Anna Freud National Centre for Children and Families, London, UK.
Infant Ment Health J. 2020 Sep;41(5):628-641. doi: 10.1002/imhj.21876. Epub 2020 Jun 30.
A substantial number of birth mothers experience repeat removals of their infants and children due to child protection concerns. The perspectives of mothers going through repeat removals and their experiences of pregnancy are insufficiently researched.
The current qualitative study aimed to explore the maternal representations of five pregnant mothers at risk of recurrent care proceedings. A thematic analysis of these mothers' responses to the Pregnancy Interview focused on their representations of themselves as mothers, of their babies, and of the mother-baby relationship.
Seven key themes were identified: (1a) "Uncertainty and fear of losing the baby," (1b) "Uncertainty but hope of becoming a mother," (2) "Not wanting to be like their own mother," (3) "Experiencing recovery and pregnancy as two interdependent processes," (4) "Struggling to imagine the baby," (5) "The omnipresence of previous children," (6) "Pleasure at starting to have a connection with the baby," and (7) "Noting the baby's dependency."
The results are clinically relevant as they highlight grief, maternal self-identity, recovery from substance abuse, and ability to manage uncertainty as critical areas of intervention for these mothers.
由于儿童保护问题，相当数量的生母经历了多次婴儿和儿童的被带走。对经历多次被带走的母亲及其怀孕经历的看法研究不足。
本研究旨在探讨 5 名有再次面临儿童保护诉讼风险的孕妇的母亲代表。对这些母亲对妊娠访谈的回应进行主题分析，重点关注她们对自己作为母亲、对婴儿以及对母婴关系的代表。
确定了 7 个关键主题：（1a）“对失去婴儿的不确定和恐惧”，（1b）“不确定但希望成为母亲”，（2）“不想成为自己的母亲”，（3）“将恢复和怀孕视为两个相互依存的过程”，（4）“难以想象婴儿”，（5）“以前孩子的无处不在”，（6）“开始与婴儿建立联系的喜悦”，以及（7）“注意到婴儿的依赖”。
研究结果具有临床相关性，因为它们强调了悲伤、母亲的自我认同、戒除药物滥用以及应对不确定性的能力是这些母亲干预的关键领域。
