'They've forgotten that I'm the mum': constructing and practising motherhood in special care nurseries

'They've forgotten that I'm the mum': constructing and practising motherhood in special care nurseries
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DOI:
10.1016/s0277-9536(00)00396-8
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发表时间:
2001-10-01
影响因子:
5.4
通讯作者:
Fenwick, J
Fenwick, J
中科院分区:
医学2区
文献类型:
--
作者:
Lupton, D;Fenwick, J

文献摘要

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很少有社会学研究试图调查住院新生儿的妇女如何构建和实践母性。本文旨在利用来自两个澳大利亚新生儿托儿所的定性研究项目的数据来解决这一缺陷。对 31 名住院新生儿的母亲和 20 名新生儿护士进行了访谈,其他数据通过对托儿所的观察、家长与托儿所工作人员之间的录音口头互动以及与母亲和护士的随意交谈获得。数据显示,虽然母亲和护士在新生儿托儿所中关于什么是“好母亲”的讨论在一定程度上趋同,但也存在重要差异。母亲们特别强调与婴儿身体接触和母乳喂养的重要性,而护士们则优先考虑留在婴儿室并愿意了解婴儿的状况和治疗。有证据表明,母亲和护士之间在处理和治疗婴儿问题上存在权力斗争,这对母亲们如何构建和实践母性产生了影响。母亲们试图将自己塑造成“真正的母亲”,这包括与婴儿建立联系并使他们正常化。随着时间的推移,许多母亲试图将自己定位为婴儿方面的专家。就护士而言,他们试图凭借自己的医疗培训和经验将自己定位为“父母的老师和监督者”、“婴儿的保护者”和“专家”。对情况界定的差异导致母亲们感到沮丧、怨恨和愤怒,并导致许多护士采取隐蔽和公开的纪律和监视行动。护士对母亲的态度和待遇对于母亲与婴儿在托儿所的关系的发展至关重要,这种影响超出了婴儿出院的范围。 (C) 2001 Elsevier Science Ltd. 保留所有权利。
Little sociological research has sought to investigate the ways in which women with hospitalized newborn infants construct and practice motherhood. This article seeks to address this lacuna, using data from a qualitative research project based in two Australian neonatal nurseries. Thirty-one mothers of hospitalized newborns and 20 neonatal nurses were interviewed, and other data were obtained via observations of the nurseries, tape-recorded verbal interactions between parents and nursery staff and casual conversations with mothers and nurses. The data revealed that while the mothers' and nurses' discourses on what makes a 'good mother' in the context of the neonatal nursery converged to some extent, there were important differences. The mothers particularly emphasized the importance of physical contact with their infants and breastfeeding, while the nurses privileged presence in the nursery and willingness to learn about the infant's condition and treatment. There was evidence of power struggles between the mothers and nurses over the handling and treatment of the infants, which had implications for how the mothers constructed and practised motherhood. The mothers attempted to construct themselves as 'real mothers', which involved establishing connection with their infants and normalizing them. In time, many of the mothers sought to position themselves as the experts' on their infants. For their part, the nurses attempted to position themselves as 'teachers and monitors of the parents', 'protectors of the infants' and 'experts' by virtue of their medical training and experience. Differences in defining the situation resulted in frustration, resentment and anger on the part of the mothers and disciplinary and surveillance actions on the part of many of the nurses, both covert and overt. The nurses' attitude to and treatment of the mothers was integral in the development of the mothers' relationship with their infants in the nurseries, and this influence extended beyond discharge of the infants. (C) 2001 Elsevier Science Ltd. All rights reserved.