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创伤的完美风暴:经历过生育创伤并随后在澳大利亚获得住宿育儿服务的女性的体验。

The Perfect Storm of Trauma: The experiences of women who have experienced birth trauma and subsequently accessed residential parenting services in Australia.

机构信息

School of Nursing and Midwifery, Western Sydney University, Australia.

出版信息

Women Birth. 2018 Feb;31(1):17-24. doi: 10.1016/j.wombi.2017.06.007. Epub 2017 Jun 27.

DOI:10.1016/j.wombi.2017.06.007
PMID:28666701
Abstract

BACKGROUND

There appears to be a chasm between idealised motherhood and reality, and for women who experience birth trauma this can be more extreme and impact on mental health. Australia is unique in providing residential parenting services to support women with parenting needs such as sleep or feeding difficulties. Women who attend residential parenting services have experienced higher rates of intervention in birth and poor perinatal mental health but it is unknown how birth trauma may impact on early parenting.

AIMS AND OBJECTIVES

This study aims to explore the early parenting experiences of women who have accessed residential parenting services in Australia and consider their birth was traumatic.

METHODS

In-depth interviews were conducted with eight women across Australia who had experienced birth trauma and accessed residential parenting services in the early parenting period. These interviews were conducted both face to face and over the telephone. The data was analysed using thematic analysis.

FINDINGS

One overarching theme was identified: "The Perfect Storm of Trauma" which identified that the participants in this study who accessed residential parenting services were more likely to have entered pregnancy with pre-existing vulnerabilities, and experienced a culmination of traumatic events during labour, birth, and in the early parenting period. Four subthemes were identified: "Bringing Baggage to Birth", "Trauma through a Thousand Cuts", "Thrown into the Pressure Cooker", and "Trying to work it all out".

CONCLUSION

How women are cared for during their labour, birth and postnatal period impacts on how they manage early parenthood. Support is crucial for women, including practical parenting support, and emotional support by health professionals and peers.

摘要

背景

理想中的母亲形象与现实之间似乎存在差距,对于经历过生育创伤的女性来说,这种差距更为明显,并会对她们的心理健康产生影响。澳大利亚是唯一为有育儿需求(如睡眠或喂养困难)的妇女提供住宿育儿服务的国家。参加住宿育儿服务的妇女在分娩时经历了更高比例的干预,并且围产期心理健康较差,但尚不清楚生育创伤如何影响早期育儿。

目的和目标

本研究旨在探讨在澳大利亚接受住宿育儿服务的经历生育创伤的妇女的早期育儿经验,并考虑她们的分娩是否是创伤性的。

方法

在澳大利亚,对八名经历过生育创伤并在早期育儿期间接受过住宿育儿服务的妇女进行了深入访谈。这些访谈是通过面对面和电话进行的。使用主题分析对数据进行分析。

结果

确定了一个总体主题:“创伤的完美风暴”,该主题确定了在这项研究中接受住宿育儿服务的参与者更有可能在怀孕前就存在脆弱性,并在分娩期间和产后早期经历了一系列创伤性事件。确定了四个子主题:“带着包袱分娩”、“千疮百孔的创伤”、“扔进高压锅”和“努力解决一切”。

结论

女性在分娩、分娩和产后期间的护理方式会影响她们如何管理早期育儿。支持对女性至关重要,包括实际育儿支持以及卫生专业人员和同行的情感支持。

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