A new study finds that most pregnant women still rely on their mothers for emotional support and guidance, often weighing mom’s advice as equal to or better than the medical recommendations found in pregnancy guidebooks. This was especially true among minorities and those with less than a college degree.
“And often for good reason,” said Dr. Danielle Bessett, associate professor of sociology at the University of Cincinnati (UC).
“I found that most pregnancy self-help books, best known for their month-by-month guidance on fetal development and lifestyle coaching, are also empathic about following medical advice exclusively over what they consider the outdated advice of a mother or friend,” said Bessett, who calls the books’ narrow perspective the “generational disconnect.”
“This advice is limited and can result in an increased level of stress and discomfort for some soon-to-be moms.”
For the study, Bessett explored the complexities within mother-daughter dynamics during pregnancy in relation to potentially harmful advice from many pregnancy guidebooks, looking specifically at the emotional and health care risks to certain groups. She performed in-depth interviews with pregnant women and their mothers while following the pregnant women for nine months.
While looking at two groups of women — those with at least a bachelor’s degree and those with no college or higher education — Bessett found that all pregnant women took steps to have a healthy pregnancy.
But while she identified a pervasive link to a mother’s influence on her daughter’s health and well-being in both groups, it was especially strong for minorities and women with less than a college degree who had little trust in their medical personnel.
“It was not the case at all that these mothers were anti-science or against medicine, but for minority women and those with lower levels of education there is clear evidence of not being listened to or feeling cared for by physicians and clinics as much as pregnant women with higher education,” said Bessett. “This all ties back to why women with lower education might be relying more on their mothers — because their moms listen to them more.”
Women with higher education engaged with their moms in ways much more similar to how they are framed in common self-help books, Bessett said, but not a total disconnect as the books suggest. Their relationship was more specific.
“They leaned more on their doctors for advice about what to eat and what tests to have, but turned to their moms for advice on child care and for emotional support and talked a lot about the ways in which bodies change as a result of pregnancy,” she said.
While this was also true for the women with lower education, Bessett found those women turning to their mothers for other realms of guidance, sometimes over standard medical advice.
“Self-help books are giving us a really terrible picture of soon-to-be grandmothers that pregnant women themselves don’t really fully endorse regardless of who they are,” said Bessett. “I argue that books are strictly endorsing medical guidance exclusively and that’s not the only place where women are getting their information.”
Overall, self-help guides argue that the womens’ mothers will only offer outdated advice, said Bessett, but the books do not factor in the emotional value that those mothers provide.
“One particular woman in the lower educated research group had a borderline hypertensive disorder and was advised to shift to the high-risk clinic, which meant more frequent appointments and giving up her current clinician for the remainder of her pregnancy,” said Bessett.
“But her mother advised against it, knowing the emotional cost to her daughter. She encouraged her to continue with the usual prenatal routine and fed her liver, which she believed would keep her nutritional levels up and her blood pressure down. Her mother’s support avoided adding stress to a pregnancy that ultimately resulted in the birth of a healthy baby boy.”
Another difference found within the lower-educated mother-daughter pairs included a number of women who didn’t have as much distance between their mother’s last pregnancy and their own, which resulted in advice and support that was much more current.
“Their mothers often had their children at a younger age and the pregnant women themselves are now giving birth younger,” said Bessett. “If the mother and daughter are only 18 to 20 years apart, the mother may also have continued to have children not long before her older daughter gave birth. In that regard, mom’s advice is still very current.”
Conversely, women with higher education typically wait until the age of 30 to give birth, which Bessett found to follow suit with their daughters. In that case the mother’s advice may be somewhat outdated and less relevant to today’s modern medical guidelines.
Still, women with higher education still found a great value in what their mothers could tell them about how their bodies would be changing and were a valuable source for details related to their familial or genetic inheritance; information that only their mothers could contribute, she said.
“One of the most distinctive differences between the two groups showed how much more women with higher education valued how scientific information and modern technology could contribute to a healthy pregnancy,” said Bessett.
“But instead of a ‘generational disconnect’ they tended to read self-help books along with their mothers who also enjoyed a vicarious engagement with science that they didn’t have when they were pregnant decades ago.”
These mothers recognized that their birth experiences were much different from the medical interventions women have today, so Bessett found they were less likely to try to call the shots or endorse their pregnancy experiences as more appropriate.
“The overarching gain from the study shows how damaging self-help books can be for certain groups who take the ‘generational disconnect’ seriously,” said Bessett. “In a context of considerable health misinformation, we have to understand in what circumstances extended family can be the source of this misinformation and when they provide an important sounding board for expectant parents.
“These books don’t take into account how damaging it can be to sever bonds with their mothers during a time when they need low stress, warm bonding and emotional support more than ever for a healthy pregnancy.”
“Medical advice is not always black and white,” she adds. “Doctors and medical personnel who use a more holistic approach and actually listen and really hear their patients, no matter how much they may rely on their mothers, would do more for their [patients’] emotional as well as medical well-being — because sometimes ‘mothers really do know best.'”
The findings are published in the journal Reproduction, Health, and Medicine.
Source: University of Cincinnati