Chiang Hsien-Hsien, Chao Yuh-Mei Y, Yuh Yeong-Seng
Department and Institute of Nursing, National Yang-Ming University, Taipei, Taiwan, Republic of China.
J Clin Nurs. 2007 Jun;16(6):1180-5. doi: 10.1111/j.1365-2702.2007.01690.x.
Much has been written about the anxiety of pregnant women undergoing maternal serum screening, but little has focused on the maternal self.
The purpose of this study was to explore how the maternal self was affected by abnormal results of prenatal screening. Design. A qualitative design was used, based upon a grounded theory method.
Twenty-seven women undergoing maternal serum screening engaged in qualitative interviews about how abnormal results affected them and their family life.
This study identified three forms of maternal self in women who had been informed of abnormal results of maternal serum screening. The three forms of maternal self could be described as self-stigmatizing, self-conflicting and self-knowledgeable.
The self-stigmatizing and self-conflicting resulted from painful body image. The pregnant women responded to this vulnerability by reflecting on their experiences and constituting self-knowledgeable.
This study demonstrated that ethical issues were implicit in prenatal counselling in terms of various forms of maternal self. Understanding the self-perceptions of pregnant women coping with an increased risk of Down Syndrome could be very significant in delivering prenatal genetic counselling.
关于接受母血清筛查的孕妇的焦虑已有诸多著述，但很少关注母亲自身。
本研究旨在探讨母亲自身如何受到产前筛查异常结果的影响。设计。采用基于扎根理论方法的质性设计。
27名接受母血清筛查的女性参与了关于异常结果如何影响她们及其家庭生活的质性访谈。
本研究在已被告知母血清筛查异常结果的女性中识别出三种母亲自身的形式。母亲自身的三种形式可描述为自我污名化、自我冲突和自我认知。
自我污名化和自我冲突源于痛苦的身体形象。孕妇通过反思自身经历并形成自我认知来应对这种脆弱性。
本研究表明，在各种形式的母亲自身方面，伦理问题在产前咨询中是隐含的。了解应对唐氏综合征风险增加的孕妇的自我认知在提供产前遗传咨询方面可能非常重要。
