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女性对分娩的恐惧的真实经历。

Women's lived experience of fear of childbirth.

作者信息

Nilsson Christina, Lundgren Ingela

机构信息

School of Health Sciences, University College of Borås and Växjö University SE-501 90 Borås, Sweden.

出版信息

Midwifery. 2009 Apr;25(2):e1-9. doi: 10.1016/j.midw.2007.01.017. Epub 2007 May 18.

DOI:10.1016/j.midw.2007.01.017
PMID:17512645
Abstract

OBJECTIVE

to describe women's lived experience of fear of childbirth.

DESIGN

a qualitative study using a phenomenological approach and a lifeworld perspective. Data were collected via tape-recorded interviews.

SETTING

Sahlgrenska University Hospital, Göteborg, Sweden in 2003.

PARTICIPANTS

eight pregnant women (24-37 gestational weeks) seeking help within an outpatient clinic for women with severe fear of childbirth. Two of the women were primiparous.

FINDINGS

four constituents were identified: feeling of danger that threatens and appeals; feeling trapped; feeling like an inferior mother-to-be and on your own. The essential structure was described as 'to lose oneself as a woman into loneliness'.

KEY CONCLUSIONS

fear of childbirth affects women in such a way that they start to doubt themselves and feel uncertain of their ability to bear and give birth to a child. Previous birth experience was central to the multiparous women. They described their experiences of suffering in relation to the care they received during childbirth. This mainly concerned pain and negative experiences with staff.

IMPLICATIONS FOR PRACTICE

pregnant women who fear childbirth are an exposed group in need of much support during pregnancy and childbirth. The encounter between the woman and the midwife can be a way of breaking down the feeling of loneliness and restoring the woman's trust in herself as a childbearing woman.

摘要

目的

描述女性对分娩的恐惧体验。

设计

采用现象学方法和生活世界视角的定性研究。通过录音访谈收集数据。

地点

2003年瑞典哥德堡的萨尔格伦斯卡大学医院。

参与者

八名孕妇(妊娠24 - 37周),她们在一家为严重害怕分娩的女性开设的门诊寻求帮助。其中两名女性是初产妇。

研究结果

确定了四个要素:威胁与吸引并存的危险感;被困感;感觉自己是个不合格的准妈妈且孤立无援。其本质结构被描述为“作为女性迷失自我陷入孤独”。

主要结论

对分娩的恐惧以这样一种方式影响女性,即她们开始怀疑自己,并对自己生育孩子的能力感到不确定。既往分娩经历对经产妇至关重要。她们描述了在分娩过程中所遭受的与所接受护理相关的经历。这主要涉及疼痛以及与医护人员的负面经历。

对实践的启示

害怕分娩的孕妇是一个脆弱群体,在孕期和分娩期间需要大量支持。女性与助产士的接触可以成为打破孤独感并恢复女性对自己作为生育女性的信任的一种方式。

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