Værland Inger Emilie, Vevatne Kari, Brinchmann Berit Støre
Pediatric Department, Stavanger University Hospital, Norway.
Department of Health, University of Stavanger, Pb 8600 Forus, 4036 Stavanger, Norway.
Sex Reprod Healthc. 2017 Oct;13:8-13. doi: 10.1016/j.srhc.2017.05.002. Epub 2017 May 20.
To describe fathers' experiences of starting family life with an infant delivered prematurely out of necessity of saving the mother's and infant's lives due to the mother's severe preeclampsia.
A descriptive, qualitative design was used. Six fathers were interviewed twice: from 6 to 24 days and from 4 to 22 weeks after delivery. Data were transcribed verbatim and analyzed using a reflective lifeworld research approach.
The essence of the fathers' experiences of establishing a family with a seriously ill mother and a premature infant can be described as a process of becoming a family through reflection on life and death in a context of separation. The essence specifically comprised the following constituents: (1) starting fatherhood facing existential issues, (2) connecting the family, (3) becoming familiar with your infant, and (4) becoming a father in a public area.
The fathers were able to develop their relationship to their infants; this emphasizes the importance of the fathers being able to spend their time in the NICU. The privacy of the fathers were more or less challenged, health professionals should be aware of individualize their approach to the fathers. The study reveals that family life started with separation. Health professionals should try to ensure that the family should be together. Mutual guidelines between the wards that treats mother and child should be implemented. When new mother and child-centers are planned a family friendly environment should be prioritized.
描述因母亲重度子痫前期，为挽救母婴生命而不得不早产的情况下，父亲开启家庭生活的经历。
采用描述性定性设计。对六位父亲进行了两次访谈：分别在产后6至24天以及4至22周。数据逐字转录，并采用反思性生活世界研究方法进行分析。
父亲在母亲重病且婴儿早产的情况下建立家庭的经历本质，可描述为在分离背景下通过对生死的反思而成为一个家庭的过程。其本质具体包括以下几个方面：（1）初为人父面临生存问题；（2）维系家庭；（3）熟悉自己的婴儿；（4）在公共场合成为父亲。
父亲能够发展与婴儿的关系；这强调了父亲能够在新生儿重症监护室陪伴的重要性。父亲的隐私或多或少受到了挑战，医护人员应意识到要针对父亲采取个性化的方法。该研究表明家庭生活始于分离。医护人员应努力确保家人能够团聚。应实施母婴治疗科室之间的相互指导方针。在规划新的母婴中心时，应优先考虑营造家庭友好型环境。
