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By Diana Divecha

In the months leading up to birth, a pregnant woman begins to read about childrearing, including a book called Attachment Parenting by pediatrician William Sears and registered nurse Martha Sears. They advocate for a collection of seven practices they call the Baby Bs: "birth bonding, breastfeeding, baby-wearing, bedding close to the baby, belief in the baby's cry, balance and boundaries, and beware of baby trainers."

The pregnant woman finds their ideas compelling, and so decides to embrace this style of "attachment parenting." But nothing goes according to plan. She begins delivery at home with a midwife, but when the labor doesn't proceed, she's taken to the hospital and given a Caesarean section.

Influenced by Attachment Parenting, she worries that she has missed a critical bonding experience with her baby. Six weeks later, the mother develops a severe breast infection and reluctantly switches to formula. "Make sure you find some other way to bond with your baby," her pediatrician cautions, adding to her distress. At night, the mother pulls the baby from his crib into her bed—even though it makes the baby cry.

Pretty soon, no one is happy—and the new mother wonders if her child is on the road to insecurity and anxiety.

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All of these experiences are real; they've happened to mothers I know. And as a developmental psychologist, I know this tension between the ideal and the reality is based on a misunderstanding. Home birth, breastfeeding, and co-sleeping all have benefits—but none of them is related to a baby's secure attachment with her caregiver, nor are they predictive of a baby's future mental health and development.

Simply put, a secure attachment—which does lead to positive child outcomes—is not the same thing as the philosophy called attachment parenting.

What is the scientific view of attachment?

The term attachment parenting was coined by Sears and Sears to refer to a parenting approach that emphasizes responding sensitively to the needs of babies and children. Many of their ideas come from parenting their own eight children, as well as from their pediatric practice; some are from anthropologists' observations of indigenous childrearing practices (thought to be more "natural"); and some (like emotional responsiveness) are consistent with research findings.

Many parents, myself included, have welcomed the Sears' guidance for creating warm, loving relationships, especially in contrast to earlier parenting approaches that were more strict, cold, or distant.

The implication, though—liberally strewn throughout the Sears' writing and the precepts of the related international attachment parenting movement—is that the Baby Bs lead to a secure attachment, which is a specific psychological concept based on 60 years of research. Here we come to the problem: their use of the word attachment and the confusion it creates with the scientific notion of attachment theory.

Attachment theory has its roots in the work of an English psychiatrist, John Bowlby, who in the 1930s worked with children with emotional problems. He noticed that the troubled children in his care were deprived of affection and had disturbed or nonexistent caregiving. He came to believe that a primary caregiver served as a kind of "psychic organizer" to the child, and that the child needed this warm, intimate influence to develop successfully.

According to Bowlby, babies form a "small hierarchy of attachments": The number has to be small for the baby to learn relevant emotional information, but multiples offer the safety of backups. And it's a hierarchy for safety, too—in danger, there's no time to think, so the baby can automatically turn to the person already determined to be the reliable comfort.

In the 1950s, Mary Ainsworth joined Bowlby in England. A decade later, back in the United States, she began to diagnose different kinds of relationship patterns between children and their mothers in the second year of life, based on how babies respond to separations and reunions. When babies have a secure attachment, they play and explore freely from the "secure base" of their mother's presence. When the mother leaves, the baby often becomes distressed, especially when a stranger is nearby. When the mother returns, the baby expresses joy, sometimes from a distance and sometimes reaching to be picked up and held. (Babies vary, depending on their personality and temperament, even within a secure attachment).

Though early researchers studied mothers, current research shows that fathers, co-parents, grandparents, babysitters, and even older siblings can be significant attachment figures. Caregivers who foster a secure attachment are responsive, warm, loving, and emotionally available, and as a result babies grow to be confident in the caregiver's ability to handle feelings. The babies feel free to express their positive and negative feelings openly and don't develop defenses against the unpleasant ones.

Why the confusion about a secure attachment?

The Sears' idea of attachment parenting is not well defined—and certainly has not been scientifically linked to a secure attachment outcome. And this confusion can sow guilt, worry, and misdirection in parents, who (understandably) are not aware of the distinction.

"Attachment [in the scientific sense] is a relationship in the service of a baby's emotion regulation and exploration," explains Alan Sroufe, a developmental psychologist at the Institute for Child Development at the University of Minnesota, where he and his colleagues have studied the attachment relationship for over 40 years. "It is the deep, abiding confidence a baby has in the availability and responsiveness of the caregiver."

A secure attachment has at least three functions:

  • Provides a sense of safety and security
  • Regulates emotions by soothing distress, creating joy, and supporting calm
  • Offers a secure base from which to explore

"Attachment is not a set of tricks," continues Sroufe. "These [attachment parenting principles] are all fine things, but they're not the essential things. There is no evidence that they are predictive of a secure attachment."

Take breastfeeding, for example, touted as key to attachment parenting. Mechanical and insensitive breastfeeding could actually contribute to an insecure attachment, while warm, sensitive, interactive bottle-feeding could help create a secure attachment. It's not the method of feeding but the quality of the interaction that matters for attachment, says Sroufe.

Constant contact, too, can be misunderstood. Certainly, skin-to-skin contact, close physical touch, holding, and carrying are good for infants and can even reduce crying. But again, what matters for attachment is the caregiver's attunement. Are they stressed or calm? Checked out or engaged? Are they reading the baby's signals?

Attachment parenting advises emotional responsiveness, and this practice aligns best with scientific attachment theory. Babies grow best when their feelings are taken seriously. But well-meaning parents can overdo it, believing they need to meet the child's every request, which can be exhausting and counterproductive. In contrast, research on secure attachments shows that, in the flow of everyday life, misattunements happen about 70 percent of the time!

What is important, researchers say, is that the baby develops a generalized trust that their caregiver will respond and meet their needs, or that when mismatches occur, the caregiver will repair them. This flow of attunements, mismatches, and repairs offers the optimal amount of connection and stress for a baby to develop both confidence and coping skills.

"There's a difference between a 'tight' connection and a secure attachment," Sroufe explains. "A tight attachment—together all the time—might actually be an anxious attachment."

The neurobiology of attachment

"Attachment theory is essentially a theory of regulation," explains Allan Schore, a developmental neuroscientist in the Department of Psychiatry at the UCLA David Geffen School of Medicine.

The areas of the brain that process emotional and social information begin to differentiate in the last trimester in-utero (whereas the more "intellectual" regions pick up in the second year of life). By birth, the amygdala, hypothalamus, insula, cingulate cortex, and orbitofrontal cortex—regions important for emotion processing—are present, but the connections among these areas develop in specific patterns over the first years of life. That's where input from the primary relationship is crucial, organizing the hierarchical circuitry that will process, communicate, and regulate social and emotional information. Synaptic connections are pruned, and epigenetic processes modify the expression of genes that regulate stress, depending on input from the environment.

Parents use their own empathy, perspective taking, inference, and intuition to discern the needs of the baby. And the behaviors that parents are inclined to do naturally, like eye contact and face-to-face interaction, baby-talking and holding, are exactly the ones shown to grow the neural regions in the baby that influence emotional life. It is through a "right-brain-to-right-brain" reading of each other that the parent and child synchronize their energy, emotions, and communication.

"What a primary caregiver is doing, in being with the child," explains Schore, "is allowing the child to feel and identify in his own body these different emotional states. By having a caregiver simply 'be with' him while he feels emotions and has experiences, the baby learns how to be," Schore says.

And it's not just about regulating stress. Supporting positive emotional states is equally important to creating a "background state of well-being." If the caregiver's emotions are too high, the stimulation could be intrusive to the baby, Schore explains. Too low, and the baby's "background state" settles at a low or possibly depressive emotional baseline. Just right, from the baby's point of view, is best.

Even then, there's a lot of leeway. As Schore says:

Insecure attachments aren't created just by a caregiver's inattention or missteps. They also come from a failure to repair ruptures. Maybe the caregiver is coming in too fast and needs to back off, or maybe the caregiver hasn't responded and needs to show the baby that she's there. Either way, repair is possible, and it works. Stress is a part of life, and what we're trying to do here is to set up a system by which the baby can learn how to cope with stress.

How important is attachment?

"Nothing is more important than the attachment relationship," says Sroufe, who, together with colleagues, ran a series of landmark studies to discover the long-term impact of a secure attachment.

Over a 35-year period, the Minnesota Longitudinal Study of Risk and Adaptation (MLSRA) revealed that the quality of the early attachment reverberated well into later childhood, adolescence, and adulthood, even when temperament and social class were accounted for.

One of the most important (and paradoxical) findings was that a secure attachment early in life led to greater independence later, whereas an insecure attachment led children to be more dependent later in life.

The MLSRA studies showed that children with a secure attachment history were more likely to develop:

  • A greater sense of self-agency
  • Better emotional regulation
  • Higher self-esteem
  • Better coping under stress
  • Closer friendships in middle childhood
  • Better coordination of friendships and social groups in adolescence
  • More trusting and positive romantic relationships in adulthood
  • Greater social competence
  • More leadership qualities
  • Happier and better relationships with parents and siblings

But attachment is not destiny; it depends on what else comes along. A poor start in life, for example, can be repaired in a subsequent relationship with a good mentor, a healthy romance, or constructive therapy.

As for my new-mother friends, they're bonding successfully with their babies, welcoming and enjoying the moments when connection happens. And if you're concerned about bonding with your own baby, rest assured that you'll have some help—from your baby. Because regardless of their individual personalities—whether they cry a lot or sleep very little, whether they're breastfed or bottle-fed—babies invite adults in with their wide-open gaze, their milky scent, and their tiny fingers that curl around your big ones. They let you know what they need.

Before you know it, they are lighting you up with their full-body smiles and pulling you close with their plump, soft arms. And the sweet elixir of attachment is underway.

Originally posted on Greater Good.

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Did you hear that? That was the sound of Nordstrom and Maisonette making all your kid's summer wardrobe dreams come true.

Nordstrom partnered with Maisonette to create the perfect in-store pop-up shop from May 24th-June 23rd, featuring some of our favorite baby and kids brands, like Pehr, Zestt Organics, Lali and more. (Trust us, these items are going to take your Instagram feed to the next level of cuteness. 😍) Items range from $15 to $200, so there's something for every budget.

Pop-In@Nordstrom x Maisonette

Maisonette has long been a go-to for some of the best children's products from around the world, whether it's tastefully designed outfits, adorable accessories, or handmade toys we actually don't mind seeing sprawled across the living room rug. Now their whimsical, colorful aesthetic will be available at Nordstrom.

The pop-in shops will be featured in nine Nordstrom locations: Costa Mesa, CA; Los Angeles, CA; Chicago, IL; Austin, TX; Dallas, TX; Bellevue, WA; Seattle, WA; Toronto, ON; and Vancouver, BC.

Don't live nearby? Don't stress! Mamas all across the U.S. and Canada will be able to access the pop-in merchandise online at nordstrom.com/pop

But don't delay―these heirloom-quality pieces will only be available at Nordstrom during the pop-in's run, and then they'll be over faster than your spring break vacation. Happy shopping! 🛍

This article is sponsored by Nordstrom. Thank you for supporting the brands that support Motherly and mamas.

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For decades, doctors have prescribed progesterone, one of the key hormones your body needs during pregnancy, to prevent a miscarriage. The hormone, produced by the ovaries, is necessary to prepare the body for implantation. As the pregnancy progresses, the placenta produces progesterone, which suppresses uterine contractions and early labor.

But a new study out of the UK finds that administering progesterone to women experiencing bleeding in their first trimester does not result in dramatically more successful births than a placebo. Yet, for a small group of mothers-to-be who had experienced "previous recurrent miscarriages," the numbers showed promise.

The study, conducted at Tommy's National Centre for Miscarriage Research at the University of Birmingham in the UK, is the largest of its kind, involving 4,153 pregnant women who were experiencing bleeding in those risky (and nerve-wracking) early weeks. The women were randomly split into two groups, with one group receiving 400 milligrams of progesterone via a vaginal suppository, and the other receiving a placebo of the same amount. Both groups were given the suppositories through their 16th week of pregnancy.

Of the group given progesterone, 75% went on to have a successful, full-term birth, compared to 72% for the placebo.

As the study notes, for most women, the administration of progesterone "did not result in a significantly higher incidence of live births than placebo." But for women who had experienced one or two previous miscarriages, the result was a 4% increase in the number of successful births. And for women who had experienced three or more recurrent miscarriages, the number jumped to a 15% increase.

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Dr. Arri Coomarasamy, Professor of Gynecology at the University of Birmingham and Director of Tommy's National Centre for Miscarriage Research, said the implications for that group are "huge." "Our finding that women who are at risk of a miscarriage because of current pregnancy bleeding and a history of a previous miscarriage could benefit from progesterone treatment has huge implications for practice," he said.

It's estimated that 1 in 5 pregnancies ends in miscarriage. And while even a spot of blood no doubt increases the fear in every expectant mother's mind, bleeding is actually a very common occurrence during pregnancy, Coomarasamy said. Still, first trimester bleeding is particularly risky, with a third of women who experience it going on to miscarry.

So for women who have been through it multiple times, Coomarasamy's findings are an important avenue to explore. "This treatment could save thousands of babies who may have otherwise been lost to a miscarriage," he added.

The study is among a number of recent groundbreaking discoveries made by doctors looking to further understand what causes miscarriages and what can be done to prevent them. While about 70% of miscarriages are attributed to chromosomal abnormalities, doctors recently learned that certain genetic abnormalities, which exist in a small group of parents-to-be, could be discovered by testing the mother and father, as well as the embryo.

Doctors have also discovered that even knowing the sex of your baby could predict the complications a mother may face, thus helping medical professionals to assist in keeping the pregnancy viable.

But while there is no sweeping solution to stop miscarriages, for some couples, the use of progesterone does offer a glimmer of hope. "The results from this study are important for parents who have experienced miscarriage," Jane Brewin, chief executive of Tommy's said. "They now have a robust and effective treatment option which will save many lives and prevent much heartache."

Brewin added that studies like this one are imperative to our understanding of how the creation of life, which remains both a miracle and a mystery, truly works. "It gives us confidence to believe that further research will yield more treatments and ultimately make many more miscarriages preventable," she said.

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It's never easy to give up a career and launch a whole new one, but when I decided to end my time as an opera singer and move into the field of sales, I knew I could do it. After all, I had the perfect role model: my mom.

When I was growing up, she worked as a dental hygienist, but when I started college, she took some courses in sales. She was single with two kids in college, which was a driving force to make more money. But above that, she truly had a passion for sales. In no time, she got jobs and excelled at them, ultimately earning her the title of Vendor Representative of the Year at her electronics company.

When I entered the field of sales, an unusual and unexpected twist followed. Several years into my career, I was hired by a different electronics company. My mom and I ended up selling similar products to some of the same businesses. (Neither of our companies realized this, and we have different last names.)

But rather than feeling uncomfortable, I saw this as a great opportunity. She and I were both committed to doing our best. More often than not, she beat me when we went after the same piece of business. But in the process, I learned so much from her. I was able to see how her work ethic, commitment and style drove her success. I had even more to emulate.

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Here are some of the biggest business lessons I learned from my working mom:

1. Use your existing skill set to differentiate yourself.

As a dental hygienist, my mom knew how to talk to people and make them feel comfortable. She had also served as a youth leader at three different churches where my dad preached. In each town, she found at-risk kids, brought them together and developed programs for them. She had learned how to help people improve themselves and make their lives better.

In sales, she did the same thing, focusing on how the products or services she was selling could genuinely make a difference in the lives of her customers. Those skills translated seamlessly into her new career.

2. Start strong from day one—don't wait for permission to launch your full potential.

From day one at a job, my mom showed up with energy and vigor to get going. She didn't take time to be tentative. Instead, she leaned into her tasks—the equivalent of blasting out of the gate in a race. Having seen how well this worked for her, I strive to do the same.

3. Have empathy, it's essential.

Many women have been falsely accused of being "too emotional" in business. However, empathy is a necessity and drives better results. As a businesswoman, my mom set herself apart by demonstrating genuine empathy for her clients and her colleagues. She loves getting to know people's stories. That understanding is a key component in her finalizing deals and helping her company reach higher levels of success.

4. Learn often—you're never done building your skill set.

My mom is the reason I spend at least three months out of each year getting a new certification or learning a new skill. She's always working to improve, harness new technologies or develop new competencies—and she's passed on that eagerness to learn to me. She knows that to stay on top, you have to keep learning.

5. Bring on the charm.

By nature, I'm analytical. I like to present the numbers to clients, showing the data to help sway their decisions. And that has its place, but charm is universal. Being someone people want to do business with makes a huge difference. If I had a nickel for every time a prospect told me, "I love your mother," I could retire now! Business, especially sales, is about the connections you make as much as the value you bring.

Our paths have taken our careers in different directions, but along the way, I've done my best to incorporate all these skills. Thank you, mom, for teaching me all this, and much more.

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Every mom has her own list of character traits each of she hopes to instill in her children, but there is one that stands out as a big priority for the majority of millennial mothers.

Motherly's 2019 State of Motherhood survey revealed that kindness is incredibly important to today's moms. It is the number one trait we want to cultivate in our children, and according to stats from the Harvard Graduate School of Education, this emphasis on kindness couldn't come at a better time.

In recent years kids and parents have been straying from kindness, but these Ivy League experts have some great ideas about how today's moms can get the next generation back on track so they can become the caring adults of tomorrow.

Between 2013 and 2014, as part of Harvard's Making Caring Common project, researchers surveyed 10,000 middle and high school students across the nation. They found that no matter what race, class or culture the kids identified with, the majority of the students surveyed valued their own personal success and happiness way more than that of others.

Why do kids value their own success so much more than things like caring and fairness? Well, apparently, mom and dad told them to.

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Eighty percent of the 10,000 students said their parents taught them that their own happiness and high achievement were more important than caring for others. (So much for sharing is caring.)

The folks at Harvard say that valuing your own ambition is obviously a good thing (in moderation) in today's competitive world, but prioritizing it so much more than ethical values like kindness, caring and fairness makes kids more likely to be cruel, disrespectful and dishonest.

So how do we fix this? Here's Harvard's four-step plan for raising kinder kids.

1. Help them practice being nice

Giving kids daily opportunities to practice caring and kind acts helps make ethical behavior second nature. They could help you with chores, help a friend with homework or work on a project to help homelessness.

All those tasks would help a child flex their empathy muscles. The key is to increase the challenges over time so your child can develop a stronger capacity for caregiving as they grow.

2. Help them see multiple perspectives

The researchers want kids to “zoom in" and listen closely to the people around them, but also see the bigger picture. “By zooming out and taking multiple perspectives, including the perspectives of those who are too often invisible (such as the new kid in class, someone who doesn't speak their language, or the school custodian), young people expand their circle of concern and become able to consider the justice of their communities and society," the study's authors' wrote.

3. Model kindness

Our kids are watching, so if we want them to be kinder, it's something we should try to cultivate in ourselves. The Harvard team suggests parents make an effort to widen our circles of concern and deepen our understanding of issues of fairness and justice.

4. Teach kids to cope with destructive feelings

According to the researchers, the ability to care about others can be overwhelmed by a kid's feelings of anger, shame, envy, or other negative feelings. They suggest we teach our kids teach that while all feelings are okay to feel, some ways of dealing with them are not helpful, or kind (for example, “Hitting your classmate might make you happy, but it won't make them happy and isn't very kind. Counting to 10 and talking about why you're mad is more productive than hitting.")

While the folks at Harvard are concerned that so many kids are being taught to value their own happiness above all, they were also encouraged by the students who do prioritize caring and kindness. One of the students surveyed wrote, “People should always put others before themselves and focus on contributing something to the world that will improve life for future generations."

If we follow the advice of Harvard researchers, the world will see more kids that think like that, and that's what future generations need.

[A version of this post was originally published November 8, 2017. It has been updated.]

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These days more women are having babies into their 40s, but the idea that women are facing down the biological clock is pretty pervasive—once you're over 35, you automatically receive that "advanced maternal age" classification, while your male partner's age may never even be mentioned. The pressure on older moms is unfair, because according to new research from Rutgers University, men may face age-related fertility decline too and America's dads are getting older.

It's a new idea, but this finding actually takes 40 years worth of research into account—which, coincidentally, is around the age male fertility may start to decline. According to Rutgers researchers, the medical community hasn't quite pinpointed the onset of advanced age, but it hovers somewhere between ages 35 and 45.

The study which appears in the journal Maturitas, finds that a father's age may not just affect his fertility, but also the health of his partner and offspring.

Based on previously conducted research, the team behind this study found evidence that men over 45 could put their partners at greater risk for pregnancy complications like gestational diabetes and preeclampsia. Babies born to older fathers also have an increased likelihood of premature birth, late stillbirth, low Apgar scores, low birthweight, newborn seizures and more. The risks appear to exist later in life, too: Research suggests children of older fathers have greater risk of childhood cancers, cognitive issues and autism.

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There's been plenty of studies surrounding advanced maternal age, but research on advanced paternal age is pretty slim—scientists don't quite understand how age correlates to these factors at this point. But researchers from Rutgers believe that age-related decline in testosterone and sperm quality degradation may be to blame. "Just as people lose muscle strength, flexibility and endurance with age, in men, sperm also tend to lose 'fitness' over the life cycle," Gloria Bachmann, director of the Women's Health Institute at Rutgers Robert Wood Johnson Medical School, explains in a release for this news.

As we've previously reported, more and more men are waiting until later in life to have children. According to a 2017 Stanford study, children born to fathers over 40 represent 9% of U.S. births, and the average age of first-time fathers has climbed by three-and-a-half years over the past four decades —so this research matters now more than ever, and it may represent the first step towards setting certain standards in place for men who choose to delay parenthood.

The biggest thing to come out of this research may be the need for more awareness surrounding advanced paternal age. This particular study's authors believe doctors should be starting to have conversations with their male patients, possibly even encouraging them to consider banking sperm if they're considering parenthood later in life.

Women certainly tend to be aware of the age-related risks to their fertility, and many regularly hear that they should freeze their eggs if they're not ready for motherhood. And while it's still too early to say whether we'll ever examine paternal age this closely, this research may set a whole new conversation in motion.

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