Living Situations and Coping Behaviorss of Overdue Nullipara Women Before The Birth of The Child

• Main Authors: Chen, Yueh-Chuen, 陳月春
• Other Authors: Yu-Mei Yu Chao
• Format: Others
• Language: zh-TW
• Published: 1997
• Online Access: http://ndltd.ncl.edu.tw/handle/87441207478253931521

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.