دغدغه سلامت جنین: تبیین تجارب مادران از نگرانی‌های دوران بارداری

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دکترای تخصصی بهداشت باروری، مرکز تحقیقات بهداشت باروری و مشاوره در مامایی، دانشکده پرستاری و مامایی بویه، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

2 دکترای تخصصی اپیدمیولوژی اجتماعی، مرکز تحقیقات علوم بهداشتی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دکترای تخصصی بهداشت باروری، مرکز تحقیقات مراقبت مبتنی بر شواهد، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: مادران در طول دوران بارداری با نگرانی‌های متعددی روبرو هستند و با شناسایی مواردی‌که موجب نگرانی آنها می‌شود، می‌توان به یافتن راهبردهایی جهت کاهش این نگرانی‌ها در دوران بارداری امیدوار بود. لذا مطالعه کیفی حاضر با هدف تبیین تجارب مادران ایرانی از نگرانی‌های دوران بارداری انجام شد.
روش‌کار: در این مطالعه کیفی که به روش آنالیز محتوا انجام شد، 20 مادر باردار و 3 پدر و 3 مامای با تجربه به روش هدفمند از مراکز بهداشتی درمانی شهر گرگان انتخاب و مورد مصاحبه نیمه ساختار یافته قرار گرفتند. برای رسیدن به حداکثر تنوع در نمونه‌ها، مادران باردار از گروه‌های مختلف قومیتی و وضعیت اجتماعی- اقتصادی مختلف انتخاب شدند. مصاحبه‌ها طی یک سال (94-1393) انجام شد. همه مصاحبه‌ها دست‌نویس شده و تجزیه و تحلیل داده‌ها به روش تحلیل محتوای گراندهیم و لاندمن (2004) و با استفاده از نرم افزار MAXQDA انجام شد.
یافته‌ها: تحلیل داده ها منجر به ایجاد 849 کد شد. این کدها در چهار طبقه: دغدغه سلامت جنین، تشویش گذر سالم از زایمان، ناتوانی در پذیرش نقش والدینی و تهدید زندگی زناشویی قرار گرفتند و دغدغه سلامت جنین، نگرانی غالب آنان را تشکیل می‌داد.
نتیجه‌گیری: آنچه اکثر مادران را در دوران بارداری نگران می‌کند، دغدغه سلامت جنین است و حتی یکی از دلایل انتخاب زایمان سزارین نیز می‌تواند به‌دلیل حفاظت جنین از تروماهای حین زایمان می‌باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The concern of fetal health: women's experiences of worries during pregnancy

نویسندگان [English]

  • Narjes Sadat Borghei 1
  • Ali Taghipour 2
  • Robab Latifnejad Roudsari 3
1 PhD of Reproductive Health, Counseling and Reproductive Health Research Center, Boyeh School of Nursing and Midwifery, Goelstan University of Medical Sciences, Gorgan, Iran.
2 PhD of Socio-Epidemiology, Health Sciences Research Centre, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
3 PhD of Reproductive Health, Evidence-Based Care Research Centre, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Introduction: Mothers face different kinds of worries during pregnancy and understanding the reasons for worries can help health care providers to find the strategies to reduce worries during pregnancy. Therefore, this qualitative study was conducted to explore the Iranian women's experiences of worries during pregnancy.
Methods: In this qualitative study, which was conducted using content analysis approach, 20 pregnant women, three of their husbands and three experienced midwives were selected purposively from urban health center in Gorgan, North of Iran. To reach maximum diversity in the participants were selected from different ethnic groups and socioeconomic status. Semi-structured interviews were conducted during one year (2014-2015). All interviews were transcribed and analyzed by conventional content analysis recommended by Graneheim & Lundman (2004) using MAXQDA software.
Results: Through data analysis 849 open codes were identified which were grouped in four categories including the concern of fetal health, being worried about having a safe childbirth, inability to accept parental roles and threatening of marital life due to decreased sexual activity in pregnancy. The majority of pregnant women were worried about fetal health.
Conclusion: The main concern of mothers during pregnancy is concern about fetal health; even the choice of cesarean delivery is due to fetal protection from trauma during childbirth

کلیدواژه‌ها [English]

  • Worry
  • Mental health
  • pregnancy
  • Pregnancy concerns
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