Psychological factors that impact on women's experiences of first-time motherhood: a qualitative study of the transition
Psychological factors that impact on women's experiences of first-time motherhood: a qualitative study of the transition
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DOI：
10.1016/j.midw.2008.07.006
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发表时间：
2010-06-01
期刊：
影响因子：
2.7
通讯作者：
Farrand, Paul
中科院分区：
文献类型：
--
作者：
Darvill, Ruth;Skirton, Heather;Farrand, Paul
目的：生育是一个重要的转变，尤其是对第一次做母亲的人。本研究的目的是从妇女的角度探讨母亲的转变，并确定任何未得到满足的支持需求。设计：扎根理论被选为最合适的分析方法，因为它能够以归纳的方式识别社会过程。半结构化访谈被用来收集数据的参与者，和访谈成绩单进行了分析使用不断比较的方法。设置：社区内的一个地区的英国。参与者：13名妇女在访谈前6 - 15周分娩了第一个孩子的妇女（年龄>= 16岁）被招募到研究中。三个主题（控制、支持和组建家庭）都对核心类别"妇女自我概念的变化“有贡献。妇女认为，在怀孕初期和分娩后，她们对自己的生活失去了一些控制。他们自我形象的早期变化以及关注点从自己转向胎儿的需要表明，这种转变可能在妊娠早期就开始了。怀孕和初为人母的陌生领域需要一位或多位导师来帮助引导她们度过过渡期，并使她们的感受和经历“正常化”。最后，这些妇女认识到，生育的行为从根本上改变了她们和她们的伴侣，从个人或夫妇变成了一个新家庭的创始成员。关键结论：第一次做母亲的人在怀孕的近一个阶段开始经历转变。她们在怀孕初期和分娩后都面临困难时期，在这些时期对支助的需求，特别是对其他新母亲的支助的需求没有得到满足。对实践的影响：在怀孕前提供更多关于早孕的信息，可以使妇女对这一时期形成更准确的预期。促进孕妇之间的联系将有助于她们在分娩前建立更适当的支持网络。(C)2008爱思唯尔有限公司版权所有。
Objective: child bearing is a significant transition, especially for first-time mothers. The objectives of this study were to explore the maternal transition from womens' perspectives and to identify any unmet needs for support.Design: grounded theory was chosen as the most appropriate method of analysis due to its ability to identify social processes in an inductive way. Semi-structured interviews were used to collect data from the participants, and the interview transcripts were analysed using the constant comparative method.Setting: communities within one region of the UK.Participants: 13 women (aged >= 16 years) who had delivered their first child six to 15 weeks prior to the interview were recruited to the study.Findings: three main themes (control, support and forming a family) all contributed to the core category: 'changes in the woman's self-concept'. Women felt that they had lost some control over their lives in the early stages of pregnancy and after the birth. The early changes in their self-image and the shift in focus from themselves to the needs of the fetus indicate that the transition may begin at a very early stage in the first trimester. The unfamiliar territory of pregnancy and early motherhood created a need for a mentor or mentors to help guide them through the transition, and to 'normalise' their feelings and experiences. Finally, the women recognised that the act of child bearing fundamentally transformed them and their partners from individuals or a couple into founding members of a new family.Key conclusions: first-time mothers start to undergo a transition at a nearly stage in their pregnancy. They face difficult periods both early in the pregnancy and after the birth, and have unmet needs for support in those periods, particularly the support of other new mothers. Implications for practice: providing more information about early pregnancy before conception may enable women to form more accurate expectations of this period. Facilitating contact between pregnant mothers would help them to establish a more appropriate support network prior to the birth. (C) 2008 Elsevier Ltd. All rights reserved.