State differences between normal developmental transitions expected within the aging process and psychopathology is essential when helping our elders.

State differences between normal developmental transitions expected within the aging process and psychopathology is essential when helping our elders.

New Mothers

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For the purposes of this course guide, only a few vulnerable aggregates have been selected for discussion. You are encouraged to extend your thinking beyond this preliminary list to include the kinds of clients you meet or expect to meet in your own practice. As you read the scholarly papers posted in the forum, further issues related to vulnerable aggregates will emerge.

New mothers, perhaps more than any other aggregate, look to Registered Nurses for support and guidance throughout their pre- and post-natal experiences. Opportunities to promote mental health exist in childbirth education classes, inpatient care throughout the birthing process, and pre-school vaccination clinics. One notable example is the primary prevention strategy mentioned previously where television advertisements promoting entirely substance free pregnancies are hoped to deter the onset of Fetal Alcohol Syndrome (FAS).

According to the Pacific Post Partum Support Society (http://www.postpartum.org/), both in Canada and internationally, an estimated one out of every six women experiences troubling depression or anxiety after the birth or adoption of a child. This is referred to as postpartum depression and can be a tremendously stressful time for the family. Many factors contribute to a difficult postpartum adjustment or depression including sleep deprivation, financial stress, grief over an unexpectedly difficult birth, a traumatic family history, and the high expectations of the mother and the society in which she lives. Instruments such as the Edinburgh Postnatal Depression Scale can help nurses identify potential problems and facilitate help through prompt referral and follow up.

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