Category Archives: 2. The Infant

From newborn to 17 months.

Length of Postpartum Depression Determines Mother-Baby Attachment Difficulties

From API’s Publications Team

depressionAccording to an article on Guadian.co.uk, “Postnatal Depression and Your Baby,” the length of a new mother’s postpartum depression has a strong tie with the difficulties she’ll experience in establishing a close attachment with her baby.

Women who recover from their depression by the time their baby is six months old relate better to the baby than women whose depression lasts longer, according to a study published in a 1995 issue of Developmental Psychology, “Depression in First-Time Mothers: Mother-Infant Interaction and Depression Chronicity.” Treatment of postpartum depression is essential for the mother-infant relationship, as well as the infant’s development.

According to “Postpartum Depression Beyond the Early Postpartum Period,” a study published in a 2004 issue of Journal of Obstetric, Gynecologic and Neonatal Nursing, children of mothers with long-time or recurrent depression tend to have behavioral problems, such as crying a lot and being excessively demanding or withdrawn.

Mothers with postpartum depression encourage these infant behaviors through certain behaviors, including:

  • Stopping breastfeeding before the baby is ready;
  • Not interacting socially with the baby, such as playing and showing books or toys;
  • Not following care routines.

The Role of Attachment in Healing Infant Depression

By Rita Brhel, managing editor and attachment parenting resource leader (API)

HeartDepression — a mental illness marked by unrelenting sadness and hopelessness that permeates the lives of an estimated one in 18 people — is among the most prevalent medical disorders in today’s world, affecting 12 percent of women, 7 percent of men, and 4 percent of adolescents in a given year. Eight percent of adults will develop depression sometime in their life, and women are most prone — their lifetime risk is 20 percent.

Depression is a devastating illness. In its mildest form, it drains the happiness out of a person’s life. In its most severe form, depression kills. It can lead to suicide or, in cases where depression symptoms manifest as anger and rage, as assault or worse.

Treatment of depression, overall, is usually complicated. There are many severities of depression, from mild but chronic to seasonal affective disorder to anxiety to major depressive episodes. Chemical imbalances in the brain often contribute to the development of depression, but that is rarely the only cause. Additional contributing factors may include recent events such as a death in the family or a job loss; a traumatic upbringing, such as a childhood marred by abuse; low self esteem; major life changes, such as a new baby or moving to a new city; natural disasters; physical illness; and others. Therefore, treatment often includes not only medication but also long-term counseling; very severe forms of depression can also lead to hospitalization. Continue reading The Role of Attachment in Healing Infant Depression

Secure vs. Insecure Attachment: A Quick Reminder

From API’s Publications Team

Mother and ChildA January 6 article in the United Kingdom’s Nursery World magazine, “A Unique Child: Attachment – Practice in Pictures – A Sense of Security,” illustrates the difference between a securely and insecurely attached child.

Secure attachment, according to the article’s author Anne O’Connor, creates empathy between the parent and child, so that the child “begins to appreciate that their caregivers can have feelings and needs of their own.” In addition, as conflicts arise, secure attachment allows the child and parent to develop a partnership in resolving the situation.

According to O’Connor, secure attachment occurs when a child has a safe, affectionate, and predictable emotional bond with his attachment figures, whether primary or secondary, with these main features:

  • Sensitivity;
  • Affection; and
  • Responsiveness.

“Secure attachments provide a safe base for a child, reducing fearfulness and stress while building confidence and self-esteem,” O’Connor writes. In essense, the child learns through countless positive experiences that her attachment figure can be relied upon to meet her needs.

Also, secure attachment helps the child to develop self regulation toward stress, which helps in conflict resolution such as preventing potential tantrums.

Children with insecure attachments, on the other hand, tend to over-react to minor stressors, unable to self-regulate their stress levels. In addition, these children – because they cannot trust their attachment figures to provide consistent, reliable emotional care – have difficulty in empathizing with their caregivers. By not connecting in this way, the child has less chance of getting emotionally hurt.

To read the entire article, go to www.nurseryworld.co.uk/news/871318/Unique-Child-Attachment—Practice-pictures—sense-security/.

Mentally Ill Parents More Likely to Form Insecure Attachments with Their Children

From API’s Publications Team

familyAccording to an article on InTheNews.co.uk, “One in Four Aussie Kids Have Parent with Mental Illness,” mentally ill parents are more likely to form insecure attachments with their children.

A study published in the January 6 Psychiatric Bulletin explains the correlation between the more severe mental illnesses and less sensitive and competent parenting, insecure infant attachment, lower quality bonds between mother and child, and a greater risk of mental illness developing in the children. However, the authors stress that mental illness in parents does not guarantee poor outcomes in children, only that there appears to be a greater risk.

To read the entire article, go to www.inthenews.co.uk/news/health/autocodes/autocodes/australia/one-in-four-aussie-kids-have-parent-with-mental-illness–$1258690.htm.

Dear New Moms

By Pam Stone, co-leader of API of Merrimack Valley, New Hampshire

**Originally published in the Spring 2007 annual New Baby issue of The Journal of API

New MomWelcome to Motherhood!

Many times people will tell you to enjoy these times, because they go by so fast. It may be hard to imagine, as you struggle to function through exhaustion and frustration, that you will look back at this time as warm and beautiful. But you will.

When your daughter wakes you for the fifth time tonight to nurse, gaze into her eyes and remember that sleepy, milky grin. When your arms ache from carrying her for hours, but she wakes at the slightest hint that you may sit down, marvel at her precious innocence and her relaxed body, so tiny that she snuggles comfortably in the nook of your arm. Continue reading Dear New Moms

Decoding Tantrums

By Stephanie Petters, leader of API of North Fulton, Georgia

**Originally published in the Spring 2007 annual New Baby issue of The Journal of API

TantrumWhen a parent utters the word tantrum to another parent, the reaction is either a supportive smile or a grimace of dread; I have yet to see or hear another parent respond with glee. And really, who blames her? Until recently, tantrums were considered manipulation by the child to control the parent.

Times are changing, and the subject of childhood tantrums has new meaning and insight for parents. We now understand the reasons and/or causes of tantrums, how to effectively manage them while remaining connected to our children, and how to take preventive action for the tantrums that you can control.

What is a Tantrum?

According to the Merriam-Webster dictionary, a tantrum is a fit of a bad temper. Connection Parenting, by Pam Leo, defines a temper tantrum as a spillover of emotions, while the tantrum is the release of the accumulated hurts not seen by the parents. In Elizabeth Pantley’s Gentle Baby Care, a baby tantrum is defined as an abrupt and sudden loss of emotional control. Continue reading Decoding Tantrums

AP from a Preemie Mom’s Perspective

By Rita Brhel, managing editor and attachment parenting resource leader (API)

**Originally published in the Spring 2007 annual New Baby issue of The Journal of API

Rita doing Kangaroo Care with Rachel
Rita doing Kangaroo Care with Rachel

It was a big day for me, my husband, and my daughter. In mid-January, seven months after Rachel was born, when she had reached 18 1/2 pounds and 26 inches long, her pulmonologist told us she was ready to come off the cardio/respirations apnea monitor that had been a constant part of her life since she left the hospital five months earlier. I was nervous, but her doctor told me that it was OK – in all his many years of practice, he had never seen a healthier looking preemie than Rachel.

It was a great compliment. My daughter was born in June at 30 weeks gestation, due to a significant placental abruption, a serious pregnancy complication in which the placenta prematurely separates from the uterus. Weighing three and one-half pounds and measuring 16 inches long, Rachel was nearly three months early.

A Traumatic Start

I had been planning a drug-free childbirth, but what I got was anything but easy, natural, and beautiful. It was traumatic for me, both emotionally and physically. I had been in the hospital for four days after hemorrhaging, and I was being treated with several anti-labor drugs, one of which (magnesium sulfate) left me so weak that I required oxygen. I was given an epidural in case I needed a C-section, and I had an episiotomy that became a fourth-degree tear and later acquired an infection. This was not the childbirth of my birth plan. Continue reading AP from a Preemie Mom’s Perspective

Traci’s Story: Developing an Appreciation for Bottle-feeding

By Traci Singree, leader of API of Stark County, Ohio

**Originally published in the Spring 2007 annual New Baby issue of The Journal of API

Traci and baby
Traci and baby

Before my children, I was career driven, working in retail management, which meant no family time at holiday or summer get-togethers because I was always working! And I loved it! I met my husband right out of college. We were together for about five years before we got married. In 1995, we were wed. I continued my course of 12-hour days, sometimes 6-day work weeks, and I was having a blast working in the fast-paced field of fashion retail.

About five years later, my husband and I were starting to get that something’s missing feeling, having done all the things we wanted to do. We found ourselves sitting around the house looking at each other on weekends saying, “What do you want to do?” round and round until we decided that maybe that something missing was a baby!

It took us nearly a year to conceive our first-born. We discovered I was pregnant the day of my first fertility appointment. My only knowledge of pregnancy came from what I had heard from my mother or from fellow co-workers with children. I never really researched anything to do with birthing or babies until late in my pregnancy. Continue reading Traci’s Story: Developing an Appreciation for Bottle-feeding

The Secondary Attachment: A Look at Bowlby’s Theory

By Sir Richard Bowlby, Bt, member of API’s Advisory Council

**Originally published in the Summer 2007 Secondary Attachments issue of The Journal of API

Father and BabyI remember my father saying to me in 1968, “You know this business about the instinct for a small child to stay close to its mother, and the intimate bond they form? Well, I believe that it’s the same instinct to form close bonds that stays with us all our lives, and we, as adults, suffer the same feelings of loss when a loved one dies, as a child feels who’s lost its mother.”

My father focused mostly on the primary attachment relationship between an infant and the person raising him because the limited data he had at the time pointed toward its greater significance to the long-term mental health outcome of the child than to any other relationship.

But what about other relationships? For instance, what’s the difference between adults who are close friends and adults who have a secondary attachment bond to each other, such as siblings or close relatives? There are several differences, but one is that friends usually share a particular activity or interest that maintains their friendship (work or pleasure), whereas simply being in the company of a secondary attachment figure is usually sufficient in itself for both people to feel content. Continue reading The Secondary Attachment: A Look at Bowlby’s Theory

Small Blessings: A Father Recalls His Preemie Daughter’s Birth

By Mike Brhel

**Originally published in the Summer 2007 Secondary Attachments issue of The Journal of API

Mike and Rachel
Mike and Rachel

My wife and I had always wanted a family. We had tried for a child during the first few years of our marriage, but nothing ever happened. We decided to leave it up to God; He would give us a child when the time was right. That time came in December of 2005, confirmed by those two distinct lines.

I was thrilled to become a father and could hardly contain my excitement. This made it extremely difficult to wait to tell friends and family the good news until we were sure that the pregnancy would go to term. After a slight scare in the first trimester, everything was going as expected.

On the morning of June 6, everything changed. Continue reading Small Blessings: A Father Recalls His Preemie Daughter’s Birth