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Embodied experiences of prenatal diagnosis of fetal abnormality and pregnancy termination

机译:产前诊断胎儿异常和终止妊娠的经验

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摘要

Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have explored women’s psychosocial experience of prenatal diagnosis and pregnancy termination for fetal abnormality, and within this small group of studies it is rare for research to consider the embodied aspect of women’s experiences. This paper reports on qualitative findings from in-depth interviews with 59 women in Melbourne, Australia who received a prenatal diagnosis of a significant abnormality and decided to terminate the pregnancy. Interview transcripts were coded inductively through thematic analysis. Two themes about embodiment were generated from the interviews: transitioning embodiment, and vulnerable bodies in un/comfortable spaces. Theory of pregnant embodiment was drawn on in interpreting women’s narratives. Recommendations arising from the analysis include health professionals recognising, acknowledging and accommodating the transitioning embodied state of women as they consider, prepare for, undergo and recover from pregnancy termination for fetal abnormality. Further recommendations address the connections and disconnections between this transitioning embodied state and the spaces of clinics, hospitals and home.
机译:在澳大利亚,孕妇通常接受产前检查,这已成为孕产的普遍经验。当进行产前筛查或产前检查可诊断出严重的胎儿异常时,妇女可以决定继续或终止妊娠。最近的研究很少探讨女性在产前诊断和终止胎儿异常方面的心理社会经历,在这一小组研究中,很少有研究考虑女性经历的具体方面。本文报道了对澳大利亚墨尔本的59名妇女进行的深度访谈的定性结果,这些妇女接受了产前诊断为明显异常并决定终止妊娠。采访记录通过专题分析归纳编码。采访中产生了两个有关“体现”的主题:过渡的体现和不舒适空间中的易受伤害的身体。在解释女性叙事时借鉴了怀孕体现的理论。分析得出的建议包括,卫生专业人员在考虑,准备,接受和终止因胎儿异常而从妊娠终止中恢复时,承认,承认和适应妇女的过渡体现状态。进一步的建议解决了这种过渡的体现状态与诊所,医院和家庭空间之间的联系和脱节。

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