Pat says,
<< In view of Reva Rubin's taking in and taking hold theory, pp
nurses could stand on their heads and sing BF info and the moms mostly just
won't get it! They're not ready at 24-48 hours pp to take in our messages,
instructions, etc. >>
Y'know, I've been thinking about this. Her classic work on this was
published in 1961, if I remember correctly. (I'm sure there is someone out
there who will correct me if I'm wrong...) Anyway, since I haven't read the
articles recently (probably not really since nursing school), I am wondering
if anyone knows what the labor and birth was like for the women that she
studied. Did she study women that were given the usual medications during
labor of that time which was anything from twilight sleep to general
anesthesia -- the "knock 'em out, drag 'em out" school of obstetrics? Did
she study women who had no medication or anesthesia during labor or birth?
Combination of both?
Guess I'm wondering if women really need all that long to take in and take
hold. She talked about 3 or 4 days to take in (which in 1961 was just fine
since the mothers were there forever) and then taking hold after that. How
much of this was medication related? I find that the mothers I see who have
not had ANY medication are "taking hold" virtually immediately. The ones
that had lots of medication (and usually ended up with a C/Section as well)
need a lot more time to just "be" before education of any sort is begun.
(And of course they are often on a morphine PCA pump as well). Of course,
there are exceptions to every rule, and there are lots of heavily medicated
mothers who do just fine, and other non-medicated mothers that seem to need
more time before they get it together.
I think all mothers need a lot of mothering anyway, but I'm curious about how
much labor/birth medication/anesthesia may have played into Reva Rubin's
conclusions.
Any ideas?
Jan Barger, RN, MA, IBCLC
Wheaton, IL -- near Chicago
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