灾难中的新生：对女性在妊娠期间经历及 2016 年麦克默里堡野火事件的主题分析。
New Life Through Disaster: A Thematic Analysis of Women's Experiences of Pregnancy and the 2016 Fort McMurray Wildfire.
机构信息
Corbett Hall, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
Faculty of Rehabilitation Medicine, Heroes in Mind Advocacy and Research Consortium (HiMARC), University of Alberta, Edmonton, AB, Canada.
出版信息
Front Public Health. 2022 May 13;10:725256. doi: 10.3389/fpubh.2022.725256. eCollection 2022.
BACKGROUND
On May 3, 2016, residents of Fort McMurray Wood Buffalo, Alberta were evacuated due to an uncontrolled wildfire. The short-notice evacuation had destabilizing consequences for residents, including changes in routines, loss of control, and increased uncertainty. These consequences were especially detrimental to women who were pregnant or pre-conception during the evacuation. Pregnant and pre-conception women are particularly susceptible to a vast range of negative consequences during and post natural disasters, including elevated stress and higher incidence of pregnancy complications including gestational diabetes mellitus, pregnancy induced hypertension and C-section. The aim of this study was to understand the experiences, perceived stress and resilience of women who were pregnant during the wildfire. As well as to explore potential interventions to promote the health and enhance resilience of pregnant women and to assist in recovery after exposure to a natural disaster or other traumatic events.
METHODS
A qualitative thematic analysis of 16 narratives penned by pregnant women and recounted in Ashley Tobin's compilations 93/88,000 and 159 More/ 88,000: Stories of Evacuation, Re-Entry and the In-Between was conducted.
RESULTS
Analysis revealed five key themes: (1) experience of stress responses due to personal and external factors, (2) social connectedness and support as a facilitator of resilience, (3) performance of resilience-enhancing activities, (4) the roles of pregnancy and motherhood in the experiences of loss and resilience, and (5) the importance of home.
CONCLUSION
Pregnant women have unique barriers that may negatively impact them during a natural disaster or other form of stressful event. They may benefit from assistance with navigating role transition during pregnancy, training in stress management strategies, and writing interventions to build resiliency and begin the process of recovery from trauma.
背景
2016 年 5 月 3 日，由于野火失控，阿尔伯塔省麦克默里堡-伍德布法罗的居民被迫撤离。这次紧急撤离给居民带来了不稳定的后果，包括日常生活的改变、失去控制和增加的不确定性。这些后果对那些在撤离期间怀孕或备孕的妇女尤其不利。孕妇和备孕妇女在自然灾害期间和之后特别容易受到各种负面后果的影响，包括压力增加和妊娠并发症的发生率升高，如妊娠糖尿病、妊娠高血压和剖宫产。本研究旨在了解在野火期间怀孕的妇女的经历、感知压力和适应能力。并探讨潜在的干预措施，以促进孕妇的健康和增强适应能力，并协助她们在暴露于自然灾害或其他创伤性事件后恢复。
方法
对 Ashley Tobin 汇编的 93/88,000 和 159 More/88,000 中的 16 篇叙事进行了定性主题分析，这些叙事来自于在野火中怀孕的妇女的叙述。
结果
分析揭示了五个关键主题：（1）由于个人和外部因素而经历应激反应的体验，（2）社会联系和支持作为适应能力的促进因素，（3）增强适应能力的活动的表现，（4）怀孕和母亲身份在损失和适应能力方面的作用，以及（5）家庭的重要性。
结论
孕妇在自然灾害或其他形式的压力事件中可能会遇到独特的障碍，这可能会对她们产生负面影响。她们可能会受益于在怀孕期间帮助她们应对角色转变、压力管理策略培训以及写作干预措施，以增强适应能力并开始从创伤中恢复。
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