关键词: 分娩创伤, 心理健康, 质性研究, 产科护理

Abstract: Objective: To explore the maternal experience of psychological birth trauma, so as to provide references for medical staff to formulate targeted intervention measures. Methods: Using the objective sampling method, 16 maternal women who gave birth in a grade A tertiary maternity hospital in Nanjing and reported having experienced psychological birth trauma were recruited for semi-structured interviews from March to October 2023. Colaizzi 7-step analysis method was used to analyze, summarize and extract the data. Results: Four themes were extracted including painful physical experiences (long and endless pain accompanies childbirth, epidural labor analgesia cannot be used early and the pain from childbirth still lingers), loss of control over childbirth (loss of right to information, loss of dignity and privacy, loss of decision-making power), concerns about maternal and child safety (fear for their own safety and fear for fetal/newborn safety), and quiet impact on family relationships and the future (desire for support and companionship of partners, feeling alienated from the newborn, and postpartum psychological trauma that persists into the postpartum period). Conclusion: Maternal experience of psychological birth trauma is diverse and complex, which should be managed as a separate mental health problem by medical staff to promote maternal health and family well-being.

Key words: Birth trauma, Mental health, Qualitative research, Obstetrical nursing