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Date: | Thu, 19 Feb 2009 11:05:46 EST |
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In addition to what's been suggested--all of which seem like ideas to be
further looked at, I am thinking of some other variables.
A big change since I was having babies (1975) is that we have so much
infertility now and assistance for these couples. For many of the couples I've
worked with, the arrival of that first child is happily achieved against a
backdrop of the grief of babies lost. Perhaps there is more going on in that dyad
than we have identified, not to mention the possibility of milk supply
problems, etc. Later childbearing--with or without previous loss--is another
change. I don't know if that is significant to our topic, but Diane asked about
what changed.
Epidurals have been mentioned. Epidurals inhibit oxytocin release. In
addition, if there was a surgical delivery, the dyad missed out on the enormous
surge of oxytocin that is conducted by the transvaginal pressure of the baby's
head. Perhaps oxytocin is a driving force of the baby to attach and the
attachment mechanism might be nursing. To my knowledge, we don't have good
evidence about the relationship between artificial oxytocins (pit) and bonding.
Nancy Williams, MA, MFT, IBCLC, CCE
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