A life changing experience: An interpretative phenomenological analysis of women's experiences of placenta accreta spectrum
A life changing experience: An interpretative phenomenological analysis of women's experiences of placenta accreta spectrum
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DOI：
10.1016/j.ejogrb.2020.09.014
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发表时间：
2020-11-01
影响因子：
2.6
通讯作者：
Brennan, Donal J.
中科院分区：
文献类型：
--
作者：
Bartels, Helena C.;Mulligan, Karen M.;Brennan, Donal J.
背景：胎盘植入频谱（PAS）的发病率正在上升。本研究探讨妇女的个人经验的怀孕，分娩和产后早期并发PAS。方法：一项定性研究，涉及7名妇女（年龄范围：33-44岁）怀孕后，在过去的两年中并发PAS进行。于2019年及2020年，我们采用诠释现象学分析方法，透过面对面访谈收集及分析数据。采访逐字转录。结果：妇女描述了他们的经验，从诊断到两年后出生，并专注于他们用来科普一个意想不到的诊断PAS的策略。出现了六大主题。在怀孕期间，妇女集中在诊断和管理家庭生活，从医院“直到你被告知”，“悲伤但安全”，“依靠他人可能无法忍受”。在出生方面，与自我和婴儿有关的死亡恐惧是中心。出生后的关键主题与持续的后果的条件，如“没有人相信我可以感觉到这么多的痛苦”和“它不是所有的结束，当你回家”。讨论：妇女谁经历了怀孕复杂的PAS经验的重大挑战与长期住院治疗，术后疼痛和许多表达的感觉，普遍担心持续数月后，他们的怀孕。这项研究作出了重要贡献，越来越多的研究机构在PAS，即妇女自己的声音。(C)2020爱思唯尔B. V.保留所有权利。
Background: The incidence of Placenta Accreta Spectrum (PAS) is increasing. This study explores women's personal experience of a pregnancy, birth and early postpartum period complicated by PAS.Methods: A qualitative study involving seven women (age range: 33-44 years) following a pregnancy in the previous two years complicated by PAS was conducted. Using an Interpretative Phenomenological Analysis approach data were collected and analysed in 2019 and 2020 through face-to-face interviews. Interviews were transcribed verbatim.Results: Women described their experience from diagnosis up to two years following the birth and focussed on the strategies they used to cope with an unexpected diagnosis of PAS. Six main themes emerged. In pregnancy, women were focussed on the diagnosis and managing family life from hospital "it's not until you are told", "sad but safe", "relying on others can be unbearable". In terms of the birth a fear of dying' related to self and baby was central. Postnatally key themes related to the ongoing consequences of the condition as "no one believed I could be feeling so much pain" and "it's not all over when you go home".Discussion: Women who have experienced a pregnancy complicated by PAS experience significant challenges associated with long term hospitalization, post-operative pain and many express feelings of being generally worried lasting many months after their pregnancy. This study makes an important contribution to the growing body of research in PAS, namely that of the woman's own voice. (C) 2020 Elsevier B.V. All rights reserved.