"I'm used to doing it by myself": exploring self-reliance in pregnancy.
"I'm used to doing it by myself": exploring self-reliance in pregnancy.
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DOI：
10.1186/s12884-018-2022-8
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发表时间：
2018-10-05
影响因子：
3.1
通讯作者：
Gariepy A
中科院分区：
文献类型：
--
作者：
McNamara BC;Cutler A;Lundsberg L;Kennedy HP;Gariepy A
自力更生（需要依靠自己的努力和能力）被认为是怀孕期间社会支持减少或缺乏的潜在应对策略。关于妇女如何看待怀孕期间自力更生的数据很少。我们从2014年6月至2015年6月在城市的免预约验孕诊所招募了女性。年龄在16至44岁之间且胎龄小于24周的女性符合条件。参与者完成了入学调查和面对面的半结构化面试。我们使用框架分析来确定关键概念并评估主题关系。84名讲英语的妇女完成了定性访谈。参与者平均年龄为26岁，估计胎龄为7周。大多数被确定为黑人（54%）或西班牙裔（20%），失业或家庭主妇（52%），未婚（92%），至少有一个孩子（67%）。大多数人不打算怀孕（61%），并计划继续怀孕和父母（65%）。我们确定自力更生是一个普遍的概念，几乎一半（48%）的参与者讨论了与怀孕的关系。怀孕期间的自立包括几个次主题：1）过去的经验，2）母亲的期望，3）经济独立，4）决策，5）养育子女。自力更生是妇女生殖生活的一个重要方面，贯穿于妇女过去和现在关于怀孕的思想、感情、经历和决定。妇女相信自己可以自力更生，并认识到自力更生的局限性，这值得进一步研究，特别是作为科普怀孕期间社会支助减少或缺乏的潜在战略。本文的在线版本（10.1186/s12884-018-2022-8）包含补充材料，可供授权用户使用。
Self-reliance (the need to rely on one’s own efforts and abilities) is cited as a potential coping strategy for decreased or absent social support during pregnancy. Little data exists on how women view self-reliance in pregnancy. We recruited women from urban, walk-in pregnancy testing clinics from June 2014–June 2015. Women aged 16 to 44 and at less than 24 weeks gestational age were eligible. Participants completed an enrollment survey and in-person, semi-structured interviews. We used framework analysis to identify key concepts and assess thematic relationships. Eighty-four English-speaking women completed qualitative interviews. Participants averaged 26 years of age and 7 weeks estimated gestational age. Most identified as Black (54%) or Hispanic (20%), were unemployed or homemakers (52%), unmarried (92%), and had at least one child (67%). Most did not intend to get pregnant (61%) and planned to continue their pregnancy and parent (65%). We identified self-reliance as a prevalent concept that almost half (48%) of participants discussed in relationship to their pregnancy. Self-reliance in pregnancy consisted of several subthemes: 1) past experiences, 2) expectations of motherhood, 3) financial independence, 4) decision making, and 5) parenting. Self-reliance is an important aspect of women’s reproductive lives and is threaded through women’s past and current thoughts, feelings, experiences and decisions about pregnancy. Women’s belief in their own self-reliance as well as a recognition of the limits of self-reliance merits further research, especially as a potential strategy to cope with decreased or absent social support during pregnancy. The online version of this article (10.1186/s12884-018-2022-8) contains supplementary material, which is available to authorized users.
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影响因子：
3.1
作者：
Lamarca GA;do C Leal M;Sheiham A;Vettore MV
通讯作者：
Vettore MV
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
7.6
作者：
COLLINS, NL;DUNKELSCHETTER, C;SCRIMSHAW, SCM
通讯作者：
SCRIMSHAW, SCM
影响因子：
4.2
作者：
Lobel, M;DeVincent, CJ;Meyer, BA
通讯作者：
Meyer, BA
影响因子：
5.8
作者：
Jones RK;Jerman J
通讯作者：
Jerman J