本質性研究之目的在探討母親經歷新生兒死亡的經驗與感受。共訪談八位曾經歷新生兒死亡的母親，以回溯方式透過半結構性訪談指引來收集資料，並以Colaizzi(1978)的現象學研究步驟進行分析，歸納出四個主要概念：「瀕死前的困惑」、「失落後的混亂」、「失落後的調適」、及「專業化的引導」。
依據研究結果顯示：1. 母親面對非預期的新生兒死亡，常在困惑中找尋死亡的緣由，面對生與死的兩極反應而陷於救與不救的兩難中。2. 母親在失落後產生生理、心理與行為上的改變，導致母親角色難以認同，而使夫妻之間產生不一致的期待。3. 失落後的母親無論面對他人無效的安慰或透過本身宣洩的方式，都無法不面對所背負的母親角色，因此常以轉變的思緒來調適失落後的哀傷，母親常因文化剝奪的限制無法參與新生兒的善終過程而導致日後的不安與懊悔。4. 母親期望有專業化的引導帶領其接受死亡的事實，特別是在死亡的剎那，提供逝嬰的紀念物有助於哀傷過程中依附關係的延續，多數母親也強調出院後醫護人員電話關懷追蹤的重要性。
本研究建議失落的母親透過適當的管道表達其哀傷，醫療院所應加強母親返家後的專業追蹤，與家屬共同協助經歷新生兒死亡的母親能夠早日重獲身、心、靈的健康。

The purpose of this qualitative study is to understand mothers’ experiences and perspectives concerning neonatal death. In-depth interviews with eight mothers were conducted. Data were collected using retrospective method based on semi-structured interview guide, and analyzed according to Colaizzi’s (1978) phenomenology approach. Four theme concepts were concluded: puzzles on the brink of neonatal death, chaos in the wake of the loss of babies, adjustments in the wake of the loss of babies, and professional guidance.
The findings are: 1) neonatal death, as an unforeseeable or unpredicted event, constitutes a puzzle for mothers; they tend to seek the cause of the mishaps, and in turn, fall into a dilemma of whether to save the newborn; 2) in the wake of the loss, mothers experience physical, mental, and behavioral changes which might stymie their original positive attitude toward the role of being a mother, and further cause disagreement of expectations between the husband and wife; 3) when mothers try to adjust themselves, common approaches, such as good-will pep-talk and emotional utterance/sharing, are not necessarily meaningful or really helpful. Some factors also play a part, either positively or negatively, in the mental adjustment process; that include responsibility for the household, intentional mood-diversion, prohibiting the mother from attending or participate in funerals for the babies; 4) mothers expect to receive professional guidance to help them facing the fact of death, especially in the moment of separation; providing memorabilia and personalized follow-ups for mothers are beneficial.
In conclusion, it is suggested that mothers experiencing neonatal death should be encouraged to express their grief through appropriate emotional channels, and receive professional follow-ups to rebuild physiologically, psychologically, and spiritually, rather than suppressing their mourning.

第一章 緒論
第一節 研究動機與重要性………………………………………1
第二節 研究目的…………………………………………………3
第二章 文獻查證
第一節 母親失去依附關係的失落感受…………………………4
第二節 母親喪失新生兒的哀傷過程……………………………7
第三節 健康照顧者的照護方式…………………………………16
第四節 質性研究…………………………………………………20
第三章 研究設計與方法
第一節 研究方法…………………………………………………22
第二節 研究參與者………………………………………………24
第三節 研究工具…………………………………………………26
第四節 資料收集的過程…………………………………………29
第五節 資料整理與分析…………………………………………31
第六節 研究的嚴謹度……………………………………………33
第七節 論理考量…………………………………………………35
第八節 預期困難與解決方法……………………………………36
第四章 研究結果
第一節 基本資料分析……………………………………………39
第二節 她~經歷誕生死的煉獄 …………………………………43
第五章 討論
第一節 母親失去新生兒返家後的生活經驗與感受……………68
第二節 專業照顧者所扮演角色的重要性………………………72
第六章 結論與建議
第一節 結論………………………………………………………79
第二節 研究長處與限制…………………………………………80
第三節 建議………………………………………………………81
第四節 研究者的反思……………………………………………84
參考資料
中文部分……………………………………………………………86
英文部分……………………………………………………………89
附錄 ………………………………………………………………96

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