Doživljanje materinstva in podporni model terapevtske obravnave na prehodu v starševstvo pri ženskah z izkušnjo rojstva otroka s carskim rezom : doktorska disertacija

Skubic, Metka (author), Simonič, Barbara (mentor)

Porod in rojstvo otroka je občutljivo in ranljivo obdobje za žensko, novorojenčka in celotno družino. Rojstvo prvega otroka pomeni vzpostavitev družinskega sistema, v katerem se na sistemski, interpersonalni in intrapsihični ravni odzrcalijo koncepti in mehanizmi, s katerimi se ukvarja relacijska družinska terapija. Ta zmore z njimi poiskati pot razrešitve bolečih psihičnih vsebin in privesti do razbremenitve sistema. Ob prehodu v starševstvo prihajajo boleča afektivna občutja posebej do izraza, vendar je navadno v središču pozornosti zunanjega sveta rojstvo otroka, in ne počutje njegovih staršev ter vzdušje v družini. Središče raziskovalnega polja v doktorskem delu pa je prav ženska, ki s porodom kot točko prehoda stopi v svet nežnega, sočutnega in čustveno kompetentnega materinstva ali pa se v vrtincu različnih dejavnikov tveganja znajde v globini porodne travme, ki se kaže na različne načine disfunkcionalnega čutenja, odzivanja in vedenja. Porodni proces lahko pusti nezadovoljive občutke, ki pa kmalu izzvenijo, a se zgodi, da porod sproži tudi potlačene in nezavedne vsebine preteklosti, ki se ob intenzivni fizični in psihični preizkušnji poroda aktivirajo in vodijo v disfunkcionalne odnose. Doktorsko disertacijo z naslovom Doživljanje materinstva in podporni model terapevtske obravnave na prehodu v starševstvo pri ženskah z izkušnjo rojstva otroka s carskim rezom sestavljata teoretični in empirični del. V doktorskem delu je prikazan in kritično ovrednoten praktični preizkus celostne zdravstveno-terapevtske obravnave s PMTO. Iz celotne doktorske disertacije izhaja ugotovitev, da gre za inovativno obravnavo žensk in novorojenčkov po porodu, saj zajema dognanja in strategije več strokovnih področij oz. metod: zdravstvene obravnave, babištva, NBO ter relacijska družinska terapija. Dokazana je njena učinkovitost v primeru mater, ki so rodile s carskim rezom, in hkrati nakazana možnost za uporabo tudi pri drugih načinih poroda in prehoda v starševstvo. Njena uporaba v klinični in terapevtski praksi je prispevek h krepitvi duševnega zdravja nosečnic, porodnic in otročnic, njihovih novorojenih otrok ter družin.

• Language: Slovenian
• Keywords: porod, carski rez, urgentni carski rez, porodna travma, novorojenček, NBO, relacijska družinska terapija, postnatalna posttravmatska stresna motnja
• Work type: Doctoral dissertation
• Typology: 2.08 - Doctoral Dissertation
• Organization: TEOF - Theological Faculty
• Place of publishing: Ljubljana
• Publisher: [M. Skubic]
• Year: 2023
• Number of pages: XIV, 532 str.
• PID: 20.500.12556/RUL-145811
• UDC: 159.93:347.63(043.3)
• COBISS.SI-ID: 153442563
• Publication date in RUL: 16.05.2023

Secondary language

• Language: English
• Title: Experience of motherhood and a supportive therapeutic model in the transition period to parenthood in women with the experience of giving birth by caesarean section

Abstract

The birth of a child is a delicate and vulnerable time for the woman, the newborn and the whole family. The birth of the first child creates a family system in which the concepts and mechanisms that Relational Family Therapy deals with are reflected at the systemic, interpersonal, and intrapsychic levels. This therapy is used to help family members find a way to resolve painful psychological content and liberate the system. Painful affective emotions are especially pronounced during the transition to parenthood, but the attention of the outside world is usually focused on the birth of the child rather than on the well-being of the parents and the family atmosphere. The focus of the research field of this dissertation is the woman who enters the world of tender, compassionate, and emotionally competent motherhood with childbirth as a transition point or who finds herself in the depths of birth trauma in a vortex of various risk factors that manifests itself in various types of dysfunctional feelings, reactions, and behaviours. The birth process usually leaves unsatisfactory feelings and experiences that are temporary in nature, but it also happens that birth triggers repressed and unconscious contents of the past that are activated by the intense physical and psychological ordeal of birth and lead to dysfunctional relationships. The dissertation, entitled »Experience of Motherhood and a Supportive Therapeutic Model in the Transition Period to Parenthood in Women with the Experience of Giving Birth by Caesarean Section« consists of a theoretical and an empirical section. The dissertation presents and critically evaluates a practical test of integrated medical-therapeutic treatment with PMTO. The dissertation concludes that it is an innovative approach to the treatment of postpartum women and newborns because it integrates the knowledge and strategies of several professional fields or methods: Midwifery, NBO, and Relational Family Therapy. It has been shown to be effective with mothers who have delivered by caesarean section, but also demonstrates the possibility of using it with other delivery methods and in the transition to parenthood. Its use in clinical and therapeutic practice contributes to the mental health of pregnant and postnatal women, their newborn children, and families.

• Keywords: birth, caesarean section, emergency caesarean section, birth trauma, neonatal, NBO, relational family therapy, postnatal PTSD