By Jo Alexander, Valerie Levy, Carolyn Roth (eds.)
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Additional resources for MIDWIFERY PRACTICE: Core Topics 2
Their responses are acquired through the process of developing cultural knowledge. Midwives and other health carers need to become politically aware if they are to serve as advocates for mothers in order to enable them to adjust smoothly into their new role of motherhood. Education about the basic cultural rules that shape the behaviour of specific Motherhood as a rite of passage • 33 ethnic groups will deepen the understanding of midwives and enable them to improve the quality of their care in a way both appropriate for the woman's needs and respectful of her belief system.
The cellular effects of opioids are not well understood but are thought to include antagonism of adenylate cyclase activity and an increase in potassium conductance. The resulting hyperpolarisation reduces the influx of calcium via electrically gated channels at the nerve terminals, with the result that less substance Pis released. Opioid receptors are classified as mu, delta, kappa, sigma and epsilon. These classifications are important in pharmacology as efforts are made to produce drugs that can activate specific receptors for pain relief without activating those which produce side-effects.
The adaptation is a process marked with rituals and resulting in a personal transformation. Some mothers negotiate the process more easily than others, and for women who have little social support, the transition may be more difficult. Becoming a mother means that the woman has to undertake and adapt to new and multiple roles. In the industrialised West, women are expected to cope with a variety of roles wage-earner, lover, wife, mother - and frequently to undertake two or more roles simultaneously.