Dalarna University, School of Health and Social studies, Falun, SE-791 88, Sweden.
BMC Pregnancy Childbirth. 2013 May 13;13:111. doi: 10.1186/1471-2393-13-111.
Few studies have investigated the experiences of living with pelvic girdle pain (PGP) and its impact on pregnant women's lives. To address this gap in knowledge, this study investigates the experiences of women living with PGP during pregnancy.
A purposive sample, of nine pregnant women with diagnosed PGP, were interviewed about their experiences. Interviews were recorded, transcribed to text and analysed using a Grounded Theory approach.
The core category that evolved from the analysis of experiences of living with PGP in pregnancy was "struggling with daily life and enduring pain". Three properties addressing the actions caused by PGP were identified: i) grasping the incomprehensible; ii) balancing support and dependence and iii) managing the losses. These experiences expressed by the informants constitute a basis for the consequences of PGP: iv) enduring pain; v) being a burden; vi) calculating the risks and the experiences of the informants as vii) abdicating as a mother. Finally, the informants' experiences of the consequences regarding the current pregnancy and any potential future pregnancies is presented in viii) paying the price and reconsidering the future. A conceptual model of the actions and consequences experienced by the pregnant informants living with PGP is presented.
PGP during pregnancy greatly affects the informant's experiences of her pregnancy, her roles in relationships, and her social context. For informants with young children, PGP negatively affects the role of being a mother, a situation that further strains the experience. As the constant pain disturbs most aspects of the lives of the informants, improvements in the treatment of PGP is of importance as to increase the quality of life. This pregnancy-related condition is prevalent and must be considered a major public health concern during pregnancy.
鲜有研究调查过骨盆带疼痛(PGP)患者的生活经历及其对孕妇生活的影响。为了弥补这一知识空白,本研究调查了孕妇在妊娠期间经历 PGP 的情况。
本研究采用目的抽样法,选取 9 名确诊为 PGP 的孕妇进行访谈,了解其生活经历。访谈内容被记录下来,转录为文字,并采用扎根理论方法进行分析。
从分析妊娠期间 PGP 患者的生活经历中得出的核心范畴是“与日常生活作斗争和忍受疼痛”。确定了与 PGP 相关的三个属性:i)理解不可理解的事物;ii)平衡支持和依赖;iii)管理损失。这些由受访者所表达的经历构成了 PGP 的后果的基础:iv)忍受疼痛;v)成为负担;vi)权衡风险;以及受访者作为 vii)放弃母亲角色的经历。最后,呈现了受访者对当前妊娠和任何潜在未来妊娠后果的经历:viii)付出代价和重新考虑未来。呈现了 PGP 孕妇经历的行动和后果的概念模型。
妊娠期间的 PGP 极大地影响了孕妇对妊娠的体验、她在人际关系中的角色以及她的社会环境。对于有年幼子女的受访者来说,PGP 会对母亲的角色产生负面影响,这进一步加剧了这种情况。由于持续的疼痛干扰了受访者生活的大部分方面,因此改善 PGP 的治疗方法对于提高生活质量至关重要。这种与妊娠相关的疾病普遍存在,必须被视为妊娠期间的一个主要公共卫生问题。