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Intimate Relationships, Marriages, and Families Cover Image
Intimate Relationships, Marriages, and Families, 5/e
Mary K. DeGenova
Philip F. Rice

Pregnancy and Childbirth

Chapter Overview

Pregnancy can be detected by presumptive, probable, and positive signs and may be confirmed by use of either biologic or immunologic tests. The birth date may be calculated by using Naegele's formula. Men and women react differently to pregnancy and prospective parenthood based on many factors, and they have different developmental tasks during pregnancy. Prenatal care early in pregnancy is critical. Women may experience minor discomforts or major complications. Sexual relations tend to decline as pregnancy progresses. There are three periods of prenatal development: the germinal, the embryonic, and the fetal periods. Couples can prepare for childbirth physically, socially, and intellectually, that can involve psychological and emotional conditioning. The most popular prepared childbirth method is Lamaze. There are advantages and disadvantages to home delivery, birthing centers, and hospital delivery. The three stages of labor are dilation, childbirth, and passage of the afterbirth. Anesthesia may be general, local, or regional. Induced or accelerated labor and cesarean sections occur with sufficient medical reasons. The newborn infant is evaluated using the Apgar Score system. Close intimate contact between the infant and parents appears to facilitate bonding. While there are advantages to both breast- and bottle-feeding, breast-feeding appears to provide greater benefits. Postpartum blues are common, and adjustment to parenthood can depend on many factors.