Chang Shiow-Ru, Chao Yu-Mei Yu, Kenney Nancy J
Graduate Institute of Nursing, National Taiwan University, Taipei, Taiwan.
Birth. 2006 Jun;33(2):147-53. doi: 10.1111/j.0730-7659.2006.00087.x.
Women's body image in late pregnancy and its relationship to the assumption of the maternal role have not been fully addressed in transitional cultures like that of Taiwan. The purpose of this qualitative study was to explore body image and body satisfaction of women in Taiwan during the third trimester of pregnancy.
Eighteen women in the 29th to 39th week of pregnancy who were receiving prenatal examinations at clinics at a medical center in Taipei, Taiwan, took part in open-ended, face-to-face interviews concentrating on the women's reactions to the changes in their bodies. Interviews were analyzed using a phenomenological approach.
Two major themes central to women's experience of their bodies during late pregnancy were identified. One theme, "My body: where did it go?" reflects women's use of nonpregnant adult female standards of beauty to assess their pregnant bodies and their hope of regaining their "feminine self" after childbirth. The other theme, "My body = my baby's body," reflects women's view of the changes in their bodies as an indication of their baby's health and growth and as a sign of their adequacy as mothers.
Conflict between "what is good for me as a woman" and "what is good for my child or for me as a mother" is very apparent when examining women's experience of late pregnancy. Awareness of the complexity of body-related experiences of pregnant women will help to identify sources of stress and concern that may interfere with the pregnant woman's self-identity, her social functioning, and even her experience of birth itself, and may help health care professionals provide better social support and care for women approaching the end of pregnancy.
在台湾这样的转型文化中,孕晚期女性的身体形象及其与承担母亲角色的关系尚未得到充分探讨。本定性研究的目的是探索台湾女性在妊娠晚期的身体形象和身体满意度。
18名怀孕29至39周、正在台湾台北一家医疗中心的诊所接受产前检查的女性参与了开放式面对面访谈,访谈主要关注女性对自身身体变化的反应。采用现象学方法对访谈进行分析。
确定了两个孕晚期女性身体体验的核心主题。一个主题是“我的身体:它去哪儿了?”,反映了女性用未怀孕成年女性的美标准来评估自己的孕体,以及她们产后恢复“女性自我”的希望。另一个主题是“我的身体 = 我宝宝的身体”,反映了女性将身体变化视为宝宝健康成长的标志,以及作为母亲称职的象征。
审视女性孕晚期的体验时,“对身为女性的我有益”与“对我的孩子或身为母亲的我有益”之间的冲突非常明显。认识到孕妇身体相关体验的复杂性,将有助于识别可能干扰孕妇自我认同、社会功能乃至分娩体验的压力和担忧来源,并可能帮助医护人员为接近妊娠末期的女性提供更好的社会支持和护理。