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怀孕、分娩与为人母:移民女性生活经历的元综合分析

Pregnancy, childbirth and motherhood: a meta-synthesis of the lived experiences of immigrant women.

作者信息

Benza Sandra, Liamputtong Pranee

机构信息

School of Public Health and Human Biosciences, La Trobe University, Bundoora, Victoria 3086, Australia.

School of Public Health and Human Biosciences, La Trobe University, Bundoora, Victoria 3086, Australia.

出版信息

Midwifery. 2014 Jun;30(6):575-84. doi: 10.1016/j.midw.2014.03.005. Epub 2014 Mar 12.

DOI:10.1016/j.midw.2014.03.005
PMID:24690130
Abstract

INTRODUCTION

pregnancy, childbirth and motherhood are natural processes that bring joy to individual women and families. However, for many migrant women, becoming a mother while attempting to settle in a new country where the culture is different, can be a challenge for them.

AIM

to identify and synthesise qualitative research studies that explore the perceptions of pregnancy, childbirth and motherhood, and lived experiences of migrant women in their new home country.

METHODS

the seven steps of Noblit and Hare׳s meta-ethnography was used to conduct the meta-synthesis. Searches for literature of qualitative studies were conducted in May and June 2013 using PubMed, CINAHL, Google Scholar and La Trobe University databases. Studies published in English addressing pregnancy, childbirth and motherhood experiences of women from immigrant backgrounds met the inclusion criteria.

FINDINGS

15 studies published between 2003 and 2013 related to the pregnancy, childbirth and motherhood experiences for women from migrant backgrounds were eligible for the meta-synthesis. Four major themes were identified as common in all the qualitative studies: expectations of pregnancy and childbirth; experiences of motherhood; encountering confusion and conflict with beliefs; and dealing with migration challenges.

CONCLUSIONS

migrant women׳s pregnancy, childbirth and motherhood experiences are influenced by societal and cultural values, and they vary depending on the adjustment process in the new home country. The provision of culturally sensitive maternal health services enhances positive outcomes of a healthy mother and healthy infant. Supportive structures that address the issue of language and cultural barriers seem to promote antenatal clinic attendance, prevent pregnancy and childbirth complications, and enhance their positive motherhood experiences.

IMPLICATIONS

women from immigrant backgrounds have the right to receive adequate and sensitive health care during the childbearing and childrearing times regardless of their migrant status.

摘要

引言

怀孕、分娩和为人母是给女性个人及家庭带来喜悦的自然过程。然而,对于许多移民女性来说,在试图融入一个文化不同的新国家时成为母亲,可能对她们而言是一项挑战。

目的

识别并综合探索移民女性在新祖国对怀孕、分娩和为人母的认知以及生活经历的定性研究。

方法

采用诺布利特和黑尔的元民族志七步法进行元综合。2013年5月和6月,利用PubMed、CINAHL、谷歌学术和拉筹伯大学数据库搜索定性研究文献。发表的英文研究涉及移民背景女性的怀孕、分娩和为人母经历的符合纳入标准。

结果

2003年至2013年间发表的15项与移民背景女性怀孕、分娩和为人母经历相关的研究符合元综合条件。在所有定性研究中确定了四个主要共同主题:对怀孕和分娩的期望;为人母的经历;在信仰方面遇到困惑和冲突;以及应对移民挑战。

结论

移民女性的怀孕、分娩和为人母经历受社会和文化价值观影响,并且因在新祖国的适应过程而异。提供具有文化敏感性的孕产妇保健服务可提高健康母亲和健康婴儿的积极结局。解决语言和文化障碍问题的支持性结构似乎能促进产前诊所就诊、预防怀孕和分娩并发症,并增强她们积极的为人母经历。

启示

移民背景的女性在生育和育儿期间有权获得充分且贴心的医疗保健,无论其移民身份如何。

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