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[失落与悲伤:因致命胎儿畸形而终止妊娠的女性的经历]

[Loss and grieving: the experiences of women who terminate a pregnancy due to lethal fetal malformations].

作者信息

Consonni Elenice Bertanha, Petean Eucia Beatriz Lopes

机构信息

Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, UNESP, Distrito de Rubião Jr s/n, Rubião Jr, 18.618-970 Botucatu SP, Brazil.

出版信息

Cien Saude Colet. 2013 Sep;18(9):2663-70. doi: 10.1590/s1413-81232013000900021.

Abstract

The scope of this study was to investigate the grieving experiences of women who terminated pregnancies under judicial authorization, due to life-incompatible fetal malformation. Ten women attended in the Fetal Medicine Department of Botucatu Clinical Hospital participated in the study. Data collection was conducted by means of semi-structured interviews forty days after termination. The interviews were recorded and transcribed in full, with the data analyzed from the thematic content analysis perspective. The results revealed that the mothers sought explanations and meanings for the loss, with religious responses and self-blame being very frequent. The reports were marked by feelings of sadness, longing and sensations of emptiness due to the loss of the child, revealing the need of the mothers to dwell on the issue. The mothers were and continued to be linked to their children; the termination of the pregnancy, although being a choice to minimize the pain of an inevitable loss, did not spare the women from experiences of great suffering.>The study includes input for the discussion and planning of health approaches and care for women who terminate their pregnancy due to lethal fetal malformation, by means of judicial authorization.

摘要

本研究的范围是调查因胎儿存在与生命不相容的畸形而在司法授权下终止妊娠的女性的悲伤经历。十名在博图卡图临床医院胎儿医学科就诊的女性参与了该研究。在终止妊娠四十天后,通过半结构化访谈进行数据收集。访谈进行了全程录音和转录,并从主题内容分析的角度对数据进行了分析。结果显示,母亲们为这种失去寻找解释和意义,宗教回应和自责的情况非常常见。这些报告的特点是因失去孩子而产生的悲伤、思念和空虚感,揭示了母亲们需要反复思考这个问题。母亲们过去和现在都与她们的孩子有联系;终止妊娠虽然是为了尽量减少不可避免的损失所带来的痛苦而做出的选择,但并没有使这些女性免于巨大的痛苦经历。该研究为关于因致命胎儿畸形而通过司法授权终止妊娠的女性的健康方法和护理的讨论及规划提供了参考。

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