經歷死產婦女與胎兒依附關係的轉換

Maternal-Fetal Attachment Transformation in Women Experiencing Stillbirth

曾英芬(Ying-Fen Tseng) ； 陳彰惠(Chung-Hey Chen) ； 許貂琳(Tiao-Lin Hsu) ； 王秀紅(Hsiu-Hung Wang)

《護理暨健康照護研究》 6卷1期 (2010/03) Pp. 24-32

https://doi.org/10.6225/JNHR.6.1.24

摘要

背景　死產的主題在近幾年已較獲得注意，研究結果亦證實其不同於其他失落類型；然而有關經歷死產的母親與其胎兒依附關係的現象則尚不清楚。
目的　本研究旨在描述經歷死產的台灣婦女與胎兒依附關係轉換的經驗。
方法　採描述性質性研究設計，自民國94年8月至民國97年7月，共蒐集與21位經歷死產婦女的深度訪談資料。每位研究參與者訪談次數以資料飽和為考量，本研究每位研究參與者訪談次數為1-3次。
結果　本研究發現經歷死產的婦女與其胎兒依附關係的轉換可歸納為四個主題，分別是：為他／她留一個位置、把他／她再生回來、他／她在一個好的地方以及他／她投胎到更好的人家。
結論：經歷死產的婦女透過四種隱諱的意念或外顯的行動作轉換，由此得以與逝去的孩子持續原有的依附關係。本研究建議產科照護專業人員在引產前能夠安排時間和夫妻一起討論母子後續處置的過程，出院後亦能主動提供支持性電話追蹤。

關鍵字

死產 ； 母親胎兒依附關係 ； 轉換 ； 質性研究

並列摘要

Background: Greater research attention has recently been given to stillbirth, with findings confirming that stillbirth represents a loss that differs significantly from other types of loss. However, the specific mechanisms related to maternal-fetal attachment in women experiencing stillbirth remain unclear.
Purpose: The purpose of this study was to describe the maternal-fetal attachment experiences of Taiwanese women who experienced stillbirth.
Methods: A descriptive qualitative approach was used to study a purposive sample of 21 women who experienced stillbirth between 2005 and 2008. In this study, one to three in-depth interviews per participant were performed to achieve data saturation.
Results: Four themes were identified, including: (1) holding a place for him/her, (2) delivering the deceased child again, (3) he/she is in a good place, and (4) he/she has been reincarnated into a better family.
Conclusions: Participants exhibited four covert thoughts/overt actions, the ultimate goals of which were to sustain the relationship bond with the deceased child. It is suggested that maternity care professionals arrange a time before induction to discuss treatment options for mother and fetus with the couple and provide supportive telephone follow-up caring following discharge from the hospital.

並列關鍵字

stillbirth ； maternal-fetal attachment ； transformation ； qualitative research