[流产是禁忌话题?- 通过医疗、社会和组织层面的机制进行锚定 "它伤透了我的心,事情就是这样......"]

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Sarah Christl-Sebinger, Barbara Schildberger
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引用次数: 0

摘要

导言流产是最常见的妊娠并发症。在这项工作中,从不同层面分析了与流产有关的经历及其对妇女的意义:方法:2023 年 5 月,对妇女进行了 14 次有指导的访谈。获得的文本材料将使用 Mayring 的内容分析方法进行更高层次的抽象,然后进行解读:研究结果证实了流产作为一种戏剧性经历的重要性,以及作为一种压力体验的广泛禁忌的假设。刻意选择志同道合者之间的交流、出于羞耻而隐瞒怀孕及随后的流产、自我保护以避免职业上的不利因素,以及假定伴侣负担过重,这些都不如在卫生部门运作的那些机制来得重要:在这个层面上,不信任、轻视以及组织和空间上的不足都是造成禁忌的原因。流产所带来的压力可以通过认识到悲伤并提供支持的人得到缓解:根据研究结果,可以主要在护理方面做出改进:认识流产、基于需求的支持服务、改善沟通要素以及组织和空间框架条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Taboo subject of miscarriage? - Anchoring through mechanisms at the medical, social, and organisational level "It broke my heart and that's just the way it is ..."]

Introduction:  Miscarriage is the most common complication of pregnancy. In this work, the experiences associated with miscarriage and their relevance for the women are analysed on different levels.

Method:  In May 2023, 14 guided interviews were conducted with women. The text material obtained will be brought to a higher level of abstraction using Mayring's content analysis approach and then interpreted.

Results:  The results of the study underpin the significance of a miscarriage as a dramatic experience and the assumption of a broad taboo experienced as stressful. The deliberately chosen exchange among like-minded people, the concealment of the pregnancy and subsequently the miscarriage for reasons of shame, self-protection from professional disadvantages, and the assumption of overburdening the partner do not weigh as heavily as those mechanisms that operate in the health sector: at this level, mistrust, trivialisation and organisational and spatial inadequacies contribute to tabooing. The stressful circumstance of miscarriage is cushioned by people who recognise the grief and offer support.

Conclusions:  Based on the results of the study, improvements can be derived primarily in the area of care: Recognition of miscarriage, needs-based support services, improvement of communicative elements and organisational and spatial framework conditions.

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来源期刊
Zeitschrift fur Geburtshilfe und Neonatologie
Zeitschrift fur Geburtshilfe und Neonatologie OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
1.10
自引率
0.00%
发文量
166
审稿时长
>12 weeks
期刊介绍: Gynäkologen, Geburtshelfer, Hebammen, Neonatologen, Pädiater
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