Kuipers Yvonne J, Greig Yvonne, Martinez Sandra Atencia, King Maria, Martin Caroline Hollins
School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK.
NHS Lothian, Edinburgh, UK.
Perspect Sex Reprod Health. 2025 Sep;57(3):301-320. doi: 10.1111/psrh.70022. Epub 2025 Jun 25.
Emotional touchpoints are moments during perinatal care that evoke an emotional response in a woman. There is a lack of knowledge regarding the centrality of how touchpoints and emotions are framed in the real-life experiences of childbearing women.
To explore how birth-related emotional touchpoints interact and how the emotions in the context of these healthcare experiences interact.
We performed a systematic mixed studies review to capture childbearing women's prospective and retrospective reports of birth expectations and experiences. We conducted a literature search in CINAHL (EBSCO), Medline (EBSCO), PubMed, Web of Science, and Ovid, followed by hand searching and forward and backward citation searching from the included articles. We performed a quality appraisal using the Critical Appraisal Skills Program. We used Epistemic Network Analysis to model and visualize the connections and structure of the emotional touchpoints and the emotions.
We included 28 articles, showing overall moderate quality. We constructed two models, one of emotional touchpoints and one of emotions. The emotional touchpoints model showed a strong connection between Coping and the Process of Labor & Birth and between the Process of Labor & Birth and Beliefs (belief systems) about Labor & Birth. The primary emotions model showed strong connections between Joy and Fear, between Fear and Sadness and between Sadness and Joy.
This paper illustrates how the multidimensionality of birth-related emotional touchpoints and the positive and negative emotions prospectively and retrospectively reported by pregnant and postpartum women were distilled-informing the conversation between care providers and childbearing women.
情感触点是围产期护理过程中引发女性情感反应的时刻。对于在生育女性的现实生活经历中，情感触点和情感是如何被构建的核心问题，我们了解不足。
探讨与分娩相关的情感触点如何相互作用，以及在这些医疗保健经历背景下的情感如何相互作用。
我们进行了一项系统的混合研究综述，以获取生育女性对分娩期望和经历的前瞻性和回顾性报告。我们在CINAHL（EBSCO）、Medline（EBSCO）、PubMed、科学网和Ovid中进行了文献检索，随后对纳入文章进行手工检索以及向前和向后的引文检索。我们使用批判性评估技能计划进行质量评估。我们使用认知网络分析对情感触点和情感之间的联系及结构进行建模和可视化。
我们纳入了28篇文章，总体质量中等。我们构建了两个模型，一个是情感触点模型，另一个是情感模型。情感触点模型显示应对与分娩过程之间以及分娩过程与关于分娩的信念（信仰体系）之间有很强的联系。主要情感模型显示喜悦与恐惧之间、恐惧与悲伤之间以及悲伤与喜悦之间有很强的联系。
本文阐述了与分娩相关的情感触点的多维度性，以及孕妇和产后女性前瞻性和回顾性报告的积极和消极情感是如何被提炼出来的，为护理提供者和生育女性之间的交流提供了信息。
