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死胎后的再次妊娠:面对不确定性时的预期亲职状态

The subsequent pregnancy after stillbirth: anticipatory parenthood in the face of uncertainty.

作者信息

Phipps S

出版信息

Int J Psychiatry Med. 1985;15(3):243-64. doi: 10.2190/gdc5-ka60-jpnh-pnd2.

DOI:10.2190/gdc5-ka60-jpnh-pnd2
PMID:4066164
Abstract

Interviews were conducted with fifteen couples who had experienced a previous neonatal death and a subsequent successful pregnancy. Discussions focused on the stresses that were unique to the subsequent pregnancy, and parental adaptation to them. Results show that parents experienced markedly increased anxiety that was difficult for them to manage. Parental coping involved vigilant exploration of possible negative outcomes, and a withdrawal from outward signs of investment in the pregnancy. This did not appear to impair adaptation to parenthood, however, although anxiety regarding the child's health continued for several months after delivery. Implications of these findings for clinicians are discussed.

摘要

对15对曾经历过新生儿死亡且随后成功怀孕的夫妇进行了访谈。讨论聚焦于后续妊娠特有的压力以及父母对这些压力的适应情况。结果显示,父母经历的焦虑显著增加,且难以应对。父母的应对方式包括警惕地探究可能的负面结果,以及从对妊娠投入的外在表现中抽离出来。然而,这似乎并未损害对为人父母角色的适应,尽管产后数月对孩子健康的焦虑仍持续存在。文中讨论了这些研究结果对临床医生的启示。

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Pregnancy decisions after fetal or perinatal death: systematic review of qualitative research.胎儿或围产儿死亡后妊娠决策:定性研究的系统评价。
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National survey of obstetrician attitudes about timing the subsequent pregnancy after perinatal death.全国性调查:围产期死亡后再次妊娠时机的产科医生态度。
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