Reid Esther W, McNeill Jenny A, Holmes Valerie A, Alderdice Fiona A
School of Nursing and Midwifery, Queens University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL UK.
School of Nursing and Midwifery, Queens University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast, BT9 7BL UK.
Midwifery. 2014 Apr;30(4):456-63. doi: 10.1016/j.midw.2013.05.007. Epub 2013 Jun 18.
to explore women's perceptions and experiences of pregnancy and childbirth following birth of a macrosomic infant (birth weight ≥4000g).
a qualitative design utilising interviews conducted 13-19 weeks post partum in women's homes. The study was conducted in one Health and Social Care Trust in Northern Ireland between January and September 2010. Participants were identified from a larger cohort of women recruited to a prospective study exploring the impact of physical activity and nutrition on macrosomia. Eleven women who delivered macrosomic infants participated in this phase of the study.
four overarching themes emerged: preparation for delivery; physical and emotional impact of macrosomia; professional relations and perceptions of macrosomia. Findings highlighted the importance of communication with health professionals in relation to both prediction of macrosomia and decision making about childbirth, and offers further understanding into the physical and emotional impact of having a macrosomic infant on women. Furthermore, there was evidence that beliefs and perceptions relating to macrosomia may influence birth experiences and uptake of health promotion messages.
this study provides important insight into women's experiences of macrosomia throughout the perinatal period and how they were influenced by previous birth experiences, professional relations and personal perceptions and beliefs about macrosomia. Pregnant women at risk of having a macrosomic infant may require extra support throughout the antenatal period continuing into the postnatal period. Support needs to be tailored to the woman's information needs, with time allocated to explore previous birth experiences, beliefs about macrosomia and options for childbirth.
探讨巨大儿（出生体重≥4000克）出生后女性对妊娠和分娩的认知及经历。
采用定性设计，在产后13 - 19周于女性家中进行访谈。该研究于2010年1月至9月在北爱尔兰的一个卫生和社会护理信托机构开展。参与者从一个更大的女性队列中选取，该队列被招募参与一项前瞻性研究，以探究身体活动和营养对巨大儿的影响。11名分娩巨大儿的女性参与了本研究阶段。
出现了四个总体主题：分娩准备；巨大儿对身体和情感的影响；专业关系以及对巨大儿的认知。研究结果强调了在巨大儿预测和分娩决策方面与健康专业人员沟通的重要性，并进一步深入了解了生育巨大儿对女性身体和情感的影响。此外，有证据表明与巨大儿相关的信念和认知可能会影响分娩经历以及对健康促进信息的接受。
本研究为女性在围产期经历巨大儿情况以及她们如何受到既往分娩经历、专业关系以及对巨大儿的个人认知和信念的影响提供了重要见解。有生育巨大儿风险的孕妇在整个产前直至产后阶段可能需要额外的支持。支持需要根据女性的信息需求进行调整，要留出时间来探讨既往分娩经历、对巨大儿的信念以及分娩选择。
