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初产妇产后持续性骨盆带疼痛的经历:描述性定性研究

Experiences of First-Time Mothers With Persistent Pelvic Girdle Pain After Childbirth: Descriptive Qualitative Study.

作者信息

Wuytack Francesca, Curtis Elizabeth, Begley Cecily

机构信息

F. Wuytack, MChiro, School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier St, Dublin 2, Ireland.

E. Curtis, PhD, School of Nursing and Midwifery, Trinity College Dublin.

出版信息

Phys Ther. 2015 Oct;95(10):1354-64. doi: 10.2522/ptj.20150088. Epub 2015 Apr 30.

Abstract

BACKGROUND

Pelvic girdle pain (PGP) is common during pregnancy and negatively affects women's lives. When PGP persists after the birth, the way it affects women's lives may change, particularly for first-time mothers as they adjust to motherhood, yet the experiences of women with persistent PGP remain largely unexplored.

OBJECTIVES

The objective of this study was to explore primiparous women's experiences of persistent PGP and its impact on their lives postpartum, including caring for their infant and their parental role.

DESIGN

This was a descriptive qualitative study.

METHODS

Following institution ethical approval, 23 consenting primiparous women with PGP that had started during pregnancy and persisted for at least 3 months postpartum participated in individual interviews. These interviews were recorded, transcribed, and analyzed using thematic analysis.

RESULTS

Four themes emerged: (1) "Putting up with the pain: coping with everyday life," in which women put up with the pain but had to balance activities and were grateful for support from family and friends to face everyday challenges; (2) "I don't feel back to normal," in which women's feelings of physical limitations, frustration, and a negative impact on their mood were described; (3) "Unexpected," in which persistent symptoms were unexpected for women due to a lack of information given about PGP; and (4) "What next?," in which the future of women's symptoms was met with great uncertainty, and they expressed worry about having another baby.

CONCLUSION

For first-time mothers, having persistent PGP postpartum affects their daily lives in many ways. These findings provide important information for health care providers, which will improve their understanding of these women's experiences, will enhance rapport, and can be used to provide information and address concerns to optimize maternity care during pregnancy and beyond.

摘要

背景

骨盆带疼痛(PGP)在孕期很常见,会对女性生活产生负面影响。当PGP在产后持续存在时,其对女性生活的影响方式可能会改变,尤其是对于初产妇来说,她们在适应母亲角色的过程中会受到影响,然而,持续性PGP女性的经历在很大程度上仍未得到充分探索。

目的

本研究的目的是探讨初产妇持续性PGP的经历及其对产后生活的影响,包括照顾婴儿和她们的父母角色。

设计

这是一项描述性定性研究。

方法

在获得机构伦理批准后,23名同意参与的初产妇,她们的PGP始于孕期并在产后持续至少3个月,参与了个人访谈。这些访谈进行了录音、转录,并采用主题分析法进行分析。

结果

出现了四个主题:(1)“忍受疼痛:应对日常生活”,其中女性忍受着疼痛,但必须平衡各项活动,并感激家人和朋友的支持以面对日常挑战;(2)“我感觉没恢复正常”,其中描述了女性身体受限的感觉、沮丧以及对情绪的负面影响;(3)“意想不到”,由于缺乏关于PGP的信息,持续性症状对女性来说是意想不到的;(4)“接下来怎么办?”,其中女性症状的未来充满极大不确定性,她们表达了对再次生育的担忧。

结论

对于初产妇来说,产后持续性PGP在许多方面影响她们的日常生活。这些发现为医疗保健提供者提供了重要信息,这将增进他们对这些女性经历的理解,加强融洽关系,并可用于提供信息和解决担忧,以优化孕期及之后的孕产护理。

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