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    When the label of “high risk” is given, either before conception or very buy levitra 20 mg online early on, the first psychologic task in pregnancy is more complex and at times paradoxical. In examining the impact of a designation of high risk on psychologic development in pregnancy, we have focused on the responses of the mother. The reactions of the partner and older children are also significant, however, and although beyond the scope of this chapter, must be considered in the care of the high-risk mother.

    Psychologic Stages in High-Risk Pregnancy Any event perceived as threatening by the mother may compromise her ability to master the various stages of pregnancy. These women must accept the pregnancy but concomitantly are faced with the threat to buy levitra 20 mg online the survival of that pregnancy. The normal ambivalence of early pregnancy may be prolonged and may persist for the duration of the pregnancy or until the perceived threat has subsided or resolved (Penticuff 1981).

    In the next psychologic phase of pregnancy, one fundamental task is attachment to the fetus. Research examining this question in high-risk pregnancies is limited, and although earlier findings suggested that these mothers were no different from normal control subjects, clinical observation and more 24 Psychological Aspects of Women’s Health Care, Second Edition recent investigation suggest that the label of high risk may interfere with attachment.

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