在生出生命时被死亡触摸:一个超民族学,探讨女性在产后出血经历的经历
Kristine E Allum1, Synne Tilly1, Bente Dahl1
1Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences, University of South-Eastern Norway, Borre, Norway.
European journal of midwifery
|March 27, 2025
概括
产后出血 (PPH) 是一个危及生命的分娩并发症. 经历PPH的妇女觉得他们遇到了死亡,但同情的医疗保健提供者对于他们的康复和情感愈合至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 定性研究综合 定性研究综合
背景情况:
- 产后出血 (PPH) 是全球主要的孕产妇死亡原因之一.
- 幸存者PPH面临显著的长期的身体和心理挑战.
- 了解妇女的生活经历对于改善产后护理至关重要.
研究的目的:
- 为了调查女性产后出血 (PPH) 的经历.
- 为了获得关于女性在PPH后的护理和随访需求的新见解.
- 为PPH幸存者提供加强支持策略的信息.
主要方法:
- 在Noblit和Hare的七个阶段之后,进行了一项元民族学.
- 在 MEDLINE,CINAHL 和产妇和婴儿护理中进行了文献搜索.
- 包括8项研究,使用CASP进行质量评估.
主要成果:
- 总体的隐喻是"被死亡触摸,同时生出生命".
- 主题包括遇到死亡和恐惧 ("当死亡漫游时"),持久的情感影响 ("带着情感痕继续生活") 和支持性提供者的价值 ("医疗保健提供者作为混乱中的").
结论:
- 医疗保健提供者,特别是助产士的同情护理对于妇女从PPH中恢复至关重要.
- 改善沟通和情感支持是PPH幸存者产后护理的重要组成部分.
更多相关视频
相关概念视频
Life Histories
Constrained by limited energy and resources, organisms must compromise between offspring quantity and parental investment. This trade-off is represented by two primary reproductive strategies; K-strategists produce few offspring but provide substantial parental support, whereas r-strategists produce much progeny that receives little care. These strategies are related to an organism’s survival likelihood across its lifespan, which is represented by a survivorship curve. Three general types of...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Introduction to Hemostasis
Hemostasis is a complex physiological process that prevents excessive bleeding when a blood vessel is injured. It's crucial for maintaining the integrity of the circulatory system, as it ensures that our blood remains fluid while still within the vascular network and yet clots to prevent blood loss upon vessel injury.
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized, and...
The three phases of hemostasis involve many clotting factors present in plasma and several substances released by platelets and injured tissue cells. It is a fast, localized, and...
Fetal Circulation
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Bonanno's Theory of Grieving
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
The resilience...
Resilience
The resilience...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...


