Abstract

Purpose

Maternal near miss (MNM) refers to women who survive death as a result of life-threatening obstetric complications or organ system dysfunction during pregnancy, childbirth or postpartum. The aim of the present study was to gain an understanding of mothering experiences in survivors ‘mothers due maternal near miss event.

Materials and methods

Heideggerian hermeneutic phenomenology guided this qualitative study. The study was conducted 1 June and 30 December 2019. The sampling was purposeful with maximum variation of 11 near miss mother that used unstructured face-to-face interview for data collection. Data analyzed using Diekelmann, Allen, and Tanner seven stage thematic analysis approach.

Findings

Emergent theme was “mothering sweetness mixed with the bitterness of death.” The two themes constituting the essence was: “An Angel with Broken Wings” and “Mothering in the Shadow of Death.” The subthemes comprised five sub-sub themes which emerged from over 850 meaning units. Data were analyzed using MAXQDA10 software.

Conclusion

Maternal health providers need to know that it is not enough only to focus on saving the mother’s physical life. While strengthening the role of mothering is essential element to support near-miss mothers who have experienced difficult physical and psychological conditions. The “beyond numbers” concept, implies that it is not enough only to focus on saving the mother’s physical life. Removing barriers in order to achieve to early mothering, can have a significant impact on reducing the psychological burden of MNM events.

中文翻译：

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母爱的甜蜜夹杂着死亡的苦涩：濒临失踪的母亲的母爱经历

摘要

目的

产妇濒临死亡（MNM）是指在怀孕、分娩或产后因危及生命的产科并发症或器官系统功能障碍而幸存下来的妇女。本研究的目的是了解幸存者的母亲由于母亲险些发生的事件的母亲经历。

材料和方法

海德格尔的解释现象学指导了这项定性研究。该研究于 2019 年 6 月 1 日和 12 月 30 日进行。抽样是有目的的，11 名未遂母亲的最大变异是使用非结构化面对面访谈进行数据收集。使用 Diekelmann、Allen 和 Tanner 七阶段主题分析方法分析数据。

发现

出现的主题是“母性的甜蜜和死亡的苦涩”。构成本质的两个主题是：“折翼天使”和“死亡阴影中的母亲”。子主题包括五个子主题，它们来自超过 850 个意义单元。使用MAXQDA10软件分析数据。

结论

孕产妇保健提供者需要知道，仅仅专注于挽救母亲的身体生命是不够的。虽然加强母亲的作用是支持经历过身体和心理困难的未遂母亲的基本要素。“超越数字”的概念，意味着仅仅专注于挽救母亲的肉体生命是不够的。消除障碍以实现早孕，可以对减轻 MNM 事件的心理负担产生重大影响。