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母亲从诊断出宫内死胎到引产期间的经历:一项基于互联网的定性研究。

Mothers' experiences of the time after the diagnosis of an intrauterine death until the induction of the delivery: a qualitative Internet-based study.

作者信息

Erlandsson Kerstin, Lindgren Helena, Malm Mari-Cristine, Davidsson-Bremborg Anna, Rådestad Ingela

机构信息

School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.

出版信息

J Obstet Gynaecol Res. 2011 Nov;37(11):1677-84. doi: 10.1111/j.1447-0756.2011.01603.x. Epub 2011 Jul 27.

Abstract

AIM

This study aims to describe how mothers spend the period of time between being diagnosed with a dead baby in utero and the induction of the delivery.

MATERIAL AND METHODS

Data were collected using a web questionnaire. Five hundred and fifteen women who had experienced a stillbirth after the 22nd week of gestation answered the open question: 'What did you do between the diagnosis of the child's death and the beginning of the delivery?' A qualitative content analysis method was used.

RESULTS

The results show that some mothers received help to adapt to the situation, while for others, waiting for the induction meant further stress and additional psychological trauma in an already strained situation.

CONCLUSION

There is no reason to wait with the induction unless the parents themselves express a wish to the contrary. Health care professionals, together with the parents, should try to determine the best time for the induction of the birth after the baby's death in utero. That time may vary, depending on the parents' preferences.

摘要

目的

本研究旨在描述母亲们在被诊断为胎儿宫内死亡至引产这段时间是如何度过的。

材料与方法

通过网络问卷收集数据。515名在妊娠22周后经历死产的女性回答了开放性问题:“在诊断出孩子死亡至分娩开始这段时间你做了什么?”采用定性内容分析法。

结果

结果显示,一些母亲得到了帮助以适应这种情况,而对另一些母亲来说,等待引产意味着在本已紧张的情况下进一步的压力和额外的心理创伤。

结论

除非父母本人表示相反的意愿,否则没有理由推迟引产。医疗保健专业人员应与父母一起,努力确定胎儿宫内死亡后引产的最佳时间。这个时间可能因父母的偏好而有所不同。

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