Dowdell Julie Anne, Fenwick Jennifer, Bartu Anne, Sharp Jennie
Curtin University of Technology, School of Nursing and Midwifery, GPO Box U1987, Perth, WA 6845, Australia.
Midwifery. 2009 Jun;25(3):295-306. doi: 10.1016/j.midw.2007.03.008. Epub 2007 Jul 5.
to describe midwives' perceptions of the early mothering experiences of 20 Australian illicit-drug-using mothers.
a qualitative retrospective study using an explorative descriptive design. Twenty client records, completed by research midwives over 6 months (with follow-up visits at 12 and 18 months), formed the data set. Thematic analysis and the techniques associated with constant comparison were used to analyse the data.
Perth, Western Australia.
twenty postpartum women with a history of using illicit drugs.
seven major themes were identified that described how childbearing women with drug problems strive to be 'normal mums' although living on the fringe of society. The first three major themes were labelled; Baby as the priority; Hating the body: and Life sucks. Theme four represents the level of family and community support available, which had the potential to facilitate and/or hinder the experience. The analysis suggested that women who had good support, particularly at 4 months postpartum and beyond, were more likely to move towards the fifth theme Hanging in there: striving to be a normal mum. Women with minimal support, living in hostile and often abusive environments, gravitated towards the theme of Beyond caring with the eventual consequence being chaos and a return to heavy drug use, labelled Emotional fibrillation.
very few women were using drugs early in the postnatal period. These new mothers made every effort to prioritise the needs of their newborns, often within a context of abusive relationships, poor emotional well-being and financial hardship. High levels of physical and psychological morbidity were related to psychosocial factors as opposed to drug use alone. By 4 months postpartum, there was evidence that women were becoming increasingly vulnerable to the challenges of their lives. Family and community support played a role in how this group of women moved through their mothering experience.
the range of health, social and support services required by new mothers when they are using illicit drugs is substantial. Collaboration and coordination between agencies is crucial for quality outcomes. Fostering positive relationships with drug-using pregnant women and maintaining these links into the extended postnatal period may be one strategy that would improve the integration of services and ensure that women stay engaged with the system.
描述助产士对20名澳大利亚吸毒母亲早期育儿经历的看法。
采用探索性描述设计的定性回顾性研究。由研究助产士在6个月内完成的20份客户记录（并在12个月和18个月时进行随访）构成了数据集。采用主题分析和与持续比较相关的技术对数据进行分析。
西澳大利亚州珀斯。
20名有吸毒史的产后妇女。
确定了七个主要主题，描述了有吸毒问题的生育妇女尽管生活在社会边缘，仍努力成为“正常母亲”的情况。前三个主要主题分别是：以婴儿为优先；厌恶身体；生活糟糕。主题四代表了可获得的家庭和社区支持水平，这有可能促进和/或阻碍这种经历。分析表明，得到良好支持的女性，尤其是在产后4个月及以后，更有可能朝着第五个主题“坚持下去：努力成为正常母亲”发展。支持极少、生活在充满敌意且常常有虐待行为环境中的女性，倾向于“漠不关心”主题，最终结果是混乱并重新大量吸毒，即“情绪紊乱”。
产后早期很少有女性吸毒。这些新妈妈尽一切努力优先满足新生儿的需求，通常是在虐待关系、情绪不佳和经济困难的背景下。高水平的身心疾病与社会心理因素有关，而非仅与吸毒有关。到产后4个月时，有证据表明女性越来越难以应对生活中的挑战。家庭和社区支持在这群女性的育儿经历中起到了作用。
吸毒的新妈妈所需的健康、社会和支持服务范围很广。各机构之间的合作与协调对于取得高质量成果至关重要。与吸毒孕妇建立积极关系并在产后延长阶段维持这些联系，可能是一种改善服务整合并确保女性与该系统保持接触的策略。
