Soltani Farzaneh, Maleki Azam, Shobeiri Fatemeh, Shamsaei Farshid, Ahmadi Fazlollah, Roshanaei Ghodratollah
Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran.
Midwifery. 2017 Dec;55:38-44. doi: 10.1016/j.midw.2017.08.009. Epub 2017 Aug 30.
pregnancy is a unique health experience which is influenced by various factors, particularly culture and social context.
to explore women's perception regarding major challenges of adaptation with first pregnancy based on culture and social context.
a qualitative content analysis was used for data gathering and analysis. Data were collected through unstructured in-depth interviews.
the study was conducted in public health clinics in Hamadan city, an urban area in southwest of Iran from July to December 2016.
nineteen healthy primigravidas were recruited using a purposive sampling method and interviewed in the third trimester of pregnancy.
the two main categories extracted: imposing the motherhood role on oneself and negative feelings toward pregnancy. The feeling of being in limbo during pregnancy suggests that the everyday experiences of the participants were filled with challenges and short-term tensions, fears, and limitations of pregnancy overwhelmed the participants with negative feelings. As a result, they experienced doubt due to their inexperience in the acceptance of the responsibility of pregnancy and motherhood.
one of the challenges of adaptation to pregnancy is the experience of negative feelings toward physiological changes and sense of uncertainty toward accepting motherhood responsibilities. Thus, the provision of suitable interventions during the prenatal period to reduce negative feelings and improve women's self-sufficiency in adaptation to pregnancy seems necessary.
怀孕是一种独特的健康体验，受到多种因素的影响，尤其是文化和社会背景。
基于文化和社会背景，探讨女性对首次怀孕适应过程中主要挑战的认知。
采用定性内容分析法进行数据收集和分析。通过非结构化深度访谈收集数据。
该研究于2016年7月至12月在伊朗西南部城市哈马丹的公共卫生诊所进行。
采用目的抽样法招募了19名健康初产妇，并在妊娠晚期进行访谈。
提取出两个主要类别：自我强加母亲角色和对怀孕的负面情绪。孕期处于不确定状态的感觉表明，参与者的日常经历充满挑战和短期紧张情绪，怀孕带来的恐惧和限制让参与者充满负面情绪。因此，由于缺乏接受怀孕和母亲责任的经验，她们产生了怀疑。
适应怀孕的挑战之一是对生理变化产生负面情绪以及对接受母亲责任感到不确定。因此，在孕期提供适当干预措施以减少负面情绪并提高女性适应怀孕的自给自足能力似乎很有必要。
