"How am I going to make it through pregnancy?" A qualitative examination of prenatal maternal stress.
"How am I going to make it through pregnancy?" A qualitative examination of prenatal maternal stress.
复制标题
DOI：
10.1111/birt.12598
复制
发表时间：
2022-06
影响因子：
2.5
通讯作者：
Lobel, Marci
中科院分区：
文献类型：
--
作者：
Mahaffey, Brittain L.;Tilley, Jacqueline L.;Molina, Lucero K.;Gonzalez, Adam;Park, Elyse;Lobel, Marci
孕期母体应激(PNMS)在育龄妇女中很常见，有大量证据表明，孕期持续高水平的应激与不良的分娩结局和较差的产后心理健康有关。因此，这项研究的目的是考察在目前或最近一次怀孕期间经历PNMS升高的妇女的具体经历。研究对象为美国某大型医学中心的26名妇女(孕妇16人，产后10人)，共进行了6个焦点小组的研究。两个独立的评分者使用传统的内容分析来分析来自半结构化的Foucs组提示的数据。从数据中发现了三个关键主题：(1)适应不断变化的环境，(2)成为一个“好”的母亲，(3)失去控制和自主性。目前的研究提供了使用定性方法对高压力孕妇经历的第一次深入检查之一，并确定了在定量研究中很少描述的压力源。这些调查结果表明，妇女优先考虑自我护理、在工作场所获得结构性/体制性支持和在家庭中获得工具性支持、以及全面的健康素养有助于成功应对压力，并突出未来重要的干预方向。
Prenatal maternal stress (PNMS) is common among childbearing women, and there is substantial evidence that persistently high levels of stress during pregnancy are associated with adverse birth outcomes and poorer postpartum mental health. Therefore, the purpose of this study was to examine idiographic experiences of women who experienced elevated PNMS during their current or most recent pregnancy. Six focus groups were conducted and data were collected from 26 women (n = 16 pregnant, n = 10 postpartum) at a large medical center in the United States (US). Data from the semi-structured, foucs group prompts were analyzed by two independent raters using Conventional Content Analysis. Three key themes emerged from the data: (1) Navigating Changing Circumstances, (2) Being a “Good” Mother, and (3) Loss of Control and Autonomy. The current study offers one of the first in-depth examinations of the experiences of highly stressed pregnant women using a qualitative approach and identifies stressors rarely described in quantitative research. These findings suggest that women’s ability to prioritize their self-care, receive structural/institutional supports in the workplace and instrumental support at home, and overall health literacy promote successful coping with stress and highlight important future directions for intervention.
登录
查看更多内容
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
6.9
作者：
Dunkel Schetter C;Tanner L
通讯作者：
Tanner L
影响因子：
4.2
作者：
Dominguez, Tyan Parker;Dunkel-Schetter, Christine;Sandman, Curt A.
通讯作者：
Sandman, Curt A.
影响因子：
3.3
作者：
Orr, Suezanne T.;Reiter, Jerome P.;James, Sherman A.
通讯作者：
James, Sherman A.
影响因子：
3.3
作者：
Schneider, Eric F.;Castleberry, Ashley N.;Stowe, Cindy D.
通讯作者：
Stowe, Cindy D.