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“倾听你的身体”。关于孕期健康及孕期骨盆带疼痛的网络讨论的质性文本分析

"Listen to your body". A qualitative text analysis of internet discussions related to pregnancy health and pelvic girdle pain in pregnancy.

作者信息

Fredriksen Eva Haukeland, Moland Karen Marie, Sundby Johanne

机构信息

Faculty of Health and Social Sciences, Bergen University College, PO Box 7030, 5020 Bergen, Norway.

出版信息

Patient Educ Couns. 2008 Nov;73(2):294-9. doi: 10.1016/j.pec.2008.02.002.

DOI:10.1016/j.pec.2008.02.002
PMID:18359181
Abstract

OBJECTIVE

To explore popular perspectives on pelvic girdle pain (PGP) in pregnancy through an analysis of women's discussions on the Internet, and to investigate how these discussions compare with the prevailing official discourses on PGP and pregnancy health.

METHODS

A qualitative text analysis of women's contributions to a commercial online web-based discussion forum related to PGP in Norway.

RESULTS

The website works as a meeting point between pregnant women seeking advice on how to interpret and handle pregnancy-related pain, and women with experience of PGP. The worries expressed are met with strong messages of precautions and self-care, and in general PGP is perceived as an unpredictable and potentially disabling condition.

CONCLUSION

A popular discourse on PGP as an "unpredictable condition" emerges in the discussions, and challenges the official discourse on PGP as a "common complaint". The "unpredictable condition" discourse may work to justify pregnant women's perceived need for rest and care, and may be interpreted as an expression of a lack of acknowledgement of pregnancy as a state of being that requires special care in contemporary Norwegian society.

PRACTICE IMPLICATIONS

This popular discourse reflects a gap between the policy of pregnancy as a normal condition and women's experiences that should be taken seriously in policy-making and medical practice.

摘要

目的

通过分析女性在互联网上的讨论,探讨关于孕期骨盆带疼痛(PGP)的大众观点,并调查这些讨论与关于PGP和孕期健康的主流官方话语有何不同。

方法

对挪威一个与PGP相关的商业在线网络讨论论坛中女性的发言进行定性文本分析。

结果

该网站成为了寻求如何解读和处理与怀孕相关疼痛建议的孕妇以及有PGP经历的女性之间的交汇点。所表达的担忧得到了关于预防措施和自我护理的强烈信息回应,总体而言,PGP被视为一种不可预测且可能致残的状况。

结论

在讨论中出现了一种将PGP视为“不可预测状况”的大众话语,对将PGP视为“常见问题”的官方话语提出了挑战。“不可预测状况”这一话语可能有助于证明孕妇所认为的休息和护理需求是合理的,并且可以被解释为在当代挪威社会中对怀孕作为一种需要特别护理的状态缺乏认可的一种表达。

实践意义

这种大众话语反映了将怀孕视为正常状况的政策与女性经历之间的差距,在政策制定和医疗实践中应认真对待这一差距。

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