Re: Bonding

From: Joanne Bulley, MD (islesannie@yahoo.com)
Fri May 6 01:11:12 2005


El indicated she was doing all the mothering stuff just fine -- but that right after the birth she wanted someone else to do the newborn care.

I agree - we have to observe and be on the lookout for hints that would indicate postpartum depression etc - but we also have to look at the whole picture (as I am pretty darn sure you do - from previous posts) - and there are indeed cultural differences.

I have seen many many "screwed-up" kids from parents ho have never been depressed one iota.

One "cultural" difference that was a real red flag for me was a delivery of a woman from a culture that usually did not have dads in the delivery process. Well - in this one the Dad did the American thing and was there. His response to it NOT being a boy was to say, "call when you want to come home" and walk out of the delivery room. In this case she did indeed send that poor little baby girl to the nursery and wanted nothing to do with her. THAT was the red flag you mentioned - but you had to see the whole picture. If Dad had not succumed to the American pressure - she may have bonded with the girl before having his disappointment directed at her.

Joanne

El said: Anna, I actually think this lady, who is in a stable relationship, attended ANC regularily and frequently, doesn't smoke, drink nor does drugs, and was concerned about her last, traumatic delivery enough to ask for an elective C/S (which I would have done hadn't she dilated and delivered so quickly) with T/L is quite right (or is that pragmatic? Or practical?) Of course, she's breastfeeding very well.

At Thu, 5 May 2005, Anna Meenan, MD wrote: >
>Not necessarily, but seriously depressed moms can make screwed-up kids,
>and as I said, of the hundreds I've seen immediately postpartum, the
>only two I can remember who ordered their kids to the nursery
>immediately after birth after one quick look turned out to be seriously
>depressed. Just an observation. I hope this mom is OK, but if a mom I
>had just delivered said that, I would probably sit down and talk with
>her, find out how she's feeling about things, ask her if she needs any
>help with anything, etc. etc.
>
>--
> Anna Meenan, MD
>
>At Fri, 06 May 2005, Dr Eberhard W Lisse wrote:
>>
>>What's "Normal"? And bonding babies makes stable productive adults?
>>

--
Joanne Bulley, MD
Keene, NH, USA




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