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孕育的甜蜜与死亡的苦涩交织:险些丧命的母亲的亲身养育体验。

Mothering sweetness mixed with the bitterness of death: the lived mothering experience of near-miss mothers.

机构信息

Reproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Psychosom Obstet Gynaecol. 2022 Jun;43(2):128-135. doi: 10.1080/0167482X.2020.1832076. Epub 2020 Oct 26.

Abstract

PURPOSE

Maternal near miss (MNM) refers to women who survive death as a result of life-threatening obstetric complications or organ system dysfunction during pregnancy, childbirth or postpartum. The aim of the present study was to gain an understanding of mothering experiences in survivors 'mothers due maternal near miss event.

MATERIALS AND METHODS

Heideggerian hermeneutic phenomenology guided this qualitative study. The study was conducted 1 June and 30 December 2019. The sampling was purposeful with maximum variation of 11 near miss mother that used unstructured face-to-face interview for data collection. Data analyzed using Diekelmann, Allen, and Tanner seven stage thematic analysis approach.

FINDINGS

Emergent theme was "mothering sweetness mixed with the bitterness of death." The two themes constituting the essence was: "An Angel with Broken Wings" and "Mothering in the Shadow of Death." The subthemes comprised five sub-sub themes which emerged from over 850 meaning units. Data were analyzed using MAXQDA10 software.

CONCLUSION

Maternal health providers need to know that it is not enough only to focus on saving the mother's physical life. While strengthening the role of mothering is essential element to support near-miss mothers who have experienced difficult physical and psychological conditions. The "beyond numbers" concept, implies that it is not enough only to focus on saving the mother's physical life. Removing barriers in order to achieve to early mothering, can have a significant impact on reducing the psychological burden of MNM events.

摘要

目的

产妇near miss(MNM)是指由于危及生命的产科并发症或妊娠、分娩或产后期间的器官系统功能障碍而幸存下来的妇女。本研究的目的是了解因产妇 near miss 事件而幸存的母亲的育儿经历。

材料和方法

海德格尔的解释学现象学指导了这项定性研究。该研究于 2019 年 6 月 1 日至 12 月 30 日进行。采用目的性抽样,选取 11 名 near miss 母亲,使用非结构化面对面访谈进行数据收集。使用 Diekelmann、Allen 和 Tanner 的七阶段主题分析方法进行数据分析。

结果

出现的主题是“育儿的甜蜜夹杂着死亡的苦涩”。构成本质的两个主题是:“折翼天使”和“在死亡阴影下育儿”。子主题由五个子子主题组成,这些子主题源自 850 多个意义单位。使用 MAXQDA10 软件进行数据分析。

结论

产妇健康提供者需要知道,仅仅关注拯救母亲的生命是不够的。虽然加强母亲的角色是支持经历过身体和心理困难的 near-miss 母亲的必要元素,但“超越数字”的概念意味着,仅仅关注拯救母亲的生命是不够的。为实现早期育儿而消除障碍,可以对减轻 near miss 事件的心理负担产生重大影响。

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