接受人工生殖初次懷孕婦女於第一孕期之監測及維護行爲

Monitoring and Maintaining Behaviors in the First Trimester of Pregnancy Women Who Received Assisted Reproduction and Became Pregnant for the First Time

10.7081/NR.200006.0289

陳淑溫(Shu-Wen Chen)；余玉眉(Yu-Mei (Yu) Chao)

人工生殖(assisted reproduction) ； 第一孕期(first trimester) ； 多胞胎妊娠(multiple pregnancy) ； assisted reproduction ； first trimester ； multiple pregnancy

護理研究

8卷3期（2000 / 06 / 01）

289 - 300

繁體中文

本研究是以質性研究觀點探討接受人式生殖技術的不孕症婦女，於妊娠滿四週初次得知懷孕至妊娠十二週止之監測及維護行爲。採田野研究法收集資料，再以內容支就所訴質性研究資料加以分類、歸類、分析及數碼化。結果得知：監測及維護行爲共計2931個行爲單元，分別占85.2%及14.8%。監測行爲又分爲覺察及求證行爲，維護行爲又分爲迴避、趨向及合理化三種行爲。監測及維護行爲所指稱的對象及內容包括懷孕經驗(67.8%)、生長發育(21.1%)、胎兒－醫療處置(6.1%)、自身、醫療處置(5.0%)。在懷孕經驗方面她們會仔細地監測其身體的改變，以再次確認自己慢否真正懷孕，並維護自身的健康安全；生長發育方面則會特別關注是否能孕育健康、正常的胎兒；自身－醫療處置會特別開心是否做好妥善安全的生産安排；至於胎兒－醫療處置，減胎是否會減到好的、男的胎兒或造成流掉的危險性，是她們最關注。

The purpose of this qualitative study was to explore the monitoring and maintaining behaviors in the first trimester of pregnancy in women who received assisted reproduction and became pregnant for the first time. Clinical field method was employed in this study. Data was collected for two months from the fourth week of the pregnancy to the twelfth week. The recorded verbal behaviors were systemically analysed and categorized using content analysis approach. The findings revealed that there was a total of 2,931 behavior units in both monitoring and maintaining behaviors derived from the data. Monitoring behaviors occupied 85.2% of the total behavior units, and were divided into sensing behaviors and proving behaviors. Maintaining behavior accounted for 14.8% of the total behavior units, and included avoiding, approaching and rationalization behaviors. Monitoring and maintaining behaviors which were related to pregnancy experience accounted for 67.8%, while fetal grow accounted for 21.1%, fetus’s medical management 6.1% and mother’s medical management 5%. With respect to pregnancy experience, after these women were told that they were pregnant, they turned to involvement in monitoring their physical changes to be sure of their pregnancy and safe guarding their health. In respect to fetal growth, these women turned to paying special attention to their fetuses and the condition of their fetuses. In respect to the fetal management and multiple pregnancy concern, these women expressed their worries of the risk of losing their only selected fetus and that the healthy male fetus would be mistakenly removed during the process of fetus reduction. Regarding mothers medical management, both women with single pregnancy and multiple pregnancy expressed their strong concerns that delivery should be carefully arranged.

1. Catherine H.(1985).Pregnancy after infertility.Journal of Obstetric Gynecology and Neonatal Nursing,62.
2. Cathy, C. F.(1981).Pregnancy after reproductive failure.American Journal of Nursing,2050-2053.
3. Chao, Y. M.(1997).An habitual aborter`s self-concept during the courrent of a successful pregnancy.Maternal-Child Nuring Journal.
4. Daniele, V. B.,Gilles, L.(1992).Selective reduction in multifetal pregnancies: Technical and psychological aspects.Fertility and Sterility.
5. Draye, M. A.,Mitchell, E.(1988).Copy with infertility in couples: Gender differences.Health Care for Wonem International.
6. Glaser, B. G.(1979).The discovery of grounded theory: Strategies for qualitative research.
7. Glazer G.(1980).Anxiety level and concern among pregnant women.Research in Nursing & Health.
8. Hearn, M. T.,Yuzpe, A. A.,Brown, S. E.,Casper, R. F.(1987).Psychological characteristics if in vitro fertilization pacticipants.Amercian Journal of Obstetric & Gynnecology.
9. Ko, T. M.,Chung, Y. P.,Hwa, H. L.,Lu, P. J.,Tseng, L. H.(1991).Multifetal pregnancy reduction in 100 pregnancies.Taiwanese Journal of Obstetrics and Gynecology.
10. Ko, T. M.,Yang, Y. S.,Hsieh, F. J.,Ho, H. N.,Liu, C. H.,Tseng, L. H.,Chen, H. Y.,Lee, T. Y.(1991).Selective reduction of multiple pregnancies in the first trimester or early second trimester.Journal Formosan Medical Association,90(5),493-497.
11. Kol, S.,Jacob, L.,Nathan, L.,Arie, D.,Joseph, I. E.(1993).The natural history of multiple pregnancies after assisted reproduction: Is spontaneous fetal demise a linically signigicant phenomenon?.Fertility and Sertility.
12. Leifer, M.(1980).Psychological effects of motherhood: A study of first pregnancy.
13. Lincoln, Y. S.,Guba, E. G.(1985).Naturalistic inquiry.
14. Olshansky, E. F.(1990).Psychosocial implication of pregnancy after infertility.Journal of Obstetric Gynecology and Neonatal Nursing,1(3),342-347.
15. Richardson, P.(1990).Women`s experiences of body change during normal pregnancy.Maternal-Child Nursing Journal,19(23),93-111.
16. Sandelowsaki, M.(1986).The problem of rigor in qualitative research.Advance in Nursing Science.
17. Schenker, J. G.,Weinstein, D.(1978).Ovarian hyperstimulation syndrom a current survey.Fertil Steril.
18. 台灣衛網路
19. 余玉眉、蔣欣欣、陳月枝、蘇燦煮、劉玉秀(1999)。質性研究資料的量化及詮釋－從研究例證探討臨床護理研究方法與認識學，第一部份：質性臨床護理研究之方法學與認識學的探討。護理研究。
20. 余玉眉、蔣欣欣、陳月枝、蘇燦煮、劉玉秀(1999)。質性研究資料的量化及詮釋－從研究例證探討臨床護理研究方法與認識學，第二部份：研究例證之分析與詮釋。護理研究。
21. 張榮州、孫達德、林易奇(1991)。性腺激素引發之卵巢過度刺激症候群。中華民國婦產科醫學會雜誌，30(3)，43-46。
22. 曹國桃(1990)。多胞胎妊娠在懷孕前期選擇性中止懷孕之研究。台灣醫界，33(7)，73-74。
23. 郭碧照、王郁茗(1993)。中部某教學醫院不孕症婦女憂傷過程與反應之研究。公共衛生。
24. 陳美月、申文姬(1991)。不孕夫婦的女性角色、生育態度、婚姻家庭關係之探討。榮總護理。
25. 陳嘉琦(1994)。台北，國防醫學院。
26. 黃建榮、楊友仕、何弘能、林秀妹、連義隆、林亨儒、謝長堯、李鐵堯(1991)。經腹腔鏡的輸卵管內胚胎植入術治療原因不明之不孕症。中華民國婦產科醫學會雜誌，30(3)，34-38。
27. 黃弈燦(1992)。產科超音波安全、有用嗎？。助產雜誌，36，12-14。
28. 楊友仕、陳思原(1993)。試管嬰兒。
29. 臺灣健康資訊網
30. 蘇燦煮、楊雅玲、鄧素文(1994)。生殖科技治療受孕婦女孕期所執行之母性工作。護理雜誌，41(2)，62-71。

1. Shih, Fen-Fen,Li, Chi-Rong,Lai, Te-Jen,Kuo, Pi-Chao,Chiao, Chia-Yi,Chen, Chung-Hey(2015).Comparison of Pregnancy Stress Between In Vitro Fertilization/Embryo Transfer and Spontaneous Pregnancy in Women During Early Pregnancy.The Journal of Nursing Research,23(4),280-289.