Razurel Chantal, Desmet Huguette, Sellenet Catherine
HES filière sage-femme, Haute Ecole De Santé (Genève).
Rech Soins Infirm. 2011 Sep(106):47-58.
Following comprehensive and semistructured interviews, (N = 30) this article questions the life changes arising in mothers six weeks after the birth of the first child. The birth of a child reflects emotional, behavioral and cognitive changes, requiring consideration and adjustments bythe mothers. We believe there are a number of factors that could impact the perceived self-efficacy and the emotional health of the mothers, and the relationship between mother and child. The research indicates areas of stress encountered by mothers and the strategies put in place by mothers to cope and overcome the stress problem. This article also questions the action taken to reduce stress by the medical team and in particularly the midwife during the birth process. The results show that all stressful events have not the same impacts on the perceived self-efficacy. Breast feeding and the crying of the babies appear to have the most impact. We believe, professional social support has a strong influence on the mothers perceived self-efficacy. As well, it is important to consider the value given to people in charge of support. Thus, the research indicates the complex link between stress, social support and coping strategies and leads to a complex transactional pattern.
在进行了全面的半结构化访谈（N = 30）之后，本文探讨了初为人母者在首个孩子出生六周后所经历的生活变化。孩子的出生反映出情感、行为和认知上的变化，母亲们需要对此加以考虑并做出调整。我们认为，有诸多因素可能会影响母亲们的自我效能感认知以及情绪健康，还有母婴关系。该研究指出了母亲们所面临的压力领域，以及母亲们为应对和克服压力问题而采取的策略。本文还探讨了医疗团队，尤其是助产士在分娩过程中为减轻压力所采取的行动。结果表明，并非所有压力事件对自我效能感认知的影响都是相同的。母乳喂养和婴儿哭闹似乎影响最大。我们认为，专业的社会支持对母亲们的自我效能感认知有很大影响。同样，重视提供支持的人员也很重要。因此，该研究揭示了压力、社会支持和应对策略之间的复杂联系，并形成了一种复杂的交互模式。
