A framework for the psychological aspects of pregnancy.

During pregnancy, a woman reformulates and alters her existing identity to develop a maternal identity and role. A framework for this process of maternal identity formation is described. Key aspects of the framework are the self-system (ideal, actual, and body image selves) and the maternal tasks of pregnancy. Nursing diagnoses, goals, and interventions are identified related to the self-system and tasks of pregnancy. Clinical application of the framework can provide nurses with assurance that the psychological aspects of pregnancy are addressed when planning, implementing, and evaluating the care of prenatal clients.