Swinburne University of Technology, Hawthorn, Victoria, Australia.
Murdoch Children's Research Institute, Parkville, Victoria, Australia.
J Interpers Violence. 2021 Nov;36(21-22):10564-10587. doi: 10.1177/0886260519883863. Epub 2019 Nov 6.
Maternal and child health are strongly linked, particularly in the presence of intimate partner violence (IPV). Women who experience IPV are at increased risk of negative physical and mental health difficulties. However, little is known about the experience of mothering within the context of IPV and what mothers perceive as contributing to resilience. This study had two aims. First, to explore women's experience and perceived challenges associated with being a mother within the context of being in a relationship where IPV is being used. Second, to explore what mothers found helpful in coping during this experience. A nested qualitative sub-study was conducted within a prospective study of mothers during pregnancy and following the birth of their first child. Nine women who reported experiencing IPV since becoming pregnant with their first child participated in semi-structured qualitative interviews, which were then transcribed and analyzed using interpretive phenomenological analysis (IPA). Three subthemes emerged within the theme of unique challenges experienced by mothers. These were partner control over parenting, other disrespectful and controlling behavior, and emotional exhaustion. Within the theme of mothers' sense of resilience and coping, career development, making sense of experiences, focusing on children, and help-seeking played important roles in helping mothers manage these difficulties. Our findings highlighted the impact that IPV can have on the experience of mothering and the importance of prioritizing women's health and well-being. Finally, these findings emphasize the importance of health-care professionals identifying and acknowledging the signs of IPV to support women to speak out about their experiences.
母婴健康密切相关，尤其是在存在亲密伴侣暴力（IPV）的情况下。经历 IPV 的女性面临负面身心健康问题的风险增加。然而，对于在 IPV 背景下母亲的体验以及母亲认为有助于韧性的因素知之甚少。本研究有两个目的。首先，探讨女性在经历 IPV 的关系中作为母亲的体验和感知到的挑战。其次，探讨母亲在这种经历中发现有助于应对的因素。在一项对孕妇及其第一个孩子出生后的前瞻性研究中进行了嵌套的定性子研究。九名自怀孕以来报告经历过 IPV 的女性参加了半结构化的定性访谈，然后对访谈进行转录和分析，使用解释现象学分析（IPA）。在母亲体验到的独特挑战主题中出现了三个子主题。这些是伴侣对育儿的控制、其他不尊重和控制行为以及情绪疲惫。在母亲的韧性和应对主题中，职业发展、理解经验、关注孩子和寻求帮助在帮助母亲应对这些困难方面发挥了重要作用。我们的研究结果强调了 IPV 对育儿体验的影响，以及优先考虑妇女的健康和幸福的重要性。最后，这些研究结果强调了医疗保健专业人员识别和承认 IPV 迹象的重要性，以支持妇女公开谈论她们的经历。
