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“产后医护人员对我漠不关心”:加纳库马西都会区产妇的围产期损失经历。

"The Health Caregivers Did Not Care about Me after the Loss": Maternal Experiences of Perinatal Loss in the Kumasi Metropolitan Area, Ghana.

机构信息

Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Ghana College of Nurses and Midwives, Accra, Ghana.

出版信息

J Soc Work End Life Palliat Care. 2023 Apr-Jun;19(2):133-149. doi: 10.1080/15524256.2023.2220078.

Abstract

One of the common undesirable outcomes of pregnancy is perinatal loss. Healthcare systems strive to reduce the incidence of perinatal loss but typically little attention is on the experiences of bereaved mothers following perinatal loss, particularly in low and middle-income countries where such deaths are common. This research explored the lived experiences of mothers with perinatal loss in the Kumasi metropolis, Ghana. A qualitative design was used to explore the experiences of nine (9) bereaved mothers from the Komfo Anokye Teaching Hospital's postnatal ward and the Mother and Baby Unit. Data were collected through face-to-face interviews using a semi-structured interview guide, audio-recorded, and thematically analyzed. One major finding was that mothers restricted mourning their dead babies based on fear of recurrent perinatal loss and traditional beliefs on delayed return to fertility. Mothers blamed healthcare providers for their loss due to their concerns about care received. Gaps in communication flow from healthcare professionals to bereaved mothers were commonly identified as mothers struggled to make meaning of their loss and coped with cultural restrictions and beliefs. Healthcare professionals must explore mothers' concerns and "gut-feelings," and pay attention to their communication needs following perinatal loss.

摘要

妊娠的常见不良后果之一是围产期损失。医疗保健系统努力降低围产期损失的发生率,但通常很少关注围产期损失后失去孩子的母亲的经历,特别是在中低收入国家,这种死亡很常见。这项研究探讨了加纳库马西大都市中经历围产期损失的母亲的生活经历。采用定性设计来探索来自 Komfo Anokye 教学医院产后病房和母婴单位的 9 名失去孩子的母亲的经历。通过使用半结构化访谈指南的面对面访谈收集数据,进行音频记录,并进行主题分析。一个主要发现是,母亲们因担心再次发生围产期损失和传统的关于延迟恢复生育能力的信念,限制了对死去婴儿的哀悼。母亲们因对所接受的护理感到担忧而将损失归咎于医疗保健提供者。医护人员与失去孩子的母亲之间沟通不畅是常见的问题,因为母亲们努力理解自己的损失,并应对文化限制和信仰的影响。医护人员必须在围产期损失后探索母亲的担忧和“直觉”,并关注她们的沟通需求。

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