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    Reva Rubin Maternal Role Attainment Theory

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    Leonard Ligutom
    Reva Rubin developed a theory of maternal role attainment with four stages: anticipatory, formal, informal, and personal. The anticipatory stage begins in pregnancy as the mother learns expectations and fantasizes about the role. The formal stage begins at birth as the mother takes on the role guided by social expectations. In the informal stage, the mother develops her unique way of fulfilling the role. Finally, in the personal stage the mother internalizes her role identity. The document also summarizes fetal development across three trimesters from organ formation to physical and behavioral milestones. Key aspects of development are outlined for each month of pregnancy.

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    Reva Rubin Maternal Role Attainment Theory

    Uploaded by

    Leonard Ligutom
    668 views4 pages
    Reva Rubin developed a theory of maternal role attainment with four stages: anticipatory, formal, informal, and personal. The anticipatory stage begins in pregnancy as the mother learns expectations and fantasizes about the role. The formal stage begins at birth as the mother takes on the role guided by social expectations. In the informal stage, the mother develops her unique way of fulfilling the role. Finally, in the personal stage the mother internalizes her role identity. The document also summarizes fetal development across three trimesters from organ formation to physical and behavioral milestones. Key aspects of development are outlined for each month of pregnancy.

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    Reva Rubin developed a theory of maternal role attainment with four stages: anticipatory, formal, informal, and personal. The anticipatory stage begins in pregnancy as the mother learns expectations and fantasizes about the role. The formal stage begins at birth as the mother takes on the role guided by social expectations. In the informal stage, the mother develops her unique way of fulfilling the role. Finally, in the personal stage the mother internalizes her role identity. The document also summarizes fetal development across three trimesters from organ formation to physical and behavioral milestones. Key aspects of development are outlined for each month of pregnancy.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    668 views4 pages

    Reva Rubin Maternal Role Attainment Theory

    Uploaded by

    Leonard Ligutom
    Reva Rubin developed a theory of maternal role attainment with four stages: anticipatory, formal, informal, and personal. The anticipatory stage begins in pregnancy as the mother learns expectations and fantasizes about the role. The formal stage begins at birth as the mother takes on the role guided by social expectations. In the informal stage, the mother develops her unique way of fulfilling the role. Finally, in the personal stage the mother internalizes her role identity. The document also summarizes fetal development across three trimesters from organ formation to physical and behavioral milestones. Key aspects of development are outlined for each month of pregnancy.

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    Reva Rubin Maternal Role Attainment Theory

    a. Anticipatory Stage
    - Begins on the pregnancy and includes the initial social and psychological adjustments to
    pregnancy. The mother learns the expectations of the role, fantasizes about the role, related
    to the fetus in the uterus, and begins role play.
    b. Formal Stage
    - Begins with the birth of infant and includes learning and taking of the role of the mother.
    Role behaviors are guided by formal, consensual expectations and others in the mother’s
    social system.
    c. Informal Stage
    - Begins as the mother develops unique way of dealing with the role not conveyed by the
    social system. The woman makes her new role fit within her existing lifestyle based on past
    experiences and future goals.
    d. Personal Stage
    - Role identity stage occurs as the woman internalizes her role. The mother experiences
    harmony, confidence and competence in the way she performs the role and eternal role is
    achieved.

    Psychological Adaptation of Pregnancy Based on Reva Rubin’s Theory

    - Distinct emotional responses of the mother to pregnancy

    First Trimester Second trimester Third trimester


    - First accepting the - accepting the baby - preparing for
    pregnancy - fantasizes about parenthood
    - ambivalence baby - identification of
    baby’s appearance

    Emotional Aspect of Pregnancy

    TRIMESTER FOCUS DEVELOPMENTAL TASK


    First Trimester Bodily changes To accept the biological facts of
    - denoted by pregnancy
    ambivalence
    (having mixed
    feelings or
    contradictory ideas
    about something r
    someone)
    Second Trimester Self- growth and development of Accepts the growing fetus as
    - mother feels well fetus part of her own
    and happy and
    fantasizes about
    baby
    Third Trimester - the baby Preparation of childbirth
    - personal - mother’s delivery
    identification of the process
    appearance of baby - responsible
    parenthood

    Fetal Development

    -cephalocaudal in progression
    - 1st trimester period of organogenesis
    - 2nd trimester period of rapid increase in length
    -3rd trimester period of continuous growth and development

    Cephalocaudal- refers to the growth and development that occurs from head down to lower extremities
    Organogenesis- three germ layers of embryo form into major organs of the body system

    Development at 1-4 weeks (1 month)


    - length 0.75 to 1 cm
    - weight 400 gm
    - spinal cord fused at midpoint
    - rudimentary heart appears as a bulge on the anterior surface
    - extremities appear as buds
    - recognizable eyes, ears, and nose
    Development at 5-8 weeks (2 months)
    - length 2.5 cm; weight 20 g
    - completed organogenesis
    - heart with septum; beats rhythmically
    - facial features identifiable
    - external genitals present but not clear
    Development at 9-12 weeks (3 months)
    - length 7-8 cm; weight 45 g.
    - nailbeds formed formation of bone ossification centers
    - tooth buds present
    - heart beat audible by Doppler
    - kidney secretion starts
    Development at 13-16 weeks (4 months)
    - length 10-17 cm, 55-120 g
    - fetal heart audible by stethoscope
    - lanugo formed well
    - functional liver and pancreas
    - fetus swallows amniotic fluid
    - urine present in amniotic fluid
    - sex determined by ultrasound
    Development at 17-20 weeks (5 months)
    - length 25 cm; 223 g
    - quickening present
    - hair and eyebrows formed
    - meconium present in upper intestine
    - vernix caseosa forms
    - definite sleeping patterns develop
    Time for Ultrasound
    - an ultrasound is usually done for all pregnant women at 20 weeks
    - sex can be determined at20 weeks
    -
    Development at 21-25 weeks (6 months)
    - Length 28-36 cm; weight 550 g
    - Passive antibody transfer
    - Meconium present in the rectum
    - Start if surfactant production
    - Eyelids open
    - Pupils reactive to light well-defined eyebrows and eyelids
    - Capable of hearing sounds
    Development at 30-34 weeks (8 months)
    - Length 39-43 cm; weight 1800-2700 g
    - Deposition of brown fat
    - Fetus responds to external voice
    - Active moro reflex
    - Fetus assumes birth position
    Development at 35-37 weeks (9 months)
    - Length 42-48 cm; weight 1800-2700 g
    - Body stores glycogen, iron and carbohydrates
    - Calcium deposition
    - Deposition of subcutaneous fats
    - Presence of 1-2 creases on sole of foot
    - Decrease in lanugo
    Development at 38-40 weeks (10 months)
    - Length 48-52 cm, weight 3000 g
    - Fetus kicks actively
    - Start of conversion of fetal hemoglobin to adult
    - Vernix caseoa fully formed
    - Sole creases cover 2/3 feet
    - Lightening maybe present
    Birth!
    - A mother’s due date marks the end of her 40th week
    - Delivery date is calculated using the first day of her last period
    - Based on this, pregnancy can last between 38 and 42 weeks. The due date may just not be
    accurate
    - For safety reasons, most babies are delivered by 42 weeks
    - Sometimes the doctor may need to induce labor
    - Susceptible mild to moderate infections include pharyngitis/tonsillitis, acute maxillary
    sinusitis , chronic bronchitis, acute otitis media, uncomplicated skin and skin structure, UTIs,
    gonorrhea, early Lyme disease

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