| Summary: | 碩士 === 國立臺灣大學 === 護理學系 === 85 === The purpose of this study was to explore the living
situations and coping behaviors of overdue nullipara women
before the birth of their child. Fieldmethod "obser as
participant" was undertaken and six cases were studied.
Allverbal and non-verbal behaviors from the expected dates of
delivery to latent phase of the induced labor were recorded by
interview. Data were systematically analyzed and categorized by
using content analysis. The first stage of datacollection was
initiated from the expected date of delivery to the admission of
hospital for induction. The second stage of data collection was
started from the beginnings of induction to the latent phase of
labor. After data analysis,Four living situations were
identified in stage one :feeling difficulty from waiting labor
initiation, disorganized living arrangementfrom unexpected false
labor, uncertainty and insecurity about the safety of selfand
fetus during labor course, and ambivalence choice between
waiting for naturebirth or taking induction of labor. On the
other hand,coping strategies during first stage included : re-
identify living condition,readjust to living situation while
waiting for labor, ensuring the safety of self and fetus during
labor and delivery, changed self perception to alleviate the
psychological distress whilewaiting. In second stage , Five
living situations were identified : decision-making on methods
of giving birth , facing threatening body intactness,
mismatchedexpected labor process and induction condition,
trapped on fatigue body, andfacing uncertainty of labor outcome.
In addition, the coping strategies duringthis period were : to
justify the pros and cons of different childbirth methods, to
prepare self-readiness for labor, to ensure the safety of fetus
and thesmoothness of labor process, to try to elevate the impact
of induction to fetus,and to continually sustain or support
themselves to go on. This finding inducates that there were
no particular orders in terms of living situations and coping
behaviors in the first stage. But, in the secondstage, the
living situations and coping behaviors surfaced chronologically.
However, the insecurity feeling about the upcoming childbirth
and fetus well-being existed in both stage. The data also
indicated that trapped on fatiguebody, uncertainty about the
labor outcome, and insecurity about their safety occured in the
next day after the initiation of induction. This study also
showed that overdue nullipara women suffered a great con-flict
whether they should wait for natural labor or accept the
induction process.However,they took the process bravely and were
able to make decision base on thesecurity of self and the fetus.
The study result could provie useful information for nurse to
enhance the care for overdue nullipara women. By understanding
those women's living situations and coping strategies, nurses
can identify overdue women's needs and enhance quality of care
to those women.
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