Javadifar Nahid, Majlesi Fereshte, Nasrabadi Alireza Nikbakht, Nedjat Saharnaz, Montazeri Ali
Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2013 May;18(3):222-7.
Studies indicate that becoming a mother is accompanied by prominent physical, social, and psychological changes which can affect not only mother's psychological healthiness, but also all other aspects of her personal and family life. The purpose of this research was to explore the struggles experienced by Iranian first-time mothers in adapting to their maternal role between 0 and 1 year after giving birth.
A qualitative design was used in this study. Twenty-one first-time mothers with diverse ethnic backgrounds were recruited in their home or healthcare centers in Tehran and Ahwaz. Data collected through in-depth interviews were analyzed by qualitative content analysis.
THE ANALYSIS PRODUCED FOUR THEMES: "Unpreparedness," "lack of control," "incomplete maternal feelings," and "unstable relations." The main theme, "internal conflict," integrates all other categories and encapsulates the major changes to which women are subjected, as well as the factors distressing this experience.
Discrepancies between subjective expectations and postnatal experiences take an influential role in causing postpartum conflict and strain. The more accurate information mothers and families have about this transitory stage, the better they can get prepared to deal with it. This specifies the pivotal role of midwives, midwifery educators, and healthcare policy makers in incorporating these concepts into training programs and protocols of healthcare and support services in due time, form, and content that is in accordance with mothers' mental and psychological needs.
研究表明，成为母亲伴随着显著的身体、社会和心理变化，这些变化不仅会影响母亲的心理健康，还会影响其个人和家庭生活的所有其他方面。本研究的目的是探讨伊朗初产妇在产后0至1年适应母亲角色过程中所经历的挣扎。
本研究采用定性设计。在德黑兰和阿瓦士的家中或医疗保健中心招募了21名具有不同种族背景的初产妇。通过深入访谈收集的数据采用定性内容分析法进行分析。
分析产生了四个主题：“准备不足”、“缺乏掌控感”、“母性情感不完整”和“关系不稳定”。主要主题“内心冲突”整合了所有其他类别，概括了女性所经历 的主要变化以及困扰这一经历的因素。
主观期望与产后经历之间的差异在导致产后冲突和压力方面发挥着重要作用。母亲和家庭对这一过渡阶段了解的信息越准确，就越能做好应对准备。这明确了助产士、助产教育工作者和医疗保健政策制定者在将这些概念及时、以合适的形式和内容纳入医疗保健培训计划及支持服务协议中所起的关键作用，这些形式和内容要符合母亲的精神和心理需求。
