The phenomenological study of the lived experiences of pregnancy described in this article is part of a Finnish caring science research program. Eighty interviews with 40 women combined with nonparticipant observation were analyzed according to Colaizzi. Pregnant women wishing for a perfect child want to promote the health of their unborn baby, no longer take health for granted, and try to change their health behavior. Their altered mode of being involves body changes, variations in mood, and worries. The striving to achieve family communion is seen in the evolving significance of the baby; in dreams, hopes, and plans; and in changing relationships. In relation to Eriksson’s ontological health model, the joy and suffering in pregnancy are based on being there for another. Taking seriously the women’s experiences and the hidden questions that reveal suffering in both lay and professional caring might prevent the serious postpartum misery of motherhood.
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References
1.
Aaronson, L. S. (1989). Perceived and received support: Effects on health behavior during pregnancy. Nursing Research, 1(38), 4-9.
2.
Barclay, L. , Everitt, L., Rogan, F., Schmied, V., & Wyllie, A. (1997). Becoming a mother— an analysis of early motherhood. Journal of Advanced Nursing, 25, 719-728.
3.
Barclay, L. , & Lloyd, B. (1996). The misery of motherhood: Alternative approaches to maternal distress. Midwifery, 12, 136-139.
4.
Beaton, J. , & Gupton, A. (1990). Childbirth expectations: A qualitative analysis. Midwifery, 6(39), 133-139.
5.
Beck, C. T. (1992). The lived experience of postpartum depression: A phenomenological study. Nursing Research, 3(41), 166-170.
6.
Beck, C. T. (1993). Teetering on the edge: A substantive theory of postpartum depression. Nursing Research, 1(42), 42-48.
7.
Bergum, V. (1989). Woman to mother: A transformation. Granby, MA: Bergum and Garvey.
8.
Bibring, G. (1959). Some considerations of the psychological processes in pregnancy. Psychoanalytic Study of the Child, 14, 113-119.
9.
Bondas, T. (2000). Women’s experiences of antenatal care. Manuscript submitted for publication.
10.
Bondas-Salonen, T. (1998a). How women experience the presence of their partners at the birth of their babies. Qualitative Health Research, 8(6), 784-801.
11.
Bondas-Salonen, T. (1998b). New mothers’ experiences of postpartum care—A phenomenological follow-up study. Journal of Clinical Nursing, 7, 165-174.
12.
Breen, D. (1975). The birth of the first child. London: Tavistock.
13.
Brown, M. A. (1986). Social, support, stress, and health: A comparison of expectant mothers and fathers. Nursing Research, 35(2), 72-76.
14.
Bryce, R. L. (1991). Support in pregnancy. International Journal of Technology Assessment in Health Care, 7(4), 478-484.
15.
Chertok, L. (1969). Motherhood and personality. London: Tavistock.
16.
Coffman, S. , Levitt, M. J., & Brown, L. (1994). Effects of clarification of support expectations in prenatal couples. Nursing Research, 43(2), 111-116.
17.
Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential-phenomenological alternatives for psychology (pp. 48-71). New York: Oxford University Press.
18.
Cranley, M. S. (1981). Development of a tool for the measurement of maternal attachment during pregnancy. Nursing Research, 30(5), 281-284.
19.
Cronenwett, L. R. (1985). Parental network structure and perceived support after birth of first child. Nursing Research, 34(6), 347-352.
20.
Crotty, M. (1996). Phenomenology and nursing research. Melbourne, Australia: Churchill Livingstone.
21.
Drake, M. L. , Verhulst, D., & Fawcett, J. (1988). Physical and psychological symptoms experienced by Canadian women and their husbands during pregnancy and the postpartum. Journal of Advanced Nursing, 13, 436-440.
22.
Eriksson, K. (1992). The allevation of suffering—The idea of caring. Scandinavian Journal of Caring Sciences, 6(2), 119-123.
23.
Eriksson, K. (1994). Theories of caring as health. In D. A. Gaut & A. Boykin (Eds.), Caring as healing: Renewal through hope (pp. 2-20). New York: National League for Nursing.
24.
Eriksson, K. (1997). Caring, spirituality and suffering. In M. S. Roach (Ed.), Caring from the heart: The convergence of caring and spirituality (pp. 68-84). New York: Paulist Press.
25.
Eriksson, K. , Bondas-Salonen, T., Herberts, S., Lindholm, L., & Matilainen, D. (1995). Den mångdimensionella hälsan—verklighet och visioner [Multidimensional health—Reality and visions] (Final report). Vasa, Finland: Department of Caring Science, Åbo Akademi University.
26.
Giorgi, A. (1985). Phenomenology and psychological research. Pittsburgh, PA: Duquesne University Press.
27.
Gottlieb, L. N. , & Mendelson, M. J. (1995). Mothers’ moods and social support when a second child is born. Maternal-Child Nursing Journal, 1(23), 3-14.
28.
Graham, H. , & Oakley, A. (1986). Competing ideologies of reproduction: Medical and maternal perspectives on pregnancy. In C. Currer & M. Stacey (Eds.), Concepts of health, illness and disease: A comparative perspective (pp. 99-115). New York: Berg Publishers Ltd.
29.
Hallgren, A. , Kihlgren, M., Norberg, A., & Forslin, L. (1995). Women’s perceptions of childbirth and childbirth education before and after education and birth. Midwifery, 11, 130-137.
30.
Hillan, E. M. (1992). Issues in the delivery of midwifery care. Journal of Advanced Nursing, 17, 274-278.
31.
Höjeberg, P. (1985). Trollmor: Sägner om moderskap [Troll-mother: Legends of motherhood]. Värnamo, Sweden: Gidlunds.
32.
McIntosh, J. (1993a). The experience of motherhood and the development of depression in the postnatal period. Journal of Clinical Nursing, 2, 243-249.
33.
McIntosh, J. (1993b). Postpartum depression and women’s help-seeking behaviour and perceptions of cause. Journal of Advanced Nursing, 18, 178-184.
34.
Mercer, R. T. (1986). First-time motherhood: Experiences from teens to forties. New York: Springer.
35.
Mercer, R. T. , & Ferketich, S. L. (1990). Stress and social support as predictors of anxiety and depression during pregnancy. Advances in Nursing Science, 10(2), 26-39.
36.
Mitchell, G. J. , & Cody, W. K. (1993). The role of theory in qualitative research. Nursing Science Quarterly, 6(4), 170-178.
37.
Morse, J. M. (1991). Strategies for sampling. In J.M. Morse (Ed.), Qualitative nursing research: A contemporary dialogue (pp. 117-131). Newbury Park, CA: Sage.
38.
Morse, J. M. (1997). Considering theory derived from qualitative research. In J. M. Morse (Ed.), Completing a qualitative project: Details and dialogue (pp. 163-189). Thousand Oaks, CA: Sage.
39.
Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.
40.
Nolan, M. L. (1997). Antenatal education—Where next?Journal of Advanced Nursing, 25, 1198-1204.
41.
Oakley, A. (1980). Women confined: Towards a sociology of childbirth. Oxford, UK: Martin Robertson.
42.
Patterson, E. T. , Douglas, A. D., Patterson, P. M., & Bradle, J. (1992). Symptoms of preterm labor and self-diagnostic confusion. Nursing Research, 41(6), 367-372.
43.
Rogan, F. , Schmied, V., Barclay, L., Everitt, L., & Wyllie, A. (1997). “Becoming a mother”: Developing a new theory of early motherhood. Journal of Advanced Nursing, 25, 877-885.
44.
Rubin, R. (1976). Maternal tasks in pregnancy. Journal of Advanced Nursing, 1, 367-376.
45.
Rubin, R. (1984). Maternal identity and the maternal experience. New York: Springer.
46.
Sandelowski, M. , & Black, B. P. (1994). The epistemology of expectant parenthood. Western Journal of Nursing Research, 16(6), 601-622.
47.
Sethi, S. (1995). The dialectic in becoming a mother: Experiencing a postpartum phenomenon. Scandinavian Journal of Caring Sciences, 9, 235-244.
48.
Shereshefsky, P. M. , & Yarrow, L. J. (1973). Psychological aspects of a first pregnancy and early postnatal adaptation. New York: Raven.
49.
Spiegelberg, H. (1975). Doing phenomenology: Essays on and in phenomenology. The Hague, Netherlands: Martinus Nijhoff.
50.
Stainton, M. C. , McNeil, D., & Harvey, S. (1992). Maternal tasks of uncertain motherhood. Maternal-Child Nursing Journal, 20(3, 4), 113-123.
51.
Tarkka, M. T. , & Paunonen, M. (1996). Social support and its impact on mothers’experiences of childbirth. Journal of Advanced Nursing, 23, 70-75.
52.
Tilden, V. P. (1983). The relation of life stress and social support to emotional disequilibrium during pregnancy. Research in Nursing and Health, 6, 167-174.
53.
Van Manen, M. (1997). From meaning to method. Qualitaive Health Research, 7, 345-369.
54.
Vehviläinen-Julkunen, K. (1995). Family training: Supporting mothers and fathers in the transition to parenthood. Journal of Advanced Nursing, 22, 731-737.
