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玻利维亚母亲围产期丧亲之痛的相关因素:一项定性研究

Factors Associated with Perinatal Bereavement Among Mothers in Bolivia: A Qualitative Study.

作者信息

Fernández-Cox Claudia Eva, Chirino-Ortiz María Fabiana, Lara Tania, Schulmeyer Marion K, Fernández-Alcántara Manuel

机构信息

Facultad de Humanidades, Comunicación y Artes, Universidad Privada de Santa Cruz de la Sierra, Av. Trasversal 1, Santa Cruz de la Sierra 2944, Bolivia.

Faculty of Health Psychology, Valencian International University, 46002 Valencia, Spain.

出版信息

Healthcare (Basel). 2025 Mar 12;13(6):615. doi: 10.3390/healthcare13060615.

Abstract

: The objective of this research was to analyze the experiences and factors associated with perinatal grief in mothers in the urban context of Santa Cruz de la Sierra, Bolivia. : The sample consisted of seven mothers who experienced a loss during pregnancy up to the second month after the baby's birth, occurring between 2015 and 2020 in the city of Santa Cruz de la Sierra. The mean age of the mothers was 34.86 years (SD = 3.13), and they belonged to middle or upper-middle socioeconomic levels. Data were collected through semi-structured interviews and analyzed using descriptive qualitative analysis. : The identified characteristics of perinatal grief were sadness, anger, guilt, emotional numbness, social isolation, and anxiety. Factors contributing to grief processing included support from the partner and family, when they accommodated and respected the mother's needs. Factors hindering the grieving process included social and cultural environments that often silence and minimize the loss, a history of previous losses, the desire to be pregnant, and the mother's life expectations and projects focused on motherhood. : In conclusion, this research suggests that perinatal losses in the Bolivian context may be influenced by factors such as knowledge of the cause of death, previous loss experiences, and their emotional effects. The limitations of the study include the lack of diversity in participants' educational and socioeconomic backgrounds and the restriction of the sample to an urban area in Bolivia. Emotional interventions to support these bereaved mothers in those complex moments should be integrated in the Bolivian healthcare system.

摘要

本研究的目的是分析玻利维亚圣克鲁斯-德拉谢拉市城区母亲围产期悲伤的经历及相关因素。样本由7名母亲组成,她们在2015年至2020年期间于圣克鲁斯-德拉谢拉市经历了孕期至产后第二个月内的丧子之痛。母亲的平均年龄为34.86岁(标准差=3.13),她们属于中或中高社会经济水平。通过半结构化访谈收集数据,并采用描述性定性分析进行分析。围产期悲伤的特征包括悲伤、愤怒、内疚、情感麻木、社交孤立和焦虑。有助于悲伤处理的因素包括伴侣和家人的支持,此时他们顺应并尊重母亲的需求。阻碍悲伤过程的因素包括社会和文化环境,这些环境常常使丧子之痛被忽视和淡化、既往有过丧子经历、渴望怀孕以及母亲专注于为人母的生活期望和计划。总之,本研究表明,在玻利维亚的情况下,围产期丧子可能受到诸如死因知晓情况、既往丧子经历及其情感影响等因素的影响。该研究的局限性包括参与者教育和社会经济背景缺乏多样性以及样本局限于玻利维亚的一个城市地区。在这些复杂时刻,支持这些丧亲母亲的情感干预措施应纳入玻利维亚的医疗保健系统。

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