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丧亲母亲表达和捐献母乳的体验:诠释现象学研究。

Bereaved mothers' experience of expressing and donating breast milk: An interpretative phenomenological study.

机构信息

Department of Clinical Psychology, Queen's University, Belfast, Northern Ireland, UK.

出版信息

Matern Child Nutr. 2023 Jul;19(3):e13473. doi: 10.1111/mcn.13473. Epub 2023 Mar 16.

Abstract

Perinatal loss is a devastating event for any mother. What is often overlooked is a mothers continued ability to lactate following the death of her child. Donor breast milk is a commodity highly sought after given its value for feeding sick babies resident in Neonatal Intensive Care Units. This study aimed to explore the lived experience of mothers who have expressed and donated their breast milk following the loss of their infant. Seven bereaved mothers who donated milk to the Human Milk Bank in Northern Ireland were recruited. These women took part in semistructured interviews, which explored their experiences of perinatal loss and the role that expression/donation played for them in their grief. Their accounts were analysed using a qualitative interpretative phenomenological analysis (IPA) method. After transcription and analysis, three superordinate themes emerged; (1) fulfilling the mother role; (2) the power of being able to 'Do'; (3) making good from the bad. The stories of these women reflect the independent and individual nature of grief. Each mother gained a great deal of comfort in having the ability to express milk. For some this created a physical connection to their child, for others, it created time alone to process what had happened and for all, it created a sense of autonomy and ownership in what was otherwise a very turbulent time in their lives.

摘要

围产期损失对任何母亲来说都是毁灭性的事件。人们常常忽略的是,母亲在孩子去世后仍然有哺乳的能力。由于捐赠母乳对喂养住在新生儿重症监护病房的患病婴儿具有重要价值,因此这种母乳是一种备受追捧的商品。本研究旨在探讨在婴儿夭折后表达并捐献母乳的母亲的真实体验。在北爱尔兰母乳银行捐赠母乳的 7 名丧亲母亲被招募为研究对象。这些女性参与了半结构化访谈,探讨了她们在围产期丧失婴儿的经历,以及表达/捐献在她们悲痛中的作用。使用定性解释现象学分析(IPA)方法对她们的叙述进行了分析。转录和分析后,出现了三个上位主题:(1)履行母亲的角色;(2)能够“做”的力量;(3)变废为宝。这些女性的故事反映了悲痛的独立性和个体性。每位母亲都非常欣慰自己有哺乳的能力。对一些母亲来说,这与孩子建立了身体上的联系,对另一些母亲来说,这为她们提供了独自处理所发生事情的时间,对所有人来说,这都在她们生活中非常动荡的时期赋予了她们一种自主和所有权意识。

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本文引用的文献

1
Milk Donation Following a Perinatal Loss: A Phenomenological Study.围产期失落后的捐乳:一项现象学研究。
J Midwifery Womens Health. 2022 Jul;67(4):463-469. doi: 10.1111/jmwh.13342. Epub 2022 Feb 15.
2
Reviewing the experiences of maternal guilt - the "Motherhood Myth" influence.审视母性内疚的经历——“母亲神话”的影响。
Health Care Women Int. 2021;42(4-6):852-876. doi: 10.1080/07399332.2020.1835917. Epub 2021 Feb 18.
7
The Grief of Parents After the Death of a Young Child.幼儿死亡后父母的悲痛。
J Clin Psychol Med Settings. 2019 Sep;26(3):321-338. doi: 10.1007/s10880-018-9590-7.
10
The Long-Term Public Health Benefits of Breastfeeding.母乳喂养对长期公共健康的益处。
Asia Pac J Public Health. 2016 Jan;28(1):7-14. doi: 10.1177/1010539515624964.

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