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母亲因子痫前期而生育早产儿的经历。

Mothers' experiences of having a premature infant due to pre-eclampsia.

作者信息

Vaerland Inger Emilie, Vevatne Kari, Brinchmann Berit Støre

机构信息

Pediatric Department, Stavanger University Hospital, Stavanger, Norway.

Department of Health, University of Stavanger, Stavanger, Norway.

出版信息

Scand J Caring Sci. 2018 Jun;32(2):527-534. doi: 10.1111/scs.12476. Epub 2017 Aug 10.

Abstract

AIM

Pre-eclampsia can lead to premature birth aimed at saving mothers' and infants' lives. Few studies have addressed how women with serious pre-eclampsia experience to become mothers to a premature infant. The aim was to describe the phenomenon of mothers' experience of being a seriously ill with pre-eclampsia and on the same time becoming a mother of a premature infant.

METHODOLOGY

A reflective phenomenological lifeworld approach with a descriptive design was used. Nine mothers were interviewed twice, between 6 and 24 days and 16 days to 16 weeks postpartum. The analysis was done by finding meaning units, and then contemporary clusters were made. The process was a movement between figure and background. The essence with its constituents emerged.

FINDINGS

Being a seriously ill mother of a premature infant requires journeying through physical and psychological suffering to be able to care and take responsibility for their beloved infants. The essence had the following constituents: conflicting feelings concerning giving birth, reflecting upon the borderline of life, longing for the infant, becoming a mother in actuality and experiencing physical exhaustion.

CONCLUSION

Because of the acuteness of the birth and the infant's prematurity, the mothers had various feelings about becoming mothers. Existential issues concerning life and death were triggered regarding their own lives and those of their infants. Their experiences are different from those of other NICU mothers; their illnesses initially restricted them from being with their infants. The mothers found that their own health and the fact that their infants were premature and had to stay in the NICU restricted them from being able to take care of their infants. While they recovered, they strived to act as they felt a real mother should.

摘要

目的

子痫前期可能导致早产,目的是挽救母婴生命。很少有研究探讨患有严重子痫前期的女性成为早产儿母亲的经历。目的是描述患有严重子痫前期同时又成为早产儿母亲的女性的经历这一现象。

方法

采用具有描述性设计的反思现象学生活世界方法。对9名母亲进行了两次访谈,分别在产后6至24天以及16天至16周之间。通过找出意义单元进行分析,然后形成当代聚类。这个过程是在图形和背景之间的转换。其本质及其构成要素显现出来。

结果

作为一名患有严重疾病的早产儿母亲,需要经历身体和心理上的痛苦,才能照顾并对自己心爱的的婴儿负责。本质具有以下构成要素:对分娩的矛盾情感、思考生命的界限、对婴儿的渴望、实际成为母亲以及体验身体疲惫。

结论

由于分娩的紧迫性和婴儿的早产,母亲们对成为母亲有各种感受。关于她们自己和婴儿的生死的存在主义问题被引发。她们的经历与其他新生儿重症监护病房母亲的经历不同;她们的疾病最初使她们无法陪伴婴儿。母亲们发现,自己的健康状况以及婴儿早产且必须留在新生儿重症监护病房这一事实,限制了她们照顾婴儿的能力。在她们康复的过程中,她们努力表现得像她们认为真正的母亲应该表现的那样。

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