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[哥伦比亚感染寨卡病毒且继续妊娠的女性的经历]

[Experience of women with prenatal Zika virus infection who continued gestation in Colombia].

作者信息

Laza-Vásquez Celmira, Rodríguez-Vélez María Elena, Lasso-Conde Jasleidy, Gea-Sánchez Montserrat, Briones-Vozmediano Erica

机构信息

Programa de Enfermería, Universidad Surcolombiana, Neiva-Departamento del Huila, Colombia; Grupo de investigación Salud y Grupos Vulnerables, Neiva, Colombia.

Programa de Enfermería, Universidad Surcolombiana, Neiva-Departamento del Huila, Colombia; Grupo de investigación Salud y Grupos Vulnerables, Neiva, Colombia.

出版信息

Gac Sanit. 2021 Sep-Oct;35(5):465-472. doi: 10.1016/j.gaceta.2020.02.014. Epub 2020 Jul 10.

Abstract

OBJECTIVE

To understand the decision-making process of a group of women to continue gestation following a prenatal Zika virus infection and the diagnosis of microcephaly of their fetuses.

METHOD

Qualitative study. Two discussion groups and semi-structured interviews were conducted with 21 women residing in the Department of Huila (Colombia) who presented a prenatal Zika virus infection between 2015 and 2016, their children were born with congenital microcephaly. The data were analyzed following the Grounded Theory approach.

RESULTS

Four categories emerged from the analysis of the data showing a temporal process, from before to taking the decision to continue gestation following prenatal Zika virus infection to its consequences. The process begins with the diagnosis virus infection during the first trimester of gestation, continuing with medical recommendations to interrupt gestation and women's refusal to interrupt gestation, and ending with the birth of children with congenital microcephaly.

CONCLUSION

Women rejected abortion due to ethical conflicts based on religious beliefs and the value of motherhood. It is necessary to design social support policies for women and families affected by this problem in Colombia. Due to the international impact of the epidemic, governments should take appropriate measures to deal with future cases of Zika infections in other countries.

摘要

目的

了解一组孕妇在产前感染寨卡病毒且胎儿被诊断为小头畸形后决定继续妊娠的决策过程。

方法

定性研究。对居住在(哥伦比亚)惠拉省的21名妇女进行了两个讨论组和半结构化访谈,这些妇女在2015年至2016年间出现产前寨卡病毒感染,她们的孩子出生时患有先天性小头畸形。数据采用扎根理论方法进行分析。

结果

数据分析产生了四类结果,显示了一个时间过程,从产前寨卡病毒感染后决定继续妊娠之前到其后果。这个过程始于妊娠头三个月诊断出病毒感染,接着是关于终止妊娠的医学建议以及妇女拒绝终止妊娠,最后是患有先天性小头畸形的孩子出生。

结论

由于基于宗教信仰和母性价值的伦理冲突,妇女拒绝堕胎。有必要为哥伦比亚受此问题影响的妇女和家庭设计社会支持政策。鉴于该疫情的国际影响,各国政府应采取适当措施应对其他国家未来的寨卡病毒感染病例。

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