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当你的孕期与疾病相呼应:炎症性肠病患者的母亲身份转变。

When Your Pregnancy Echoes Your Illness: Transition to Motherhood With Inflammatory Bowel Disease.

机构信息

1 University of Leeds, Leeds, United Kingdom.

2 University of Bradford, Bradford, United Kingdom.

出版信息

Qual Health Res. 2018 Jul;28(8):1283-1294. doi: 10.1177/1049732318763114. Epub 2018 Mar 26.

Abstract

Our aim is to provide an understanding of the experience of women with inflammatory bowel disease (IBD) who have made the transition to motherhood. A total of 22 mothers with IBD were recruited from around the United Kingdom. Semi-structured interviews were conducted and analyzed using thematic analysis. The central concept- Blurred Lines-offers a novel frame for understanding the transition to motherhood with IBD through identifying parallels between having IBD and becoming, and being, a mother. Parallels clustered into three main themes: Need for Readiness, Lifestyle Changes, and Monitoring Personal and Physical Development. Hence, women with IBD are in some ways well prepared for the challenges of motherhood even though, as a group, they tend to restrict their reproductive choices. We recommend health professionals initiate conversations about reproduction early and provide a multidisciplinary approach to pregnancy and IBD in which women have confidence that their ongoing treatment will be integrated successfully with their maternity care.

摘要

我们的目的是了解患有炎症性肠病(IBD)并已过渡到母亲身份的女性的经历。总共从英国各地招募了 22 名患有 IBD 的母亲。采用主题分析对半结构化访谈进行了分析。核心概念——“模糊界限”——通过识别患有 IBD 与成为母亲和成为母亲之间的相似之处,为理解患有 IBD 后过渡到母亲身份提供了一个新颖的框架。相似之处分为三个主题:需要准备、生活方式的改变和监测个人和身体的发展。因此,尽管患有 IBD 的女性倾向于限制她们的生殖选择,但在某些方面,她们为成为母亲的挑战做好了准备。我们建议医疗保健专业人员尽早开始讨论生殖问题,并提供多学科的妊娠和 IBD 方法,使女性有信心她们正在进行的治疗将与她们的产妇护理成功整合。

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