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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:对两代女性经历的诠释学现象学研究

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Background: The birth story has been widely understood as a crucial source of knowledge about childbirth. Whatudhas not been reported is the effect that birth stories may have on primigravid women’s understandings of birth.udFindings are presented from a qualitative study exploring how two generations of women came to understandudbirth in the milieu of other’s stories. The prior assumption was that birth stories must surely have a positive orudnegative influence on listeners, steering them towards either medical or midwifery-led models of care.udMethods: A Heideggerian hermeneutic phenomenological approach was used. Twenty UK participants were purposively selected and interviewed. Findings from the initial sample of 10 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 10 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: Findings 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 shapeudmeaning. 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: The women pregnant in 2012 framed their expectations in the language of choice, whilst the women whoudbirthed in the 1970s-1980s framed their experience in the language of safety. For both, however, the world of birth was theudsame; saturated with, and only legitimised by the birth of a healthy baby. Rather than creating meaningful understanding,udthe ‘idle talk’ of birth made both cohorts fearful of leaving the relative comfort of the ‘system’, and of claiming anudalternative birth.udKeywords: United Kingdom, Pregnancy, Parturition, Childbirth, Midwifery, Personal narratives, Qualitative research,udHermeneutics
机译:背景:出生故事已被广泛理解为有关分娩的重要知识来源。 ud尚未报道的是出生故事可能对原始妇女对出生的理解的影响。 ud一项定性研究提供了发现,该研究探索了两代女性如何在其他故事的环境中理解 udbirth。先前的假设是,出生故事肯定会对听众产生积极或消极的影响,使他们转向医学或助产士主导的护理模式。 ud方法:采用了海德格尔的诠释现象学方法。故意选择和采访了20名英国参与者。从2012年怀孕的10名妇女的初始样本中发现,虚拟媒体是出生故事的主要来源。这导致招募了第二个10名在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。 ud结果:调查结果揭示了出生于世界的经历以及该世界中的故事。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,是通过语言形成的)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,并考虑故事的形成意义。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”探讨了妇女在被分享的故事中建构,刻画和维持的出生系统中的生活经历。 ud结论:2012年怀孕的妇女用选择的语言来构筑他们的期望,而在1970年代至1980年代生育的妇女则以安全性语言来阐述她们的经历。然而,对于这两个人来说,出生的世界都是“芝麻糊”。只有出生一个健康的婴儿,才能使她的身体饱满。 ud出生的“闲聊”并没有建立有意义的理解,而是使两个人都害怕离开相对的“系统”舒适感,并且害怕要求另类的出生。 ud关键字:英国,怀孕,分娩,分娩,助产士,个人叙述,定性研究, udHermeneutics

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