苦不堪言的生產疼痛？迷思與護理照護

疼痛是生產過程中常見且健康的生理現象，然而一般大眾及醫護人員對生產疼痛卻普遍存在病態的觀點，充滿著折磨、酷刑、痛苦等負向感受，而忽略它也包含保護、新生命、期待、目的、準備、進展等正面作用。由於生產疼痛的經驗與感受對於婦女日後情緒的健康、母嬰關係有深遠的影響，並可能影響母職任務的發展。因此，本文除了介紹常見的生產疼痛之迷思、疼痛感受的三階段外，並期許大家以一種感恩正向的思維來省思生產疼痛的意義，進而學習與疼痛為伴的態度來處理生產所造成的疼痛不適。

關鍵字

生產疼痛；疼痛迷思；因應

並列摘要

Pain is a common, normal, and healthy physical phenomenon during childbirth. However, widely held public and clinical perspectives treat pain as a pathologic process and consider labor pain in a negative context. These perspectives ignore the positive effects of pain in the domains of protection, new life, expectation, purpose, preparation, and progression. The pain interpretation and pain experience of new mothers deeply impact their mental health, maternal-infant relationship, and transition to motherhood. This paper introduces the common myths related to labor pain, the three stages of pain transmission, and the current approaches to pain management. The authors hope childbirth caregivers may accept labor pain as a meaningful, pleasant, and positive gift, which is the first and most important step toward effective pain management.

並列關鍵字

labor pain ； myths of pain ； coping

參考文獻

Alehagen, S., Wijma, B., & Wijma, K. (2006). Fear of childbirth before, during and after childbirth. Acta Obstetrica et Gynecologica Scandinavica, 85(1), 56－62. doi:10.1080/00016340500334844

Beck, C. T. (2004). Birth trauma: In the eye of the beholder. Nursing Research, 53(1), 28－35. doi:10.1097/00006199- 200401000-00005

Campbell, D. A., Lake, M. F., Falk, M., & Backstrand, J. R. (2006). A randomized control trail of continuous support in labor by a lay doula. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 35(4), 456－464. doi:10.1111/j.1552- 6909.2006.00067.x

Fenwick, J., Gamble, J., Nathan, E., Bayes, S., & Hauck, Y. (2009). Pre- and postpartum levels of childbirth fear and the relationship to birth outcome in a cohort of Australian women. Journal of Clinical Nursing, 18(5), 667－677. doi:10.1111/j.1365-2702.2008.02568.x

Goodman, P., Mackey, M. C., & Tavakoli, A. S. (2004). Factors related to childbirth satisfaction. Journal of Advanced Nursing, 46(2), 212－219. doi:10.1111/j.1365- 2648.2003.02981.x

被引用紀錄

洪彩純、林德華（2018）。一位歷經二次胎死腹中終止妊娠產婦之護理經驗。助產雜誌，(60)，71-81。https://doi.org/10.6518/TJOM.201812_(60).0008

謝郁芬、林玉蘭（2018）。一位因胎兒染色體異常行終止妊娠孕婦之生產照護經驗。助產雜誌，(60)，22-31。https://doi.org/10.6518/TJOM.201812_(60).0003

陳麗淇、陳旻婕、李惠蘭、黃美荏（2016）。運用Watson關懷理論於一位因胎兒重症甲型海洋性貧血接受終止妊娠婦女之護理經驗。助產雜誌，(58)，50-57。https://doi.org/10.6518/TJOM.2016.58.6

梁慧敏、高美玲、陳治平、劉介宇（2019）。入院待產時機教育課程於孕婦焦慮、不確定感、生產控制感及待產結果之成效。護理雜誌，66(2)，36-47。https://doi.org/10.6224/JN.201904_66(2).06

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苦不堪言的生產疼痛？迷思與護理照護

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