Oxford Doctoral Course in Clinical Psychology, Isis Education Centre, University of Oxford, Warneford Hospital, United Kingdom.
Disabil Rehabil. 2012;34(9):762-9. doi: 10.3109/09638288.2011.619619. Epub 2011 Oct 19.
To examine the lived experience of pregnancy and childbirth in women with spinal cord injury (SCI).
Qualitative design. Eight women participated in semi-structured interviews, which were digitally recorded and transcribed verbatim. Individual and common themes were explored using interpretative phenomenological analysis.
Five main themes of "preparing for childbirth," "childbirth as a pleasurable event," "childbirth as a unique experience for women with SCI," "the importance of support" and "childbirth as a team effort with varied degrees of controllability" emerged from the analyses. Overall, the women interviewed reported that their experience was positive and one which they would recommend to other women with SCI. Participants felt that SCI made a difference to their experience in terms of the clinical care that they received, their freedom of choice and their environment; highlighting the importance of support, empowerment and person centred care during childbirth.
Emerging themes suggested the need for services and professionals to adopt a biopsychosocial framework in which to care for women with SCI during childbirth and to ensure that the individual's needs and wishes are considered. Future research may explore the benefits of mindfulness techniques for women in labour.
探讨脊髓损伤（SCI）女性的妊娠和分娩体验。
定性设计。8 名女性参与了半结构化访谈，访谈内容被数字记录并逐字转录。采用解释现象学分析方法探讨个体和共同主题。
分析中出现了五个主要主题：“为分娩做准备”、“分娩是一种愉悦的体验”、“分娩对 SCI 女性来说是一种独特的体验”、“支持的重要性”和“分娩是一个团队合作的过程，具有不同程度的可控性”。总的来说，接受采访的女性报告说，她们的经历是积极的，并会向其他 SCI 女性推荐这种体验。参与者认为，SCI 在她们接受的临床护理、选择自由和环境方面对她们的体验产生了影响；强调了在分娩过程中提供支持、赋权和以人为本的护理的重要性。
出现的主题表明，服务和专业人员需要采用生物心理社会框架来照顾分娩期间的 SCI 女性，并确保考虑到个人的需求和愿望。未来的研究可能会探讨正念技术对分娩妇女的益处。
