Abstract
This chapter highlights the challenges and complexities associated with early motherhood and the need for ongoing support. We show in this chapter that the need for support is heightened when women become mothers as they are often isolated from other mothers in Western society. Support is important in the early postpartum period before women are diagnosed with PND. Early discharge from hospital can impair the amount of information, guidance, and support that women receive when they become mothers. As a result, they attempt to learn about mothering, and are often struggling to master breast-feeding and settling techniques in the privacy of their own homes with little support from others. Most women are disappointed with the amount of support they receive from partners, mothers, and others. The partners work long hours and are unable to give the women the support they need as new mothers. Of importance, the partners’ reports match those of the women regarding the lack of support. The lack of support from others highlights the women’s feeling of mothering alone and its impact on their personal identities. The chronic sleep deprivation contributes to women’s sense of failure and affects their physical and emotional well-being.
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References
Ainsworth, M. D. S., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale: Erlbaum.
Alder, B. (1994). The psychology of mood and sex in pregnancy and the puerperium. In P. Y. L. Choi & P. Nicholson (Eds.), pi. New York: Harvester Wheatsheaf.
Allan, S., & Gilbert, P. (1997). Submissive behaviour and psychopathology. The British Journal of Clinical Psychology, 36, 467–488.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision. DSM-IV-TR (4th revised ed.). Washington, DC: American Psychiatric Press.
Appleby, L., Warner, R., Whitton, A., & Faragher, B. (1997). A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depression. British Medical Journal, 314(7085), 932–936. March.
Armstrong, K. L., Van Haeringen, A. R., Dadds, M. R., & Cash, R. (1998). Sleep deprivation or postnatal depression in later infancy: Separating the chicken from the egg. Journal of Paediatrics and Child Health, 34(3), 260–262.
Barclay, L., & Lloyd, B. (1996). The misery of motherhood: Alternative approaches to maternal distress. Midwifery, 12, 136–139.
Barclay, L. B., Everitt, L., Rogan, F., Schmied, V., & Wyllie, A. (1997). ‘Becoming a mother’ -an analysis of women’s experience of early motherhood. Journal of Advanced Nursing, 25, 719–728.
Barlow, C., & Cairns, K. (1997). Mothering as a psychological experience. Canadian Journal of Counseling, 31(3), 232–237.
Beck, C. T., (1992). The lived experience of postpartum depression: A phenomenological study. Nursing Research, 41(3), 166–170.
Beck, C. T., (1993). Teetering on the edge: A substantive theory of postpartum depression. Nursing Research, 42, 42–48.
Beck, C. T., (1996). Postpartum depressed mothers’ experiences interacting with their children. Nursing Research, 45, 98–104.
Beck, C. T., (1999). Postpartum depression: Stopping the thief that steals motherhood. AWHONN Lifelines, 3(4), 41–44.
Beck, C. T., (2002). Postnatal depression: A metasynthesis. Qualitative Health Research, 12(4), 453–472.
Beck, C. T., & Gable, R. K. (2001). Further validation of the postpartum depression screening scale. Nursing Research, 50(3), 155–164.
Beck, C. T., & Indman, P. (2005). The many faces of postpartum depression. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34(5), 569–576.
Berggren-Clive, K. (1998). Out of the darkness and into the light: Women’s experiences with depression of childbirth. Canadian Journal of Community Mental Health, 17, 103–120.
Bergum, V. (1986). The phenomenology from woman to mother. Unpublished doctoral dissertation. Alberta: University of Alberta
Better Sleep Council. (2006). The critical link between sleep and emotional well-being. http://www.bettersleep.org/emotional-well-being.asp. Accessed 8 Aug 2006.
Beyond Blue. (2006). What is postnatal depression? http://www.beyondblue.org.au/index.aspx?link_id=94. Accessed 12 June 2007.
Birchwood, M., Meaden, A., Trower, P., Gilbert, P., & Plaistow, J. (2000). The power and omnipotence of voices: Subordination and entrapment by voices and significant others. Psychological Medicine, 30, 337–344.
Bowlby, J. (1951). Maternal care and mental health. New York: Sckocken.
Bowlby, J. (1953). Some pathological processes set in train by early mother-child separation. The Journal of Mental Science, 99, 265–272.
Bowlby, J. (1958). The nature of the child’s tie to his mother. International Journal of Psycho-Analysis, 39, 350–373.
Bowlby, J. (1961). Separation anxiety: A critical review of the literature. Journal of Child Psychology and Psychiatry, 1, 251–269.
Bowlby, J. (1963). Pathological mourning and childhood mourning. Journal of American Psychoanalytic Association, 11, 500–541.
Bowlby, J. (1969). Attachment and loss (Vol. 1). New York: Basic Books.
Brockington, I. (1996). Motherhood and mental health. Oxford: Oxford University Press.
Bromwich, R. M. (1976). Focus on maternal behavior in infant intervention. The American Journal of Orthopsychiatry, 46, 439–446.
Brown, G. W. (1998). Genetic and population perspectives on life events and depression. Social Psychiatry and Psychiatric Epidemiology, 33, 363–372.
Brown, G. W., Bifulco, A., & Harris, T. O. (1987). Life events, vulnerability and onset of depression: Some refinements. The British Journal of Psychiatry, 150, 30–42.
Brown, S., Lumley, J., Small, R., & Astbury, J. (1994). Missing voices. The experience of motherhood. Melbourne: Oxford University Press.
Brown, G. W., Harris, T. O., & Hepworth, C. (1995). Loss, humiliation and entrapment among women developing depression: A patient and non-patient comparison. Psychological Medicine, 25(1), 7–22.
Brown, S., Small, R., Faber, B., Krastev, A., & Davis, P. (2003). Early postnatal discharge from hospital for healthy mothers and term infants. Cochrane Database for Systematic Reviews, 1, No page number.
Buist, A. (1996). Psychiatric disorders associated with childbirth. Sydney: McGraw-Hill.
Buist, A. (2002). Mental health in pregnancy: The sleeping giant. Australasian Psychiatry, 10(3), 203–206.
Busfield, J. (1996). Men, women and madness. Understanding gender and mental disorder. London: MacMillan.
Buultjens, M., & Liamputtong, P. (2007). When giving life starts to take the life out of you: Women’s experiences of depression after childbirth. Midwifery, 23, 77–91.
Buultjens, M., Robinson, P., & Liamputtong, P. (2008). A holistic programme for mothers with postnatal depression: Pilot study. Journal of Advanced Nursing, 63(2), 181–188.
Carson, V. B., & Arnold, E. N. (1996). Mental health nursing. The nurse-patient journey. Philadelphia: W.B. Saunders.
Chaffin, M., Kelleher, K., & Hollenberg, J. (1996). Onset of physical abuse and neglect: Psychiatric, substance abuse, and social risk factors from prospective community data. Child Abuse & Neglect, 20(3), 191–203.
Charmaz, K. (1997). Identity dilemmas of chronically ill men. In A. Strauss & J. Corbin (Eds.), Grounded theory in practice. Thousand Oaks: Sage.
Costello, C. (1976). Anxiety and depression. Montreal: McGill-Queen’s University Press.
Crockenberg, S. C., & Leerkes, E. M. (2003). Parental acceptance, postpartum depression, and maternal sensitivity: Mediating and moderating processes. Journal of Family Psychology, 17(1), 80–93.
Crouch, M., & Manderson, L. (1993). New motherhood. Cultural and personal transitions. Melbourne: Gordon and Breach.
Dalton, K. (1996). Depression after childbirth (3rd ed.). Oxford: Oxford University Press.
Dennis, C. L., & Ross, L. (2005). Relationships among infant sleep patterns, maternal fatigue, and development of depressive symptomatology. Birth, 32(3), 187–193.
Ding, K. (2006). New parenthood and sleep deprivation. http://www.ahealthyme.com/topic/sleepdeprive. Accessed 12 June 2007.
Dix, C. (1987). The new mother syndrome. Coping with post-natal stress and depression. Sydney: Allen & Unwin.
Driscoll, J. W. (1990). Maternal parenthood and the grief process. The Journal of Perinatal and Neonatal Nursing, 4(2), 1–10.
Eriksen, K., & Kress, V. E. (2005). Beyond the DSM story. Thousand Oaks: Sage.
Field, T. (1998). Maternal depression effects on infants and early interventions. Preventative Medicine, 27(27), 200–203.
Fisher, J. F., & Rowe, H. J. (2003). Building an evidence base for practice in early parenting centres. A systematic review of the literature and a report of an outcome study. Melbourne: Tweddle Child and Family Health Services.
Fisher, J. R. W., Feekery, C. J., & Rowe-Murray, H. J. (2002). Nature, severity and correlates of psychological distress in women admitted to a private mother-baby unit. Journal of Paediatrics and Child Health, 38(2), 140.
Fowles, E. R. (1998). The relationship between maternal role attainment and postpartum depression. Health Care for Women International, 19, 83–94.
Gammell, D. J., & Stoppard, J. M. (1999). Women’s experiences of treatment of depression: Medicalization or empowerment? Canadian Psychology, 40(2), 112–128.
Gay, C. L., Lee, K. A., & Lee, S. Y. (2004). Sleep patterns and fatigue in new mothers and fathers. Biological Research for Nursing, 5(4), 311–318.
Gilbert, P., & Allan, S. (1998). The role of defeat and entrapment (arrested flight) in depression: An exploration of an evolutionary view. Psychological Medicine, 28(3), 585–598.
Gjerdingen, D., Froberg, D., & Fontaine, P. (1991). The effects of social support on women’s health during pregnancy, labor and delivery, and the postpartum period. Family Medicine, 23, 370–375.
Goffman, E. (1961). Asylums. Hammondsworth: Penguin.
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Ringwood: Penguin Books.
Goffman, E. (1971). Relations in public: Microstudies of the public order. New York: Basic Books.
Goffman, E. (1972). Interaction ritual. Essays on face-to-face behaviour. London: Allen Lane The Penguin Press.
Gottlieb, L. N., & Mendelson, M. J. (1995). Mothers’ moods and social support when a second child is born. Maternal-Child Nursing Journal, 23(1), 3–14.
Gramling, S. E., & Auerbach, S. (2006). Stress (psychology) Microsoft Encarta Online Encyclopedia. http://www.encarta.msn.com/text_761572052__0/Stress_(psychology).html. Accessed 23 May 2006.
Harlow, H., & Harlow, M. (1962). Social deprivation in monkeys. Scientific American, 207(5), 136.
Hart, M. M. (1981). Becoming a mother: Motherhood from the woman’s perspective (Doctoral dissertation, Pennsylvania State University). Dissertation Abstracts International, 42(4B), 1633–1634.
Holopainen, D. (2002). The experience of seeking help for postnatal depression. Journal of Advanced Nursing, 19(3), 39–44.
Hunter, L. P., Rychnovsky, J. D., & Yount, S. M. (2009). A selective review of maternal sleep characteristics in the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 38, 6–68.
Hurst, S. A. (1999). Legacy of betrayal: A grounded theory of becoming demoralized from the perspective of women who have been depressed. Canadian Psychology, 40(2), 179–191.
Kauffman, M. (2003). Appearances, stigma, and prevention. Remedial and Special Education, 24(4), 195 (194).
Keating-Lefler, R., & Wilson, M. E. (2004). The experience of becoming a mother for single, unpartnered, medicaid-eligible, first-time mothers. Journal of Nursing Scholarship, 36(1), 23–29.
Kiehl, E. M., & White, M. A. (2003). Maternal adaptation during childbearing in Norway, Sweden, and the United States. Scandinavian Journal of Caring Sciences, 17, 96–103.
Kitzinger, S. (1992). Ourselves as mothers. The universal experience of motherhood. London: Doubleday.
Kivijarvi, M., Raiha, H., Virtanen, S., Lertola, K., & Piha, J. (2004). Maternal sensitivity behaviour and infant crying, fussing and contented behaviour: The effects of mother’s experienced social support. Scandinavian Journal of Psychology, 45, 239–246.
Lauer-Williams, J. (2001). Postpartum depression: A phenomenological exploration of the woman’s experience. Dissertation Abstracts International: Section B: The Sciences & Engineering, 62(4-B), 2064.
Lee, K. A. (1998). Alterations in sleep during pregnancy and postpartum: A review of 30 years of research. Sleep Medicine Reviews, 2(4), 231–242.
Leff, J., Vearnals, S., & Brewin, C. R. (2000). The London Depression Intervention Trial: Randomised controlled trial of antidepressants v. Couple therapy in the treatment and maintenance of people with depression living with a partner: Clinical outcome and costs. The British Journal of Psychiatry, 177, 95–100.
Liamputtong, P. (2006). Motherhood and “moral career”: Discourses of good motherhood among Southeast Asian immigrant women in Australia. Qualitative Sociology, 29(1), 25–53.
Liamputtong, P. (2007). The journey of becoming a mother amongst women in northern Thailand. Lanham: Lexington Books.
Liamputtong, P., & Naksook, C. (2003). Life as mothers in a new land: The experience of motherhood among Thai women in Australia. Health Care for Women International, 24, 650–668.
MacArthur, C., Lewis, M., & Knox, E. G. (1991). Health after childbirth. London: HMSO.
Martins, C., & Gaffan, E. A. (2000). Effects of early maternal depression on patterns of infant-mother attachment: A meta-analytic investigation. Journal of Child Psychology and Psychiatry, 41, 737–746.
Maushart, S. (1997). The mask of motherhood. Sydney: Random House.
Mauthner, N. S. (1995). Postnatal depression: The significance of social contacts between mothers. Women’s Studies International Forum, 18, 311–323.
Mauthner, N. S. (1999). “Feeling low and feeling really bad about feeling low”: Women’s experiences of motherhood and postpartum depression. Canadian Psychology, 40(2), 143–161.
Mauthner, N. S. (2002). The darkest days of my life. Stories of postpartum depression. Cambridge: Harvard University Press.
McIntosh, J. (1993). Postpartum depression: Women’s help-seeking behaviour and perceptions of cause. Journal of Advanced Nursing, 18, 178–184.
McMahon, M. (1995). Engendering motherhood: Identity and self-transformation in women’s lives. New York: The Guilford Press.
McMahon, C., Barnett, B., Kowalenko, N., Tennant, C., & Don, N. (2001). Postnatal depression, anxiety and unsettled infant behaviour. The Australian and New Zealand Journal of Psychiatry, 35(5), 581.
McQueen, A., & Mander, R. (2003). Tiredness and fatigue in the postnatal period. Journal of Advanced Nursing, 42(5), 463–469.
McVeigh, C. (1997). Motherhood experiences from the perspective of first-time mothers. Clinical Nursing Research, 6(4), 335–348.
Mead, G. (1934). Mind, self and society. Chicago: University of Chicago Press.
Mercer, R. T. (1981). A theoretical framework for studying factors that impact on the maternal role. Nursing Research, 30, 73–77.
Mercer, R. T. (1985). The process of maternal role attainment over the first year. Nursing Research, 34, 198–204.
Mercer, R. T. (2004). Becoming a mother versus maternal role attainment. Journal of Nursing Scholarship, 36, 226–232.
Milgrom, J., Martin, P. R., & Negri, L. M. (1999). Treating postnatal depression. A psychological approach for health care practitioners. Chichester: Wiley.
Morgan, M., Matthey, S., Barnett, B., & Richardson, C. (1997). A group program for postnatally distressed women and their partners. Journal of Advanced Nursing, 26, 913–920.
Morrow, M., Smith, J., Lai, Y., & Jaswal, S. (2008). Shifting landscapes: Immigrant women and post partum depression. Health Care for Women International, 29(6), 593–617.
Nahas, V. L., & Amasheh, N. (1999). Culture care meanings and experiences of postpartum depression among Jordanian Australian women: A transcultural study. Journal of Transcultural Nursing, 10, 37–45.
Nahas, V. L., Hillege, S., & Amasheh, N. (1999). International exchange. Postpartum depression: The lived experiences of Middle Eastern migrant women in Australia. Journal of Nurse-Midwifery, 44(1), 65–74.
Nelson, A. M. (2003). Transition to motherhood. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32(4), 465–477.
Nicolson, P. (1990). Understanding postnatal depression: A mother-centred approach. Journal of Advanced Nursing, 15, 689–695.
Nicolson, P. (1999). Loss, happiness and postpartum depression: The ultimate paradox. Canadian Psychology, 40(2), 162–178.
Nims, C. L. (1996). Postpartum depression: The lived experience. Unpublished Master’s thesis. Toledo: Medical College of Ohio.
Nolan, M. L. (1997). Antenatal education- Where next? Journal of Advanced Nursing, 25(6), 1198–1204.
Oakley, A. (1980). Women confined. Towards a sociology of childbirth. Oxford: Martin Robinson.
O’Connor, T. G., Heron, J., & Glover, V. (2002). Antenatal anxiety predicts child behavioural/emotional problems independently of postnatal depression. Journal of the American Academy of Child and Adolescent Psychiatry, 41(12), 1470–1477.
Paris, R., & Dubus, N. (2005). Staying connected while nurturing and infant: A challenge of new motherhood. Family Relations, 54, 72–83.
Pease, B., & Wilson, J. (1995). Men in families: Moving beyond patriarchal relations. In W. Weeks & J. Wilson (Eds.), Issues facing Australian families. Human services respond. Melbourne: Longman.
Podkolinski, J. (1998). Women’s experience of postnatal support. In S. Clement (Ed.), Psychological perspectives on pregnancy and childbirth. Edinburgh: Churchill Livingstone.
Pridham, K. F., Chang, A. S., & Chiu, Y. M. (1994). Mothers’ parenting self-appraisals: The contribution of perceived infant temperament. Research in Nursing and Health, 17, 381–392.
Pugh, L. C., & Milligan, R. M. (1993). A framework for the study of childbearing fatigue. Advances in Nursing Science, 15, 60–70.
Putnam, R. D. (2000). Bowling alone. The collapse and revival of American community. New York: Simon & Schuster.
Ramchandani, P., Stein, A., Evans, J., & O’Connor, T. G. (2005). Paternal depression in the postnatal period and child development: A prospective population study. Lancet, 365, 2201–2205.
Ream, E., & Richardson, A. (1997). Fatigue: A concept analysis. International Journal of Nursing Studies, 33, 519–529.
Rogan, F., Shmied, V., Barclay, L., Everett, L., & Wyllie, A. (1997). ‘Becoming a mother’-developing a new theory of early motherhood. Journal of Advanced Nursing, 25, 877–885.
Rubin, R. (1961). Basic maternal behaviour. Nursing Outlook, 9, 683–686.
Rubin, R. (1967). Attainment of the maternal role. Part 1. Processes. Nursing Research, 16, 237–245.
Rubin, R. (1984). Maternal identity and the maternal experience. New York: Springer.
Scattolon, W., & Stoppard, J. M. (1999). “Getting on with life”: Women’s experiences and ways of coping with depression. Canadian Psychology, 40(2), 205–219.
Seeley, S., Murray, L., & Cooper, P. J. (1996). The outcome for mothers and babies of health visitor intervention. Health Visitor, 69, 135–138.
Semprevivo, D. M. (1996). The lived experience of postpartum mental illness. Thousand Oaks: Sage.
Sluckin, A. (1998). Bonding failure: ‘I don’t know this baby, she’s nothing to do with me’. Clinical Child Psychology and Psychiatry, 3(1), 11–24.
Smith, M. (2002). Stigma. Advances in psychiatric treatment, 8, 317–325.
Tammentie, T., Paavilainen, E., Astedt-Kurki, P., & Tarkka, M.-T. (2004). Family dynamics of postnatally depressed mothers- discrepancy between expectations and reality. Journal of Clinical Nursing, 13(1), 65–74.
Tarkka, M.-T. (2003). Predictors of maternal competence by first-time mothers when the child is 8 months old. Journal of Advanced Nursing, 41(3), 233–240.
Thome, M., & Alder, B. (1999). A telephone intervention to reduce fatigue and symptom distress in mothers with difficult infants in the community. Journal of Advanced Nursing, 29, 128–137.
Thompson, V. L. S., Noel, J. G., & Campbell, J. (2004). Stigmatization, discrimination, and mental health: The impact of multiple identity status. The American Journal of Orthopsychiatry, 74(4), 529–544.
Tomison, A. M. (1996). Child maltreatment and mental disorder. Discussion Paper Number 3, 1–19.
Underdown, A. (1998). Parenthood: The transition to parenthood. British Journal of Midwifery, 6(8), 508–511.
WHO. (1999). Postpartum care of the mother and newborn: A practical guide. Birth, 26(4), 255–258.
Wilkinson, R. B., & Mulcahy, R. (2010). Attachment and interpersonal relationships in postnatal depression. Journal of Reproductive and Infant Psychology, 28(3), 252–265.
Wood, A. F., Thomas, S. P., Droppleman, P. G., & Meighan, M. (1997). The downward spiral of postpartum depression. Maternal-Child Nursing Journal, 22, 308–317.
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Westall, C., Liamputtong, P. (2011). Mothering Alone: The Adjustment to Motherhood. In: Motherhood and Postnatal Depression. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1694-0_5
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