高龄产妇意外妊娠：基于过渡理论的分析。
Unplanned pregnancy at advanced maternal age: analysis in light of Transition Theory.
作者信息
Aldrighi Juliane Dias, Cardoso Hérica de Lara, Girardon-Perlini Nara Marilene Oliveira, Jorge Herla Maria Furtado, Souza Silvana Regina Rossi Kissula, Benedett Deisi Cristine Forlin, Trigueiro Tatiane Herreira, Wall Marilene Loewen
机构信息
Universidade Federal do Paraná, Setor Litoral, Matinhos, PR, Brazil.
Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brazil.
出版信息
Rev Esc Enferm USP. 2024 Oct 25;58:e20240172. doi: 10.1590/1980-220X-REEUSP-2024-0172en. eCollection 2024.
OBJECTIVE
To analyze the experience of women aged 35 or over regarding the transition to unplanned motherhood.
METHOD
A descriptive qualitative study, with semi-structured interviews with six women in this age group, selected by convenience, carried out in a high-risk prenatal clinic between July 2022 and July 2023. Analysis was based on Transitions Theory.
RESULTS
Three main categories were identified: Transition properties (attributes of late motherhood); Transition conditions (personal, social and community factors as facilitators or inhibitors); and Response patterns (coping and adaptation strategies). The results highlight the emotional and psychosocial complexity, including the impact of social stigma, health challenges and the duality of old age, which brings both challenges and maturity.
CONCLUSION
The need for public policies and specialized support to promote mental health, well-being and social integration is emphasized, aiming for a healthier and more empowered transition to motherhood.
目的
分析 35 岁及以上女性在意外怀孕过渡到母亲身份过程中的体验。
方法
这是一项描述性定性研究，采用便利抽样法，于 2022 年 7 月至 2023 年 7 月在高危产前诊所对 6 名该年龄段的女性进行了半结构化访谈。分析基于过渡理论。
结果
确定了三个主要类别：过渡特征（晚育属性）；过渡条件（个人、社会和社区因素作为促进或抑制因素）；和应对模式（应对和适应策略）。结果突出了情感和心理社会的复杂性，包括社会耻辱感、健康挑战和老年的双重性，这既带来了挑战，也带来了成熟。
结论
强调需要制定公共政策和提供专门支持，以促进心理健康、幸福感和社会融合，旨在实现更健康和更有能力的母亲身份过渡。
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