Korean J Women Health Nurs.  2020 Dec;26(4):346-357. 10.4069/kjwhn.2020.11.26.

Adaptation in pregnant women: a descriptive phenomenological study using Giorgi’s approach

• Koh M
• Kim J
• Ahn S

• KMID: 2510371
• DOI: http://doi.org/10.4069/kjwhn.2020.11.26

Abstract

Purpose
This study aimed to explore the lived experience and meaning of pregnant women’s adaptation.
Methods
Ten pregnant women living in Daejeon and Sejong agreed to participate in this study. The data were collected through telephone in-depth interviews regarding ‘pregnant women’s adaptation. The qualitative data were analyzed using Giorgi’s method of descriptive phenomenology.
Results
Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) the situation when the woman first recognized the pregnancy, 2) the situation of change related with pregnancy, 3) the situation related to the upcoming birth, 4) postpartum-related situations, and 5) the situation related to parenting. The 12 themes were as follows: “anxiety, pressure, and embarrassment due to pregnancy,” “efforts to adapt to physical changes,” “efforts to adapt to the psychological difficulties of pregnancy,” “efforts to adapt to the financial burden and role changes caused by pregnancy,” “connecting with the fetus,” “adapting to a new marital relationship centering on the baby,” “the frustration of childbirth,” “fear of childbirth,” “postpartum care, need help with lactation planning,” “parenting beyond one’s imagination,” “dad’s willingness to participate in parenting,” and “career disconnect and consideration of workplace needs.”
Conclusion
We conclude that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified in the results might be used to develop a nursing intervention to promote adaptation to pregnancy among pregnant women.

Keyword

Adaptation; Intervention; Nursing; Phenomenology; Pregnant women; 적응; 중재; 간호; 현상학; 임신 여성

Figure

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  Figure. 1. Structure of pregnant women’s adaptation.

Reference

References

1. Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004; 36(3):226–232. https://doi.org/10.1111/j.1547-5069.2004.04042.x.

2. Jackson B, Kiehl EM. Adaptation and resilience in African American mothers. SAGE Open Nurs. 2017; 3:1–11. https://doi.org/10.1177/2377960817701137.

3. Kwee J, McBride H, Rossen L. Quality maternal health care from the voices of childbearing women: factors that optimize and disturb wellbeing. J Prenat Perinat Psychol Health. 2020; 34(3):171–190.

4. Ozturk M, Surucu SG, Ozel TE, Inci H. Evaluation to adaptation of motherhood in postpartum period. LIFE: Int J Health Life Sci. 2017; 3(2):65–76. https://doi.org/10.20319/lijhls.2017.32.6576.

5. Prinds C, Hvidt NC, Mogensen O, Buus N. Making existential meaning in transition to motherhood-a scoping review. Midwifery. 2014; 30(6):733–741. https://doi.org/10.1016/j.midw.2013.06.021.

6. Darvill R, Skirton H, Farrand P. Psychological factors that impact on women’s experiences of first-time motherhood: a qualitative study of the transition. Midwifery. 2010; 26(3):357–366. https://doi.org/10.1016/j.midw.2008.07.006.

7. Seefat-van Teeffelen A, Nieuwenhuijze M, Korstjens I. Women want proactive psychosocial support from midwives during transition to motherhood: a qualitative study. Midwifery. 2011; 27(1):e122–e127. https://doi.org/10.1016/j.midw.2009.09.006.

8. Kim KW, Baik SH, Jeong GH. Development and evaluation of multilingual education materials to promote immigrant women’s adaptation to pregnancy. Korean J Women Health Nurs. 2014; 20(4):235–245. https://doi.org/10.4069/kjwhn.2014.20.4.235.

9. Kim SH, Cho Chung HI. Adaptation to motherhood in Central Asian-Korean immigrants to Korea: a grounded theory study. J Korean Acad Nurs. 2019; 49(6):677–689. https://doi.org/10.4040/jkan.2019.49.6.677.

10. Kim Y, Cho KC. Effects of the culturally sensitive education of perinatal care on knowledge, skills, and self-efficacy among Korean husbands and Vietnamese wives. Child Health Nurs Res. 2017; 23(4):515–524. https://doi.org/10.4094/chnr.2017.23.4.515.

11. Lee E. The influencing factors on prenatal self-care behavior among pregnant women. AJMAHS. 2018; 8(5):639–651. https://doi.org/10.21742/AJMAHS.2018.05.41.

12. Todres L, Holloway I. Descriptive phenomenology: life-world as evidence. In: Rapport F, editor. New qualitative methodologies in health and social care research. London: Routledge; 2004. p. 99-118.

13. Giorgi A. The descriptive phenomenological psychological method. J Phenomenol Psychol. 2012; 43(1):3–12. https://doi.org/10.1163/156916212X632934.

14. Giorgi A. The descriptive phenomenological method in psychology: a modified Husserlian approach. Pittsburgh (PA): Duquesne University Press;2009.

15. Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenomenol Psychol. 1997; 28(2):235–260. https://doi.org/10.1163/156916297X00103.

16. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass Publishers;1981.

17. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci. 1986; 8(3):27–37. https://doi.org/10.1097/00012272-198604000-00005.

18. Parfitt Y, Ayers S. Transition to parenthood and mental health in first-time parents. Infant Ment Health J. 2014; 35(3):263–273. https://doi.org/10.1002/imhj.21443.

19. Aber C, Weiss M, Fawcett J. Contemporary women’s adaptation to motherhood: the first 3 to 6 weeks postpartum. Nurs Sci Q. 2013; 26(4):344–351. https://doi.org/10.1177/0894318413500345.

20. Kim EH, Rhee SH, Lee WK, Kim M, Doh HS. A grounded theory study on first-time pregnant couples‘ adaptation processes to parenthood. Korean J Fam Soc Welfare. 2017; 22(1):1–39. https://doi.org/10.13049/kfwa.2017.22.1.1.

21. Baek SJ, Nam JA, Seo EY, Kwon SY, Lee CH, Choi KS. Antenatal depressive symptoms and associated risk factors among pregnant women. J Korean Neuropsychiatr Assoc. 2019; 58(4):346–52. https://doi.org/10.4306/jknpa.2019.58.4.346.

22. Barton K, Redshaw M, Quigley MA, Carson C. Unplanned pregnancy and subsequent psychological distress in partnered women: a cross-sectional study of the role of relationship quality and wider social support. BMC Pregnancy Childbirth. 2017; 17(1):44. https://doi.org/10.1186/s12884-017-1223-x.

23. Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H, et al. Causes and outcomes in studies of fear of childbirth: a systematic review. Women Birth. 2019; 32(2):99–111. https://doi.org/10.1016/j.wombi.2018.07.004.

24. Molgora S, Fenaroli V, Prino LE, Rollè L, Sechi C, Trovato A, et al. Fear of childbirth in primiparous Italian pregnant women: the role of anxiety, depression, and couple adjustment. Women Birth. 2018; 31(2):117–123. https://doi.org/10.1016/j.wombi.2017.06.022.

25. Mulherin K, Johnstone M. Qualitative accounts of teenage and emerging adult women adjusting to motherhood. J Reprod Infant Psychol. 2015; 33(4):388–401. https://doi.org/10.1080/02646838.2015.1042963.

26. Moraes CJ, Granato TM. Becoming a father: an integrative review of the literature on transition to fatherhood. Psicol Estud. 2016; 21(4):557–567. https://doi.org/10.4025/psicolestud.v21i4.29871.

27. Nešporová O. Hazy transition to fatherhood: the experiences of Czech fathers. J Fam Issues. 2019; 40(2):143–166. https://doi.org/10.1177/0192513X18806028.

28. Baldwin S, Malone M, Sandall J, Bick D. Mental health and wellbeing during the transition to fatherhood: a systematic review of first time fathers’ experiences. JBI Database System Rev Implement Rep. 2018; 16(11):2118–2191. https://doi.org/10.11124/JBISRIR-2017-003773.