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无力的责任:女性照顾晚期早产儿经历的女性主义研究。

Powerless responsibility: A feminist study of women's experiences of caring for their late preterm babies.

机构信息

Bournemouth University, Faculty of Health and Social Sciences, Royal London House, Christchurch Road, Bournemouth BH1 3LT, UK.

出版信息

Women Birth. 2020 Jul;33(4):e400-e408. doi: 10.1016/j.wombi.2019.08.006. Epub 2019 Oct 7.

Abstract

PROBLEM

There is minimal research exploring women's experiences of caring for a late preterm baby. The emphasis in the literature is mostly baby centric.

BACKGROUND

The number of babies born late preterm is rising and women's views are largely unknown.

AIM

What are the experiences of women who are caring for a late preterm baby?

METHODS

A feminist lens was the key philosophical underpinning. Semi-structured interviews were undertaken with 14 women.

FINDINGS

Women who become mothers' of late preterm babies have a complex journey. It begins with separation, with babies being cared for in unfamiliar and highly technical environments where the perceived experts are healthcare professionals. Women's needs are side-lined, and they are required to care for their babies within parameters determined by others. Institutional and professional barriers to mothering/caring are numerous.

DISCUSSION

Some of the women who were separated from their babies immediately after birth had difficulties conceiving themselves as mothers, and others faced restrictions when trying to access their babies. Women described care that was centred on their babies. They were allowed and expected to care for their babies, but only with 'powerless responsibility'. Many women appeared to be excluded from decisions and were not always provided with full information about their babies.

CONCLUSION

Women whose babies are born late preterm would benefit from greater consideration in relation to their needs, rather than the focus being almost exclusively on their babies.

摘要

问题

几乎没有研究探讨女性照顾晚期早产儿的经历。文献的重点主要是围绕婴儿。

背景

出生晚期早产儿的数量正在增加,而女性的观点在很大程度上尚不清楚。

目的

照顾晚期早产儿的女性有哪些体验?

方法

女性主义视角是关键的哲学基础。对 14 名女性进行了半结构化访谈。

发现

成为晚期早产儿母亲的女性经历了一段复杂的旅程。首先是分离,婴儿在陌生的、高度技术化的环境中接受护理,而这里的专家是医疗保健专业人员。女性的需求被忽视,她们需要在他人确定的参数范围内照顾自己的婴儿。机构和专业的育儿障碍众多。

讨论

一些在出生后立即与婴儿分离的女性很难将自己视为母亲,而另一些女性在试图接触婴儿时则面临限制。女性描述的护理是以婴儿为中心的。她们被允许并期望照顾自己的婴儿,但只能承担“无力的责任”。许多女性似乎被排除在决策之外,并且并不总是被告知关于她们婴儿的所有信息。

结论

出生晚期早产儿的女性需要更多地考虑她们的需求,而不是几乎完全关注她们的婴儿。

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