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تجربه زیسته زنان از پیوند عاطفی بین همسران و زایمان طبیعی موفق: مطالعه‌ای پدیدارشناسانه | |||||||||||
| مطالعات زن و خانواده | |||||||||||
| دوره 9، شماره 3 - شماره پیاپی 22، آذر 1400، صفحه 156-179 اصل مقاله (1.08 M) | |||||||||||
| نوع مقاله: پژوهشی اصیل | |||||||||||
| شناسه دیجیتال (DOI): 10.22051/jwfs.2021.36812.2720 | |||||||||||
| نویسندگان | |||||||||||
| فاطمه حامی کارگر* 1؛ الهام شیردل2 | |||||||||||
| 1گروه علوم اجتماعی. دانشکده حقوق و علوم انسانی دانشگاه کاشان. کاشان. ایران | |||||||||||
| 2استادیار، گروه علوم اجتماعی ، دانشکده ادبیات و علوم انسانی ، دانشگاه سیستان بلوچستان، زاهدان ، ایران. | |||||||||||
| چکیده | |||||||||||
| زایمان، یکی از رویدادهای مهم زندگی زنان و پلی برای ورود آنان به مرحله مادری و پذیرش نقش جدید در خانواده است. با توجه به لزوم ترویج زایمان طبیعی در کشور، در این مطالعه تجربه زیسته زنان از پیوند عاطفی بین همسران و زایمان طبیعی موفق با استفاده از روش شناسی پدیدارشناسی و با مصاحبه عمیق مورد مطالعه قرار گرفت. دوازده نفر از مشارکت-کنندگان از بین زنان نخست زای تهرانی با روش نمونه‌گیری هدفمند انتخاب شدند. در این پژوهش مطابق با تحقیقات کیفی و پدیدارشناسانه حجم نمونه بر اساس معیار اشباع نظری تا دستیابی به هدف تحقیق و عدم ظهور اطلاعات جدید تعیین گردید. اطلاعات جمع آوری شده با روش کولایزی مورد تجزیه و تحلیل قرار گرفت. مضمون اصلی این تحقیق نقش عاطفی همسر در زایمان طبیعی است که از سه مضمون فرعی نگرش عاطفی مثبت همسر درباره زایمان طبیعی، مشارکت عاطفی همسر در زمان زایمان و حمایت عاطفی همسر بعد از زایمان استخراج گردید. به نظر میرسد پیوند عاطفی بین همسری در این دوران میتواند تجربه خوشایندتری را از زایمان در زنان ایجاد کرده و میل زنان را برای زایمان طبیعی افزایش دهد. در واقع زایمان فرآیندی است که از زمان انتخاب نوع زایمان آغاز شده و تا بهبودی کامل زنان بعد از زایمان ادامه دارد و تعامل عاطفی همسر نقش مهمی در طی شدن این مرحله و تجربه زیسته زنان دارد. لازم است علاوه بر آگاهی زنان، مردان نیز در مورد ماهیت زایمان آگاهی لازم را کسب کرده و در فرآیند زایمان، مشارکت داشته باشند. | |||||||||||
تازه های تحقیق | |||||||||||
مضمون اصلی این تحقیق نقش عاطفی همسر در زایمان طبیعی است که از سه مضمون فرعی نگرش عاطفی مثبت همسر درباره زایمان طبیعی، مشارکت عاطفی همسر در زمان زایمان و حمایت عاطفی همسر بعد از زایمان استخراج گردید. به نظر میرسد پیوند عاطفی بین همسری در این دوران میتواند تجربه خوشایندتری را از زایمان در زنان ایجاد کرده و میل زنان را برای زایمان طبیعی افزایش دهد. در واقع زایمان فرآیندی است که از زمان انتخاب نوع زایمان آغاز شده و تا بهبودی کامل زنان بعد از زایمان ادامه دارد و تعامل عاطفی همسر نقش مهمی در طی شدن این مرحله و تجربه زیسته زنان دارد. لازم است علاوه بر آگاهی زنان، مردان نیز در مورد ماهیت زایمان آگاهی لازم را کسب کرده و در فرآیند زایمان، مشارکت داشته باشند. | |||||||||||
| کلیدواژه‌ها | |||||||||||
| مراحل زایمان؛ پیوند عاطفی؛ پدیدارشناسی؛ تجربه خوشایند؛ زنان | |||||||||||
| عنوان مقاله [English] | |||||||||||
| Women's Lived Experience of Emotional Bonding with Their Husbands and Successful Vaginal Delivery: A Phenomenological Study | |||||||||||
| نویسندگان [English] | |||||||||||
| Fateme Hami kargar1؛ Elham Shirdel2 | |||||||||||
| 1Department of Social Sciences, Faculty of Law and Humanities, Kashan University, Kashan, Iran. | |||||||||||
| 2Assisatant prof. Department of Social Sciences, Faculty of Literature and Humanities, Sistan and Baluchestan University,Zahedan,Iran | |||||||||||
| چکیده [English] | |||||||||||
| Childbirth is one of the most important events in women's lives and a bridge for them to enter the maternal stage and accept a new role in the family. Due to the need to promote natural childbirth in the country, in this study, women's lived experience of the emotional link between wife and husband and successful natural delivery studied using the phenomenological methodology and in-depth interviews. Twelve participants were selected from among Tehran's first-born women by purposeful sampling. In this study, according to qualitative and phenomenological research, the sample size was determined based on the theoretical saturation criterion to achieve the research goal and lake of new information's appearance. The collected data analyzed by the Colaizzi method. This study's central theme is the spouse's emotional role in vaginal delivery, which is extracted from three sub-themes of the spouse's positive emotional attitude about natural childbirth, spouse's emotional participation during birth, and spouse's emotional protection after delivery. It seems that the emotional connection between husband and wife in this during can create a more pleasant experience of birth in women and increase women's desire for a natural birth. Indeed, Childbirth is a process that begins with the choice of the type of delivery, and it continues until the full recovery of women after childbirth. The emotional interaction of spouses plays an essential role in the passage of this stage and women's lived experience. | |||||||||||
| کلیدواژه‌ها [English] | |||||||||||
| Childbirth Stages, Emotional Transplantation, Phenomenology, Pleasant Experience, Women | |||||||||||
| اصل مقاله | |||||||||||
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Extended Abstract Background and purpose Childbirth is one of the most important events in women's life and a bridge by which they enter into the motherhood stage and accept a new role in the family. One of the most critical aspects of the childbirth experience is emotional support for the wife and couple's interaction from pregnancy to recovery and after birth. Emotional support and connection are very important in a successful birth and enable women to go through childbirth more easily, and comfort and accompany give them the power to tolerate the pain of delivery. In addition to the importance of emotional support, personal characteristics are also important. Women prefer someone to be there during their childbirth who is familiar and close to them (Lunda 2018, Pirdel 2009). Among these persons, men have a significant role in creating a sense of pleasant experience, and women want their husbands to be present during and process of birth and engage in this process. While emotional support for women during childbirth is highly emphasized in many developed countries, but in developing societies, the quality of clinical and medical services is not optimal and less attention paid to the quality of care, women's right to enjoying a positive and pleasant childbirth experience, and the husband's emotional support as an influencing factor in this experience (Perkins 2019, Pascali-Bonaro 2003, Kaye 2014, Melo 2013). In recent years, there have been positive attempts toward increasing the participation of men in the birth process in Iran.
Method The present study aims to understand women's lived experiences of successful vaginal delivery and its related meanings using the descriptive phenomenology method. Among the women living in Tehran, twelve women who had at least six months of vaginal delivery were selected through the purposive sampling method. The sample size was determined based on the quality of the collected information until the theoretical saturation. we used an in-depth interview to collect data. Researchers interviewed women for About 45 minutes. Then, Colaizzi's method was applied for data analysis.
Results The final theme discovered in the present study is the emotional role of the husband in wife's successful vaginal delivery. These themes have three sub-themes: "husband's Positive emotional attitude towards vaginal delivey," "husband's emotional engagement during childbirth", and "husband's postpartum emotional support." Women emphasized emotional interaction and bonding with their husbands in childbirth, which is very important before, during, and after childbirth. Attention must be paid to all these three aspects. Table 1. Analysis of the main and sub-themes of the emotional role of the husband in wife's successful vaginal delivery
Conclusion This study indicates that the emotional bond in couples in the delivery process begins with the husband's positive emotional attitude before childbirth. Communicating this attitude can lead to women choosing vaginal delivery and can play a motivating role in creating a positive feeling of vaginal delivery in women. These positive emotional attitudes in men are formed through society. Another extracted theme is the emotional engagement of the husband during vaginal delivery; the presence and involvement of the husband during birth play a vital role in reducing pain, duration of delivey, and having a satisfactory experience of childbirth. In addition, husbands show their emotional engagement by encouraging, complimenting, and reassuring their wives, and their presence at the time of delivery is crucial. According to Collins (2004), the emotional energy developed in the relationship can produce positive feelings, such as assertiveness and self-confidence. Even this positive energy can have such a positive, motivating effect on a person that he or she wants to re-experience these positive feelings. Also, in vaginal delivery, the husband's emotional interaction of the couple can create positive emotional energy and cause a pleasant experience and positive emotions in women (Emeloneym, 2016). In addition, the husband's emotional presence and engagement in birth and the emotional support for women consolidate the couple's relationship and increases the responsibility of men to enter into the parenthood stage (Pestvenidze 2007). Another theme extracted from the interviews is the emotional support of the husband after a delivery. This emotional support can transmit positive and pleasant emotions to women in the critical stage after childbirth. Its various dimensions include women's physical changes accepting, limitations of women after vaginal delivery, expressing satisfaction with successful childbirth, and emotional attention to women after childbirth. This emotional support can transmit positive and pleasant emotions to women in the critical stage after childbirth (Kızılırmak 2020 , Bohren, 2017). Women are often confused by entering the sensitive stage of motherhood and the increasing importance of the nutritional and care needs of the infant in the first months after birth. Thus, husbands' understanding of women's situation and their emotional support for their wives in passing this stage also seems very important and necessary.
Ethical Considerations Compliance with ethical guidelines This study was conducted following the ethical codes of human research. Funding: The authors declare that any organization or institution did not sponsor this study. Authors’ contribution: Fatemeh Hami Kargar was the corresponding author, and Elham Shirdel was the second author. Conflict of interest: The authors declare that they have no conflicting interests. Acknowledgments: Researchers appreciate participants' contributions to the research. | |||||||||||
| مراجع | |||||||||||
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منابع فارسی احمد شیروانی، مرجان، باقری نسامی، معصومه و طیبی ، طاهره. (1393). تبیین نقش تجارب زایمانی زنان در انتخاب نوع زایمان. مجله پرستاری و مامایی، 12(4): 286- 296. ]لینک[ امیری فراهانی، لیلا و عباسی شوازی، محمدجلال. (1391). بررسی روند تغییرات میزان زایمان سزارین در ایران و عوامل جمعیتشناسی مرتبط با آن در سه دهه اخیر. مجله دانشگاه علوم پزشکی فسا، 2(3)، 127-134. ]لینک[ ترابی، فاطمه و شیدانی، رضا. (1398). بررسی عوامل موثر بر گرایش زنان 49 -15 ساله ساکن شهر تهران به فرزندآوری کمتر. مطالعات زن و خانواده، 7(2) : 31- 67. DOI: 10.22051/jwfs.2017.15078.1437 . ]لینک[ توسلی، افسانه، فریده کلاری و ظفری دیزجی، اشرف. (1393). عوامل اجتماعی موثر بر گرایش به سزارین در زنان باردار. فصلنامه اخلاق پزشکی،7(29) : 145- 170. ]لینک[ جواهری فاطمه، هاشمی‌خواه، زینب. (1395). سزارین انتخابی واکاوی تجربه زیسته نمونه ای از زنان در شهر تهران. فصلنامه شورای فرهنگی اجتماعی زنان و خانواده، 18(71) : 7 – 28. DOI: 10.22095/jwss.2016.33825 ]لینک[ حسنی، علی‌جان. و شکربیگی، عالیه.(1395). جامعه شناسی سلامت:مطالعه کیفی تجارب احساسی مادران درگزینش نوع زایمان ،بررسی موردی بیمارستان حکمت ساری، همایش بین المللی زنان و زندگی شهری، تهران. ]لینک[ شاهوی، روناک، رستمی، فاطمه، خسروی، فرنگیس، رعنایی، فریبا ، هاشمینسب، لیلا، حسامی، کژال و ظاهری، فرزانه. (1393). تجربه زیسته مادران از انتخاب سزارین: یک مطالعه پدیدارشناسی. مجله مامایی و نازائی، 17(104): 1-10. DOI: 10.22038/ijogi.2014.3022 ]لینک[ فرزانه صابری، زهره سادات، تابئی، محبوبه و عابدزاده کلهرودی، معصومه. (1391). مقایسه ابعاد کیفیت زندگی پس از زایمان در زایمان های طبیعی و سزارین. فصلنامه پایش، 11(3): 377-383. DOI:20.1001.1.16807626.1391.11.3.10.6 ]لینک[ موسوی، سیده فاطمه. و قلی نسب قوجه بیگلو، رقیه. (1398). نقش حمایت عاطفی و خودتعیین‌گری در پیش‌بینی تعارضات زناشوییِ زنان متأهل. مطالعات زن و خانواده، 7(1): 51-71. DOI: 10.22051/jwfs.2019.18873.1655 ]لینک[ ودادهیر، ابوعلی، ساداتی، سید محمدهانی و احمدی، بتول. (1387). سلامت زنان از منظر مجلات بهداشت وسلامت در ایران. زن در توسعه و سیاست، 6(2): 255-133. ]لینک[ هاشمی خواه زینب. (1395). زایمان طبیعی به مثابه هراس اجتماعی، مطالعه پدیدارشناسی زایمان طبیعی در زنان نخستزا، نامه انسانشناسی، 14(24): 179-215. ]لینک[ References Ahmad Shirvani, M., Bagheri-Nesami, M., & Tayebi, T. (2014). Exploration of women birth experience’s role in deciding the type of next delivery. Nurs Midwifery J. 12 (4) :286-296. [Link] Amiri Farahani, L., & Abbasi Shavazi,M.J. (2012). Study of changes in cesarean delivery rate in Iran and related demographic factors in the last three decades. Journal of Fasa University of Medical Sciences. 2(3): 134-127. [text in persian] . [Link] Bohren, M. A., Hofmeyr, G. J., Sakala, C., Fukuzawa, R. K., & Cuthbert, A. (2017). Continuous support for women during childbirth. Cochrane Database of Systematic Reviews, 6(7). [Link] Chan, C.Y.Z., Wong, S. K., Lam, M.W., Wong, Y. K., & Kwok, C.Y. (2013). An exploration of postpartum women's perspective on desired obstetric nursing qualities. Journal of Clinical Nursing. 23:103–112. [Link] Chiota ,B., Goolkastian, P., & Ladewig ,P. (1976). Effects of Separation from Spouse on Pregnancy, Labor and Delivery on the Postpartum Period. Jogn Nursing: 21-24. [Link] Christenson, M.H.(2013). Perception, Expression and Management of the Pain of Childbirth.). Senior Honors Theses. College of Arts and Sciences. [Link] Emelonye, A. U., Pitkäaho, T., Aregbesola, A., & Vehviläinen-Julkunen, K. (2016). Spouses' Perspective of their Participation and Role in Childbirth Pain Relief. Annals of medical and health sciences research, 6(6), 367–374. doi: 10.4103/amhsr.amhsr_12_16 [Link] FarzanehSaberi ,Z., Taebi,M., & Abedzadeh Kalhoroodi,M. (2012). Comparison of dimensions of quality of life after delivery in natural childbirth and cesarean section. Monitoring Quarterly. 11(3): 377-383. [text in persian]. Doi:20.1001.1.16807626.1391.11.3.10.6 [Link] Geertz, C. (1973). Interpretation of culture, Selected essays, New York, Basic Books. [Link] Hashemikhah, Z. (2016). Natural childbirth as a social phobia, a phenomenological study of natural childbirth in nulliparous women. Anthropology Letter. 14(24): 179-215. [text in persian] [Link] Hassani, A., & Shokrbeigi,A. (2015). Health Sociology: A Qualitative Study of Mothers' Emotional Experiences in Choosing the Type of Childbirth, A Case Study of Sari Hekmat Hospital. International Conference on Women and Urban Life, Tehran, Tehran Municipality. [text in persian] [Link] Holloway, I., Wheeler,S. (2002). Qualitative Research for Nurses. 2nd edition. Oxford: Blackwell. [Link] Javaheri ,F., & Hashemikhah,Z. (2016). Elective cesarean section and analysis of the lived experience of a sample of women in Tehran. Quarterly Journal of Women and Family Socio-Cultural Council. 18(71): 7-27. [text in persian]. [Link] Karlstrom, A., Nystedt, A., & Hildingsson, I. (2015). The meaning of a very positive birth experience: focus groups discussions with women. BMC Pregnancy Childbirth .15: 251. [Link] Kaye, D. K., Kakaire, O., Nakimuli, A., Osinde, M. O., Mbalinda, S. N., & Kakande, N. (2014). Male involvement during pregnancy and childbirth: men’s perceptions, practices and experiences during the care for women who developed childbirth complications in Mulago Hospital, Uganda. BMC Pregnancy and Childbirth, 14(54), 1-8. [Link] Kizilirmak,A., Calpbinici,P., Tabakan,G., & Kartal,B. (2020) Correlation between postpartum depression and spousal support and factors affecting postpartum depression. Health Care for Women International.14:1-15. [Link] Liamputtong, P. (2005). Birth and Social Class: Northern Thai Women`s Lived Experience of Caesarean and Vaginal Birth. Sociology of Health and Illness. 27(2):70-243. [Link] Lincoln, Y.S., & Guba, E. (1985). Establishing Trustworthiness, Naturalist Inquiry. Newbury Park, LA, Sage. Lunda,P., Minnie, C.S., & Benadé, P.(2018). Women’s experiences of continuous support during childbirth: a meta-synthesis. BMC Pregnancy Childbirth. 18(167). [Link] Lyckestam ,I., Lundgren, I., & Nilsson, C.(2019). To Challenge Oneself as a Childbirth Woman – the live experience of vaginal birth after cesarean section in Sweden. International Journal of Qualitative Studies on Health and Well-being. 14(1): 1605784. [Link] Melo, R.M., & Brito, R. S. (2013). The Fathers' Perception about Their Presence in the Labor Room During the Birth of their Child: A Descriptive Study. Online Brazilian Journal of Nursing. 12:596–598. [Link] Mousavi, S., Gholinasab Ghoje Beigloo, R. (2019). The Role of Emotional Support and Self-Determination in Prediction of Marital Conflicts among Married Women. Journal of Woman and Family Studies, 7(1): 51-71. [Link] Namujju, J., Muchindo, R., & Moselle, L.(2018). Childbirth Experience and their Derived Meaning: a Qualitative Study among Postnatal Mothers in Mbale Regional Referral Hospital Uganda. Report Health .15: 183. [Link] Ndirima, Z., Neuhann,F., & Beiersmann,C.(2018). Listening to their voices: understanding rural women’s perceptions of good delivery care at the Mibilizi district hospital in Rwanda. BMC Womens Health. 18(1):38. [Link] Nilsson, C., & Lundgren, I.(2009). Women's Lived Experience of Fear of Childbirth. Midwifery. 25(2): 1-9. [Link] Pestvenidze ,E., & Bohrer, M.(2007). Finally, Daddies in the Delivery Room. Parents' Education in Georgia. Glob Public Health. 2:169–183. [Link] Perkins ,J., Ehsanur Rahman, A., Shema, R., Siddique, A., & etc.(2019). Humanised Childbirth: The Status of Emotional Support of Women in Rural Bangladesh. Journal Sexual and Reproductive Health Matters, 27: 228-247. [Link] Sayakhot, P., & Carolan-Olah, M.(2016). Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth. 16(65). [Link] Sandelowski, M. (1986). The problem of Rigor in Qualitative Research. Advances in Nursing Science, 8(3): 27-37. [Link] Shahovi, R., Rostami,F., Khosravi,F., Ranaei,F., Hashemi-Nasab,L., Hesami,K., & Zaheri ,F.(2014). Mothers' lived experience of cesarean section selection: a phenomenological study. Journal of Midwifery and Infertility. 17(104): 10-1. [text in persian]. [Link] Tavassoli, A., Celari,F., & Zafari Dizaji,A. (2014). Social factors affecting the tendency to cesarean section in pregnant women. Quarterly Journal of Medical Ethics. 7(29): 170-145. [text in persian]. [Link] Torabi, F., sheidani, R. (2019). A Study of Effective Factors in Tendency to Fewer Childbearing of 15–49-Year-old Women Residents of Tehran. Journal of Woman and Family Studies, 7(2): 31-67. [Link] Vadadehir, A., Hani Sadati,M. , & Ahmadi,B. (2008). Women's Health from the Perspective of Health Magazines in Iran. Women's Research, 6(2): 255-133. [text in persian]. [Link] Zhang, X., & Lu, H. (2014). Childbirth expectations and correlates at the final stage of pregnancy in Chinese expectant parents. International Journal of Nursing Sciences. 1(2):151-156. [Link] | |||||||||||
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