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Engaging with birth stories in pregnancy: A hermeneutic phenomenological study of women's experiences across two generations

机译:参与怀孕中的出生故事:对两代女性经历的解释学现象学研究

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Background:udThe birth story has been widely understood as a crucial source of knowledge about childbirth. What has not been reported is the effect that birth stories may have on primigravid women's understandings of birth. Findings are presented from a qualitative study exploring how two generations of women came to understand birth in the milieu of other's stories. The prior assumption was that birth stories must surely have a positive or negative influence on listeners, steering them towards either medical or midwifery-led models of care.udMethods:udA Heideggerian hermeneutic phenomenological approach was used. Twenty UK participants were purposively selected and interviewed. Findings from the initial sample of ten women who were pregnant in 2012 indicated that virtual media was a primary source of birth stories. This led to recruitment of a second sample of ten women who gave birth in the 1970s-1980s, to determine whether they were more able to translate information into knowledge via stories told through personal contact and not through virtual technologies.udResults:udFindings revealed the experience of 'being-in-the-world' of birth and of stories in that world. From a Heideggerian perspective, the birth story was constructed through 'idle talk' (the taken for granted assumptions of things, which come into being through language). Both oral stories and those told through technology were described as the 'modern birth story'. The first theme 'Stories are difficult like that', examines the birth story as problematic and considers how stories shape meaning. The second 'It's a generational thing', considers how women from two generations came to understand what their experience might be. The third 'Birth in the twilight of certainty,' examines women's experience of Being in a system of birth as constructed, portrayed and sustained in the stories being shared.udConclusions:udThe women pregnant in 2012 framed their expectations in the language of choice, whilst the women who birthed in the 1970s-1980s framed their experience in the language of safety. For both, however, the world of birth was the same; saturated with, and only legitimised by the birth of a healthy baby. Rather than creating meaningful understanding, the 'idle talk' of birth made both cohorts fearful of leaving the relative comfort of the 'system', and of claiming an alternative birth.
机译:背景: ud出生故事已被广泛理解为有关分娩知识的重要来源。尚未有报道说出生故事可能对原始孕妇对出生的理解产生影响。定性研究提供了发现,该研究探索了两代女性如何在他人故事的环境中理解出生。先前的假设是,出生故事肯定会对听众产生正面或负面影响,使他们转向医学或助产士主导的护理模式。 udMethods: ud使用了海德格尔诠释学现象学方法。故意选择和采访了20名英国参与者。 2012年从十名怀孕妇女的最初样本中发现,虚拟媒体是出生故事的主要来源。这导致招募了第二个十位在1970年代至1980年代出生的妇女的样本,以确定她们是否更有能力通过通过个人接触而不是通过虚拟技术讲述的故事将信息转化为知识。 udResults: udFindings透露出生于世界中的故事以及该世界中故事的经历。从海德格尔的角度来看,这个出生故事是通过“闲聊”(对事物的理所当然的假设,是通过语言产生的)来构造的。口头故事和通过技术讲述的故事都被称为“现代出生故事”。第一个主题是“故事很难做到”,将出生故事视为有问题的故事,并考虑故事如何塑造意义。第二个“这是一个世代相传的事情”,考虑了两代女性如何理解自己的经历。第三个“在确定性的黄昏下出生”研究了妇女在被分享的故事中建构,刻画和维持的分娩系统中的生存经历。 ud结论: ud2012年怀孕的妇女用选择的语言来构筑她们的期望,而在1970年代至1980年代出生的妇女则用安全语言来表达自己的经验。然而,对于两个人来说,出生的世界是相同的。只有出生一个健康的婴儿,才能使她的身体饱满。出生的“闲聊”并没有建立有意义的理解,而是使这两个队列都害怕离开相对“舒适”的“系统”,并要求获得替代的出生。

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