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Is Rubin's "taking-in" and "taking-hold" a useful paradigm?

L K Martell

    Health Care for Women International
    |January 1, 1996
    PubMed
    Summary

    Rubin's postpartum nursing model may not fully apply to today's hospitalized mothers. Women's experiences blended aspects of "taking-in" and "taking-hold," suggesting the theory needs updates for contemporary postpartum care.

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    Area of Science:

    • Nursing
    • Maternal-Child Health
    • Psychosocial Adaptation

    Background:

    • Reva Rubin's model of maternal adaptation, including "taking-in" and "taking-hold" phases, has long guided postpartum nursing practice.
    • Contemporary postpartum women may exhibit different adaptation patterns than those described in Rubin's original theory.

    Purpose of the Study:

    • To evaluate the applicability of Rubin's "taking-in" and "taking-hold" concepts to contemporary hospitalized postpartum women.
    • To assess whether the traditional phases accurately describe the experiences of women after uncomplicated vaginal births.

    Main Methods:

    • A repeated measures survey was conducted with 95 women hospitalized after uncomplicated vaginal births.
    • The Martell Postpartum Questionnaire-Revised (MPQ-R) was used to measure "taking-in" and "taking-hold" behaviors.
    • Content validity of the MPQ-R was established by an expert panel.

    Main Results:

    • The study found that participants did not fit neatly into either the "taking-in" or "taking-hold" categories.
    • Participant responses indicated a blend of characteristics from both phases, suggesting a more integrated or varied experience.
    • Reliability analysis (Cronbach's alpha) for the MPQ-R subscales yielded results from .40 to .60, potentially due to response variability or distribution.

    Conclusions:

    • Rubin's "taking-in" and "taking-hold" model appears to have limited utility for understanding the experiences of contemporary postpartum women.
    • Postpartum nursing practice may benefit from a more nuanced approach that acknowledges the diverse and potentially blended adaptation patterns observed.
    • Further research with refined instruments is recommended to better capture modern maternal adaptation.

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