RESUMEN
For the past several years in the United States, there have been more than 800 000 divorces and parent separations annually, with over 1 million children affected. Children and their parents can experience emotional trauma before, during, and after a separation or divorce. Pediatricians can be aware of their patients' behavior and parental attitudes and behaviors that may indicate family dysfunction and that can indicate need for intervention. Age-appropriate explanation and counseling for the child and advice and guidance for the parents, as well as recommendation of reading material, may help reduce the potential negative effects of divorce. Often, referral to professionals with expertise in the social, emotional, and legal aspects of the separation and its aftermath may be helpful for these families.
Asunto(s)
Adaptación Psicológica , Consejo Dirigido/métodos , Divorcio/psicología , Relaciones Familiares/psicología , Adolescente , Adulto , Factores de Edad , Niño , Preescolar , Salud de la Familia , Femenino , Humanos , Incidencia , Masculino , Relaciones Padres-Hijo , Medición de Riesgo , Factores Sexuales , Estrés Psicológico , Estados UnidosRESUMEN
As advocates for children and their families, pediatricians can support and guide expectant parents in the prenatal period. Prenatal visits allow the pediatrician to gather basic information from expectant parents, offer them information and advice, and identify high-risk conditions that may require special care. In addition, a prenatal visit is the first step in establishing a relationship between the family and the pediatrician (the infant's medical home) and in helping the parents develop parenting skills and confidence. There are several possible formats for this first visit. The one used depends on the experience and preference of the parents, the style of the pediatrician's practice, and pragmatic issues of reimbursement.
Asunto(s)
Padres/educación , Pediatría/métodos , Atención Prenatal/métodos , Relaciones Profesional-Familia , Actitud del Personal de Salud , Comunicación , Salud de la Familia , Femenino , Estudios de Seguimiento , Humanos , Cuidado del Lactante/métodos , Recién Nacido , Masculino , Padres/psicología , Pautas de la Práctica en Medicina , Embarazo , Estados UnidosRESUMEN
More than 1 million children each year experience their parents' divorce. For these children and their parents, this process can be emotionally traumatic from the beginning of parental disagreement and rancor, through the divorce, and often for many years thereafter. Pediatricians are encouraged to be aware of behavioral changes in their patients that might be signals of family dysfunction so they can help parents and children understand and deal more positively with the issue. Age-appropriate explanation and counseling is important so children realize that they are not the cause of, and cannot be the cure for, the divorce. Pediatricians can offer families guidance in dealing with their children through the troubled time as well as appropriate lists of reading material and, if indicated, can refer them to professionals with expertise in the emotional, social, and legal aspects of divorce and its aftermath.