Prinds Christina, Timmerman Connie, Hvidtjørn Dorte, Ammentorp Jette, Christian Hvidt Niels, Larsen Henry, Toudal Viftrup Dorte
University College South Denmark, Lembckesvej 7, 6100 Haderslev, Denmark; Department of Clinical Research, University of Southern Denmark, Winsløwparken 19, 5000 Odense, Denmark.
Health Services Research Unit, Lillebaelt Hospital, University of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.
Sex Reprod Healthc. 2021 Jun;28:100612. doi: 10.1016/j.srhc.2021.100612. Epub 2021 Mar 12.
There are multitudes of existential feelings and considerations around childbirth, with both positive and negative sources of existential meaning; often they are mixed up, but they impact parents' ideas of meaning and purpose in life. The aim of this study was to explore existential aspects of parenthood transition among new fathers and mothers in view of a potential training programme for professionals in maternity services.
Data were generated through a user-involving two-phase process inspired by action research consisting of first, four focus group-interviews (n = 10); and second, a theatre workshop for parents, health professionals, and researchers (n = 40). Between the two phases, case-narratives were constructed based on the interviews and, in collaboration with a dramatist, dramatized and then played at the workshop by professional actors. Data from interviews and the workshop were thematised for further analysis.
We identified five themes: 1. A turning point of what to hold sacred; 2. Changed relationships - guilt and overwhelming love; 3. Awareness of death; 4. Religiousness embodied; 5. What we talk about.
Existential aspects of parenthood transition were closely related to meaning in life, changes in relationships, awareness of death and relation to a transcendent belief. Existential aspects were explicated and discussed in nuanced ways expressing existential vulnerability. It is therefore important to both acknowledge and address existential aspects in maternity care, for the simple reason (among others) that they matter to parents. Moreover, this might enhance a coherent and authentic parenthood transition embedding the paradoxicalities.
分娩存在着众多的生存感受和思考，存在意义有积极和消极两个来源；它们常常交织在一起，但会影响父母对生活意义和目的的看法。本研究的目的是，鉴于为产科服务专业人员制定的潜在培训计划，探讨初为人父和初为人母者在为人父母转变过程中的生存层面。
数据通过一个受行动研究启发的、让用户参与的两阶段过程生成，首先是四次焦点小组访谈（n = 10）；其次是为父母、卫生专业人员和研究人员举办的一场戏剧工作坊（n = 40）。在两个阶段之间，根据访谈构建了案例叙事，并与一位剧作家合作，将其改编成戏剧，然后由专业演员在工作坊中表演。对访谈和工作坊的数据进行了主题化处理，以作进一步分析。
我们确定了五个主题：1. 何为神圣的转折点；2. 关系的变化——内疚与强烈的爱；3. 对死亡的认知；4. 体现出的宗教信仰；5. 我们谈论的内容。
为人父母转变过程中的生存层面与生活意义、关系变化、对死亡的认知以及与超验信仰的关系密切相关。生存层面以细致入微的方式得到阐释和讨论，表达了生存的脆弱性。因此，在产科护理中认识并处理生存层面很重要，原因很简单（还有其他原因），它们对父母很重要。此外，这可能会促进一个连贯且真实的为人父母转变过程，融入其中的矛盾之处。
