Wilkins Carol
Bournemouth University, Institute of Health and Community Studies, Finchdean House, St Mary's Hospital, Milton Road, Portsmouth PO3 6AD, UK.
Midwifery. 2006 Jun;22(2):169-80. doi: 10.1016/j.midw.2005.07.001. Epub 2005 Dec 13.
to gain an understanding of the experiences of first-time mothers in the early weeks of motherhood in order to elicit what areas of support these women find empowering in easing their adjustment.
a grounded theory approach was used. Data were collected through individual in-depth interviews.
an area in the South of England with maternity services provided by a consultant obstetric unit and four midwife-led centres.
eight primiparous women aged 20-39 years, who had given birth normally at term to a healthy baby.
five categories 'expert to novice', 'losing touch', 'perceiving expertise', 'restoring balance' and 'falling into place' revealed a journey women travelled as they left behind their comfortable, controlled lives in which they were 'experts' and faced the unknown world of motherhood. Eventually, practice, support and knowledge shared with peers facilitated proficiency and intuitive mothering. Throughout this transition, the overriding concern of the mothers was to develop confidence and skills to give optimal care to their baby. 'Doing it right' emerged as the core category.
an understanding of the factors women considered to be supportive or inhibitive in easing their adjustment to motherhood might enable midwives to move beyond more traditional forms of postnatal care to explore innovative ways of providing and facilitating access to supportive resources.
了解初为人母的女性在孕早期的经历,以探寻哪些支持领域能帮助这些女性更顺利地适应母亲角色。
采用扎根理论方法。通过个人深度访谈收集数据。
英格兰南部的一个地区,由一家产科顾问单位和四个由助产士主导的中心提供产科服务。
八名年龄在20至39岁之间的初产妇,她们均足月顺产下健康婴儿。
“从专家到新手”“失去联系”“感知专业知识”“恢复平衡”和“渐入佳境”这五个类别揭示了女性在离开她们曾经作为“专家”的舒适、可控生活,面对未知的母亲世界时所经历的过程。最终,实践、他人的支持以及与同龄人分享的知识促进了她们熟练且本能地照顾婴儿。在整个转变过程中,母亲们最主要的担忧是培养信心和技能,以便为婴儿提供最佳护理。“做对事情”成为核心类别。
了解女性认为在帮助她们适应母亲角色过程中起到支持或阻碍作用的因素,可能会使助产士超越传统的产后护理形式,探索提供和促进获取支持资源的创新方式。