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围产期死亡后的妊娠:关于母亲与幸存婴儿的关系

[Pregnancy after perinatal death: concerning the relationship of mother with the survivor baby].

作者信息

Vidal Manola

机构信息

Secretaria de Estado de Saúde e Defesa Civil, Superintendência de Atenção Básica, Rio de Janeiro, RJ.

出版信息

Cien Saude Colet. 2010 Oct;15 Suppl 2:3185-90. doi: 10.1590/s1413-81232010000800023.

DOI:10.1590/s1413-81232010000800023
PMID:21049159
Abstract

The objective of this study was to investigate the maternal mood after pregnancy and premature childbirth after perinatal loss which is defined as the fetal death occurred in the last weeks of gestation or the newborn in the first few weeks after delivery. The study is part of the work executed during a phD course in Woman's Health (Fundação Oswaldo Cruz-Instituto Fernandes Figueira) using the qualitative method of research in health for the construction of life histories by means of techniques of opened, non-directive interviews, and participant comment. The field work consisted in accompanying of the double mother-baby during hospitalization and six months after discharge. The sample of the selected subjects was chosen from the relative criterion to the accompaniment by 24 hours of internments with equal or superior duration of 30 days. This article if relates one of four histories of constructed lives. The result was the production of knowledge on the state of maternal mood in mothers of premature babies after hospital discharge through the identification of emotional reactions characteristics of a work of mourning linked to specific perinatal loss in its relationship with the syndromes of the "baby of substitution" and "vulnerable child".

摘要

本研究的目的是调查围产期损失(定义为妊娠最后几周发生的胎儿死亡或分娩后几周内的新生儿死亡)后的产后母亲情绪和早产情况。该研究是在妇女健康博士课程(奥斯瓦尔多·克鲁兹基金会 - 费尔南德斯·菲格雷拉研究所)期间开展的工作的一部分,采用健康领域定性研究方法,通过开放式、非指导性访谈和参与者评论技术构建生活史。实地工作包括在住院期间和出院后六个月陪伴母婴双方。所选受试者样本是根据陪伴24小时住院且住院时间等于或超过30天的相关标准选取的。本文讲述了构建生活的四个故事之一。结果是通过识别与特定围产期损失相关的哀悼工作的情绪反应特征,以及其与“替代婴儿”和“脆弱儿童”综合征的关系,得出了关于早产母亲出院后母亲情绪状态的知识。

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