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产后早期母亲的羞耻与同情体验:一项主题分析

Mother's experiences of shame and compassion in the early postnatal period: A thematic analysis.

作者信息

Marsden Julia, Whittingham Koa, Ziviani Jenny, O'Brien Sophie, Redmond Rebecca, Jomeen Julie, Meredith Pamela

机构信息

Faculty of Health, Southern Cross University, Bilinga, Gold Coast, Australia; School of Health and Behavioural Sciences, The University of Queensland, St Lucia, Australia.

Queensland Cerebral Palsy and Rehabilitation Research Centre, Child Health Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia.

出版信息

Midwifery. 2025 Aug;147:104454. doi: 10.1016/j.midw.2025.104454. Epub 2025 May 9.

Abstract

BACKGROUND

Mothers are less likely to seek support from maternity care providers who appear critical or judgmental. While compassion from providers can help mitigate the impact of shame, the experiences of shame within a mothers' close support network remains unexplored.

AIM

The aim of the present study was to explore mothers' experiences of shame and compassion within their support networks in the early postpartum period.

METHODS

Fourteen mothers were recruited when their babies were approximately 3-months old from a larger Australian study on shame and compassion. A thematic analysis of semi-structured interviews was undertaken.

FINDINGS

Six themes were identified by the authors: (1) unravelling judgment; (2) are you with me or against me?; (3) the voice of doubt: am I failing at this?; (4) when mothering ideals don't work out: managing shame in your village; (5) finding the right kind of support; and (6) weaving kindness into your role as a mother. All mothers, regardless of who shamed them turned towards others who were sensitive, sympathetic, and empathic, to cope with the shame experience.

DISCUSSION

Shame experiences can significantly influence mothers' willingness to access support, impacting their mental health. Maternity care providers can play a critical role in recognising and addressing these dynamics to foster a more supportive environment.

CONCLUSION

Understanding the complexities of shame and compassion can guide providers in creating compassionate care strategies that better serve mothers during this vulnerable period.

摘要

背景

母亲不太可能向那些显得挑剔或爱评判的产科护理人员寻求支持。虽然护理人员的同情有助于减轻羞耻感的影响,但母亲亲密支持网络中的羞耻经历仍未得到探索。

目的

本研究的目的是探讨母亲在产后早期其支持网络中的羞耻和同情经历。

方法

从澳大利亚一项关于羞耻和同情的大型研究中,招募了14名婴儿约3个月大的母亲。对半结构化访谈进行了主题分析。

结果

作者确定了六个主题:(1)解开评判;(2)你是支持我还是反对我?;(3)怀疑的声音:我在这方面失败了吗?;(4)当育儿理想行不通时:在你的圈子里应对羞耻感;(5)找到合适的支持;(6)将善意融入母亲角色。所有母亲,无论谁让她们感到羞耻,都会转向那些敏感、富有同情心和同理心的人,以应对羞耻经历。

讨论

羞耻经历会显著影响母亲寻求支持的意愿,进而影响她们的心理健康。产科护理人员在认识和处理这些动态关系以营造更具支持性的环境方面可以发挥关键作用。

结论

了解羞耻和同情的复杂性可以指导护理人员制定富有同情心的护理策略,以便在这个脆弱时期更好地服务母亲。

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