Irani Morvarid, Khadivzadeh Talat, Asghari-Nekah Seyyed-Mohsen, Ebrahimipour Hosein
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2019 May-Jun;24(3):227-233. doi: 10.4103/ijnmr.IJNMR_97_18.
Progressing technology has increased the detection of fetal abnormalities in the pregnancy. Detection of fetal abnormalities during pregnancy can cause significant social, physical, psychological, and emotional stress. The aim of this study was to explore the coping strategies of Iranian pregnant women with detected fetal anomalies.
This qualitative content analysis study was conducted on two referral centers for fetal anomaly. The data were collected from April 2017 to January 2018 in Mashhad (Iran) through individual, semistructured, in-depth interviews with 25 pregnant women with a prenatal diagnosis of fetal anomalies. Data were analyzed using conventional content analysis based on Graneheim and Lundman's approach.
As a result of data analysis, the four categories of seeking information, religiousness and spirituality, cognitive avoidance, and seeking social support, and 12 subcategories emerged. Seeking information consisted of the four subcategories of personal search, visiting different doctors, performing various diagnostic tests and sonography, and seeking peers' experiences. Religiousness and spirituality contained the three subcategories of praying, acceptance of destiny, and reliance on faith. Cognitive avoidance consisted of the two subcategories of avoiding negative information and avoiding situations that remind them of their problem. Seeking social support contained the three subcategories of getting support from family, getting support from friends, and getting support from others.
The findings showed that pregnant women with detected fetal anomalies reported a variety of coping strategies. Therefore, it is important that healthcare providers encourage mothers to use strategies that are likely to be more effective.
技术的进步增加了孕期胎儿异常的检测率。孕期检测出胎儿异常会导致重大的社会、身体、心理和情绪压力。本研究的目的是探讨伊朗孕期被检测出胎儿异常的孕妇的应对策略。
本定性内容分析研究在两个胎儿异常转诊中心进行。2017年4月至2018年1月期间，在伊朗马什哈德通过对25名产前诊断为胎儿异常的孕妇进行个人、半结构化、深入访谈收集数据。采用基于格拉内海姆和伦德曼方法的常规内容分析法对数据进行分析。
数据分析得出了寻求信息、宗教与精神寄托、认知回避和寻求社会支持这四类以及12个子类别。寻求信息包括个人搜索、拜访不同医生、进行各种诊断测试和超声检查以及寻求同伴经验这四个子类别。宗教与精神寄托包含祈祷、接受命运和依靠信仰这三个子类别。认知回避由回避负面信息和回避使她们想起自身问题的情境这两个子类别组成。寻求社会支持包括从家人处获得支持、从朋友处获得支持以及从他人处获得支持这三个子类别。
研究结果表明孕期被检测出胎儿异常的孕妇报告了多种应对策略。因此，医疗保健提供者鼓励母亲们采用可能更有效的策略非常重要。
