College of Nursing, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, United States; School of Nursing, University of North Carolina Greensboro, 1007 Walker Avenue, Greensboro, NC 27412, United States.
College of Nursing, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, United States.
Midwifery. 2023 May;120:103628. doi: 10.1016/j.midw.2023.103628. Epub 2023 Feb 19.
To explore and define a woman-centered perspective on health during pregnancy.
Qualitative study using abductive thematic analysis of semi-structured interview data.
SETTING & PARTICIPANTS: Twenty pregnant participants, primarily single and low-income, were recruited from an urban women's health clinic in the Midwestern United States and interviewed during mid-to-late pregnancy.
Women experienced health as "deeper than physical health" to include emotional well-being, financial stability, and support. We defined the central theme of Deep Health to be an embodied sense of happiness, energy, stability, and purpose (Being) supported through positive health practices (Doing) and adequate financial and social resources (Having).
While the Doing aspects of health are often a focal point for health promotion efforts in prenatal care, a restricted focus on lifestyle behaviors may contribute to a lack of shared understanding about health between women and their healthcare providers. Greater attention to the Being and Having aspects of health may work to bolster shared priorities for health between pregnant women and their providers.
探索并定义怀孕期间以女性为中心的健康视角。
使用归纳主题分析方法对来自美国中西部城市妇女健康诊所的 20 名孕妇进行半结构化访谈的定性研究。
参与者主要是单身且收入较低的孕妇，在妊娠中期至晚期接受访谈。
女性将健康体验为“不仅仅是身体健康”，包括情绪健康、经济稳定和支持。我们将核心主题定义为深度健康，即通过积极的健康实践（做）和充足的财务和社会资源（有）来实现幸福感、能量、稳定性和目标感（存在）。
虽然健康促进措施在产前护理中经常关注健康的“做”方面，但对生活方式行为的限制关注可能导致妇女及其医疗保健提供者对健康缺乏共同理解。更多地关注健康的“存在”和“有”方面可能有助于增强孕妇及其提供者对健康的共同优先事项。
