Challenges of Safe Motherhood: Program and Policy Recommendations

ABSTRACT

This article synthesizes the major findings from research and case studies on safe motherhood and focuses on best practices and changes in public policy. Many factors that negatively influence safe motherhood can be ameliorated—and have been in numerous societies through education, access to resources, public–private partnerships, and grassroots efforts. A model identifying the interrelationship of variable is provided. Policy recommendations are discussed.     

Narratives of Low-Income Mothers in Addiction Recovery Centers: Motherhood and the Treatment Experience

ABSTRACT

This study examines the narratives shared by low-income women in addiction recovery centers about the meaning they attach to being a parent in recovery and how they view current program models that include children in daily treatment. Their stories reflect the centrality of the mothering role to women in recovery and offer insights that can guide treatment and program planning with families.     

The Electoral Consequences of Marriage and Motherhood: How Gender Traits Influence Voter Evaluations of Female Candidates

Recent literature largely dismisses the notion that voters engage in direct bias against women based on sex alone. Making a distinction between sex and gender, our theoretical expectations predict that female candidates who violate gender norms for marriage and motherhood will receive lower candidate evaluations, particularly so among voters who hold conservative beliefs about the proper role of women. We use a survey experiment to estimate the direct and conditional effects of gender traits and gender role beliefs on evaluations. Our results support the proposition that candidate traits, such as marital and parental status, can prime gender beliefs in the evaluative process.     

Motherhood and “Moral Career”: Discourses of Good Motherhood Among Southeast Asian Immigrant Women in Australia

In this paper, I examine the lived experience of motherhood among Cambodian, Lao and Vietnamese immigrant women in Australia. The women in this study felt a profound change through the process of becoming a mother; they experience the “transformation of self.” The results reveal several discourses of good motherhood. Becoming a mother was experienced as a moral transformation of self and women were urged to perform their moral career. The representation of mothers as the “keepers of morality” is prominent. Women's moral career is influenced by an ethic of care and responsibility for others, particularly their children. The paradoxical discourse of motherhood is profound in the women's narratives of their lived experiences of motherhood. It is clear that motherhood is not an easy task. When this is combined with difficulties resulting from migration, motherhood becomes double burdens. Lack of sufficient English, financial difficulties and support network in a homeland make the task of good motherhood difficult to achieve. Social and health care services need to take women's experiences into account if sensitive care for immigrant women is to be achieved.     

Manufacturing Motherhood: The Shadow Work of Nannies and Au Pairs

This paper explores how working mothers and paid child care providers interpret the division of mothering labor in the context of in-home care. The nannies, au pairs, and working mothers interviewed for this study make sense of their shared mother-work in the context of a dominant belief system that values intensive mothering. Consequently, in addition to negotiating the allocation of mothering tasks, they must also negotiate the meanings assigned to these tasks: specifically, they manufacture an image of shared mothering that contradicts their day-to-day practice.     

Socializing Children About Family Structure: Perspectives of Lesbian and Gay Adoptive Parents

Despite increasing numbers of lesbian- and gay- (LG-) parent families, little research on LG-adoptive-parent families has examined parental beliefs and perceptions related to discussing their sexual minority status with their children. This study assessed 266 LG adoptive parents (160 lesbian mothers, 106 gay fathers) from the Modern Adoptive Families (MAF) study, a nationwide survey (2012–2013) of adoptive parents' pre- and post-placement experiences. A cultural socialization lens provided the framework for examining LG parenting beliefs and practices. Two measurement scales were developed to examine parents' perceptions and self-efficacy related to socializing their child about being in a sexual-minority-parent family. Results indicate that LG parents endorse the importance of unique socialization practices and generally feel confident engaging in these practices. Parent education, transracial adoption, endorsement of racial socialization, and socialization self-efficacy were positively associated with endorsement of socialization practices. Excellent reliability suggests the 2 scales have the potential of being psychometrically sound instruments with which to measure parental endorsement and related self-efficacy of socialization practices for families headed by sexual minority parents. Findings contribute to a deeper understanding of socialization and communication patterns in LG-headed families, especially those formed through adoption. Research, policy, and practice implications are discussed.     

Just Molly and Me,and Donor Makes Three: Lesbian Motherhood in the Age of Assisted Reproductive Technology

SUMMARY

The psychological experiences of lesbian mothers, both coupled and single, are compared and contrasted with heterosexual and gay parents who use assisted reproductive technology, focusing on issues of parental desire, fertility, babies conceived from science rather than sex, presence of an outside party in conception, genetic asymmetry, social anxieties, legal protections, disclosure, and gender. The psychological meaning of the donor or surrogate as an “extra” and “missing” piece of the family, along with the interactive effects of homophobia and “reproductive technophobia” are considered. Lesbian families are recognized to be constructing a new narrative of a bio-social family as they define and live their experience.     

Fear of Intimacy and Hardiness Among Single Mothers by Choice: A Comparison to Divorced and Married Mothers

The phenomenon of nonmarital motherhood among upper-middle-class, educated women has increased dramatically over the last few decades in most industrialized countries. The purpose of the current research is to examine how women who elect nonmarital motherhood compare with women who elect other family configurations with respect to their personality characteristics. This research compares the fear of intimacy in close heterosexual relationships and hardiness of 61 single mothers by choice to that of 53 divorced and 60 married mothers in Israel. The findings indicate that single mothers by choice have a significantly higher level of fear of intimacy in heterosexual relationships compared to married mothers. No significant differences were found between the three groups of mothers in hardiness. Limitations and implications of the findings are discussed.     

Adolescent Daughters of Mothers with Breast Cancer: Impact and Implications

While the literature supports the view that a parent's illness will have an impact on a child, less specific attention has been given to the impact of a mother's breast cancer on her adolescent daughter. In this paper, clinical vignettes derived from interviews with adolescent daughters (ages 12–19) living with mothers who have breast cancer are presented to illustrate some of the concerns daughters have about themselves and their mother's illness. The daughters express anxiety about changes in family roles, but seem more concerned about the potential loss of the mother/daughter relationship. They describe their fears of recurrence of the disease as well as getting the disease themselves. The girls also demonstrate great strength; resilience and hope in the face of the challenges presented by the changes in their lives. Girls who had mothers die of the disease are not included in this article. Implications for treatment are discussed.     

Parental Strains and Rewards Among Mothers: The Role of Education

Using data from the NICHD Study of Early Child Care and Youth Development (N = 1,198), this study examines the associations between education and parental strains and rewards among mothers of young children. Findings indicate that a college degree or more is related to less parenting anxiety, but more role captivity, and less new life meaning from parenting than lower levels of education. Differences by education are partly explained by variation in levels of progressive parenting values and work commitment, but remain significant. These patterns indicate that education provides greater resources that ease parental anxiety, but also leads to greater perceived demands of having a successful career, which contribute to more role captivity and less new life meaning from parenting.     

Mothers behaving badly: chaotic hedonism and the crisis of neoliberal social reproduction

ABSTRACT

This article focuses on the significance of the plethora of representations of mothers ‘behaving badly’ in contemporary anglophone media texts, including the films Bad Moms, Fun Mom Dinner and Bad Mom’s Christmas, the book and online cartoons Hurrah for Gin and the recent TV comedy dramas Motherland, The Let Down and Catastrophe. All these media texts include representations of, first, mothers in the midst of highly chaotic everyday spaces where any smooth routine of domesticity is conspicuous by its absence; and second, mothers behaving hedonistically, usually through drinking and partying, behaviour that is more conventionally associated with men or women without children. After identifying the social type of the mother behaving badly (MBB), the article locates and analyses it in relation to several different social and cultural contexts. These contexts are: a neoliberal crisis in social reproduction marked by inequality and overwork; the continual if contested role of women as ‘foundation parents’; and the negotiation of longer-term discourses of female hedonism. The title gestures towards a popular British sitcom of the 1990s, Men Behaving Badly, which popularized the idea of the ‘new lad’; and this article suggests that the new lad’s counterpart, the ladette, is mutating into the mother behaving badly, or the ‘lad mom’. Asking what work this figure does now, in a later neoliberal context, it argues that the mother behaving badly is simultaneously indicative of a widening and liberating range of maternal subject positions and symptomatic of a profound contemporary crisis in social reproduction. By focusing on the classed and racialised dynamics of the MBB – by examining who exactly is permitted to be hedonistic, and how – and by considering the MBB’s limited and partial imagining of progressive social change, the article concludes by emphasizing the urgency of creating more connections between such discourses and ‘parents behaving politically’.     

Young Women's Job Mobility: The Influence of Motherhood Status and Education

Previous research has found that women who become mothers in their 20s face larger wage penalties compared to women who delay childbearing until their 30s. Explanations for this have focused on the consequences of employment breaks early in one's career and reduced opportunities in the workplace following the birth of a child. In this article, the author uses panel data from the National Longitudinal Survey of Youth 1979 (N = 4,566) to examine another possible explanation: differences in patterns of and wage returns to job mobility. She found that young mothers, relative to childless women, make fewer wage‐enhancing voluntary job separations and often receive lower wage returns for these separations. Educational attainment exacerbates these patterns, largely to the disadvantage of women with less education.     

Teen Mothers and Welfare Reform: Challenging the Boundaries of Risk

A major component of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) included policies directed to encouraging marriage while discouraging nonmarital births. Teen mothers were of particular concern as policymakers argued that there is a link between teenage childbearing and welfare receipt. This paper seeks to reframe the concept of at-risk teen mothers by looking to the socially construction of boundaries—an imagery that brings to the forefront the complex relations between young mothers and welfare reform policy. From this standpoint, we discuss how welfare reform might address the multiple issues facing teen mothers including housing, education and training, child care, transportation, health, healthy relationships and parenting skills.     

The Social Relationships and Social Support of Aging Mothers Whose Adult Daughters Are Mentally Ill

Guided by a conceptual framework highlighting multiple facets of social relationships and social support, this study examined the extent to which aging mothers of adult daughters with a serious mental illness were socially integrated with members of their network. It further examined the relational content of these mothers’ social ties as tangible or intangible support and the nature of their supportive exchanges with network members, particularly their adult daughters with mental illness. A structured face-to-face interview was conducted with 22 aging mothers of these adult daughters. Two methods of analysis were used to analyze data: counting and content analysis. Findings showed aging mothers of daughters with mental illness were socially integrated with relatives and nonrelatives, evidenced relational content of tangible and intangible support in their social ties and engaged in bidirectional and asymmetrical support exchanges with network members, including their daughters with mental illness. These findings suggest that social resources in the form of social relationships and support are embedded in the networks of aging mothers who have adult daughters with serious mental illness. Practitioners should assess support contributions to the aging mothers of adult daughters with serious mental illness from a wide range of social relationships including their daughters.     

Contraceptive Attitudes and Sexual Self-Esteem Among Young Adults: Communication and Quality of Relationships with Mothers

ABSTRACT. Objectives: This study investigated relations between quality of relationships with mothers and communication with mothers about sex with contraceptive attitudes and sexual self-esteem among emerging adults. Methods: Undergraduate students (N = 176, M_age = 22 years 65% women) completed self-report measures of relationships with mothers, communication about sex, and sexual self-esteem. Results: Results indicated positive relations between quality of relationships with mothers and open, positive sex communication, for men and women, sexually and not sexually active; and between relationship quality with mothers, sex communication with mothers, and sexual self-esteem of women. Conclusions: Warm, supportive relationships with mothers in emerging adulthood include open, comfortable communications about sexuality, which were linked to features of sexual well-being of young adults.     

The Race and Class Privilege of Motherhood: TheNew York Times Presentations of Pregnant Drug‐Using Women1

Prior research has examined race and class bias embedded in media presentations of pregnant drug users; however, this past research is limited in identifying biases because it focuses on single substances—primarily crack cocaine. I build on this work by conducting a comparative analysis of more than 15 years worth of New York Times articles on three drugs (crack cocaine, alcohol, and tobacco) used during pregnancy. These three drugs have varying levels of deleterious effects on fetal development and infant health, as well as varying levels of use by poor and minority women. Because of this variation, I am able to assess whether media coverage of pregnant drug‐using women is proportional to the documented adverse consequences of specific drugs or, rather, whether media coverage is higher and more negative for poor and minority pregnant women regardless of the degree of adverse health consequences associated with the specific drug used. Through this analysis, I demonstrate that the prevalence and framing of news stories about pregnant drug‐using women has little to do with protecting the health of children. Rather, concern for children is a rhetorical tool used to define poor and minority women as bad mothers and blame them for contemporary changes in families.     

Lesbian and Gay Parents: Their Experiences of Children's Health Care in Australia

This study investigates the experiences of lesbian and gay parents seeking health care for their children within the Australian medical system. Previously unavailable demographic data was collected on lesbian and gay families, and qualitative information was sought from parents about positive or problematic health care experiences related to sexual orientation and family constellation. Ninety-two lesbian or gay parents responded to a national postal and Web-based survey. Eighty-nine percent of respondents reported a high level of satisfaction with the health care received by their children. Despite overall satisfaction, however, 49 percent of parents identified fear of disclosure of sexual orientation, and 27 percent reported negative or problematic experiences with their children's health care related to sexual orientation or family constellation. This study indicates that fear of discrimination and homophobic attitudes towards lesbian and gay families remain a factor within the Australian health care system.