Bondas-Salonen T
Department of Caring Science, Abo Akademi University, Vasa, Finland.
J Clin Nurs. 1998 Mar;7(2):165-74.
The aim of this study is to explore and describe the new mother's experiences of postpartum care. It is part of an ongoing clinical longitudinal research project studying experiences of health, suffering and care and the organizational culture of Finnish maternity care. Postpartum care is seldom either technological or dramatic and has been shown to take low priority in both practice and research. This article uses the theoretical perspective of Eriksson as a basis for discussing insights gained from the phenomenological study. Nine women were interviewed at the end of their pregnancy, and 3 weeks, 3 months and 21/2 years after giving birth. The research approach was that of Colaizzi, which has its roots in phenomenological philosophy, and which attempts to present accurately the lived experiences of those studied. Data suggest that the transitional process from being an expectant mother to being a new mother occurs slowly but intensely in a unique way during the first days after the baby is born. The new mother experiences caring communion in sharing her life situation with the midwife, learning directly through the midwife's teaching and indirectly when the midwife enables her to be in peace and quiet together with her baby and family. Other new mothers are caring towards the woman reciprocally, sharing the same situation, helping one another and learning together. Three challenges in postpartum care emerge from this study. These are to understand the meaning of caring, to involve family and other new mothers more consciously, and to see the woman as a new mother who needs both to care and be cared for both by her family and friends and by professional carers.
本研究旨在探索和描述初为人母者的产后护理体验。它是一项正在进行的临床纵向研究项目的一部分，该项目研究健康、痛苦和护理体验以及芬兰孕产妇护理的组织文化。产后护理很少涉及技术层面或具有戏剧性，并且在实践和研究中都被证明优先级较低。本文以埃里克森的理论视角为基础，讨论从现象学研究中获得的见解。研究人员在9名女性怀孕末期、产后3周、3个月和2年半时对她们进行了访谈。研究方法采用了源于现象学哲学的科莱齐方法，该方法试图准确呈现被研究者的生活经历。数据表明，从准妈妈到新妈妈的过渡过程在婴儿出生后的头几天以一种独特的方式缓慢而强烈地发生。新妈妈在与助产士分享自己的生活状况时体验到关怀性交流，通过助产士的直接教导以及助产士让她能与宝宝和家人安静相处时的间接教导来学习。其他新妈妈也相互关怀，分享相同的经历，互相帮助并共同学习。本研究揭示了产后护理中的三个挑战。这些挑战包括理解关怀的意义，更有意识地让家人和其他新妈妈参与进来，以及将女性视为既需要家人和朋友关怀也需要专业护理人员照顾的新妈妈。
