Whatever the circumstances, the separation of infants from their mothers at birth is a traumatic experience for all concerned. The paper reports on a study designed to improve practice in this highly sensitive area. An analysis of data collected through semi-structured interviews with 38 mothers who had experienced removal at birth identified four common themes: isolation and unacknowledged support needs; shame, stigma and the failure of others to acknowledge their maternal identity; acute trauma, immediate downturn and disenfranchised grief following infant removal; and strategies to mitigate their pain and grief. These last themes included the use of artefacts both as transitional objects to help mothers come to terms with the permanent loss of a baby, and as a means of keeping maternal identity alive and connecting with an infant who might eventually return home. In response to these findings, and in collaboration with a group of women with lived experience, HOPE boxes were designed to ameliorate the trauma and psychological burden borne by women in this situation. The contents of the boxes have been chosen to reflect the changing experiences of the women's journeys but also the range of possible potential outcomes. The intervention has considerable potential to minimise the trauma of this painful experience.

中文翻译：

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给予希望并尽量减少创伤：一项干预措施，旨在支持因安全问题而在出生时与婴儿分开的妇女

无论在何种情况下，婴儿在出生时与母亲分离对所有相关人员来说都是一种创伤经历。该论文报告了一项旨在改善这一高度敏感领域的实践的研究。通过对 38 名在出生时经历过被带走的母亲进行半结构化访谈收集的数据进行分析，确定了四个共同主题：孤立和未被承认的支持需求；羞耻、耻辱和其他人不承认自己的母亲身份；婴儿被带走后的急性创伤、立即的情绪低落和被剥夺权利的悲痛；以及减轻他们痛苦和悲伤的策略。这些最后的主题包括使用手工艺品作为过渡对象来帮助母亲接受永久失去婴儿，并以此作为保持母性身份的一种方式，并与最终可能回家的婴儿建立联系。针对这些发现，并与一群有生活经验的女性合作，HOPE 盒子旨在减轻女性在这种情况下所承受的创伤和心理负担。盒子的内容经过精心挑选，以反映女性旅程中不断变化的经历，以及可能的潜在结果范围。干预有很大的潜力可以最大程度地减少这种痛苦经历的创伤。盒子的内容经过精心挑选，以反映女性旅程中不断变化的经历，以及可能的潜在结果范围。干预有很大的潜力可以最大程度地减少这种痛苦经历的创伤。盒子的内容经过精心挑选，以反映女性旅程中不断变化的经历，以及可能的潜在结果范围。干预有很大的潜力可以最大程度地减少这种痛苦经历的创伤。