Paediatric communications with the post-partum patient

Discussions with mothers during their puerperium allows the introduction of thoughts on child care and management to a captive audience at a highly receptive stage. Many mothers lack an understanding of the problems they are likely to face in the first months after delivery and are desperately afraid of "spoiling" their child. They are generally quite ignorant of the problems of feeding, "colic" and others. Discussion group counselling of the parents of babies treated in an intensive care nursery is of value for the parents and for the hospital staff. The mothers have problems of guilt and anxiety over their possible aetiological role, doubts about their ability to cope with an "abnormal" baby, and problems due to lack of contact with their baby.