling can ease the transition to parenthood