研究緣起於生活中友人的經驗，以及從母親口中追述出我平凡出生中的不平凡。與本研究相關研究成果多集中於急症時期醫療照護，心理層面部分多探討失去胎兒婦女之哀傷調適狀態，卻無討論正向適應歷程背後之內涵。因此本文從復原力角度切入，探討失去胎兒婦女其正向適應內涵，及個體在經歷失落事件後的改變。
本研究採用質性研究之敘說分析，以敘事治療(narrative therapy)中「建構、解構、重構為文本取得概念」，透過訪談蒐集資料；以「三度敘說探究分析」為資料整理、分析方法，獲得研究結果。
研究結果顯示：舒雅在引產期間，因醫療人員照護，降低引產部份環境帶來的壓力；胎兒完整度高，提供後續象徵性哀悼儀式機會與母胎關係轉換；坐月子期間家人身體照護與情感交流，共同經歷轉換胎兒關係；赴美工作、抽中房屋、忙於裝潢等特殊轉變時機，加速舒雅抽離原懷孕時空背景；宗教及生活中朋友的關懷撫慰舒雅受傷的心靈；過去對抗憂鬱症的成功經驗與對失落歸因，提高對逆境事件的抗壓性。
巧嵐結婚四年多失去預期的胎兒，復原歷程包含家人、親友對其引產後的身體照護；先生眼淚化解夫妻對於懷孕的認知落差；失去胎兒與失落事件的認知，安頓失落的母胎關係；特殊轉變時機，加速巧嵐離開原懷孕時空背景所帶來的壓力；己身宗教信仰，為文化層面中的危險因子提供一個暫時性答案；內控性格提高對逆境事件的抗壓性。
走過失婚危機與成功順產經驗，提供麗琴第二胎引產經驗與後續失落的復原力量。在經歷失去胎兒的復原力上，第二胎引產時，醫生對胎兒狀態給予明確說明，減低引產上的抉擇；民間文化力量，為第二胎引產狀況與後續懷孕不順因素提供一個暫時性答案；母親協助坐月子、先生提供穩定經濟能力、老大提供母親角色展現的空間；樂觀、主動尋求資源等個人特質，勇於因應懷胎歷程的失落與壓力；第六胎懷胎成功，為長年的求子歷程畫下完美句點。
跨故事文本分析，得到「生物性」、「心理性」、「社會性」、「文化層面」等四大層面阻礙失去胎兒婦女復原歷程之危險因子；「個人特質」、「家人支持歷程」、「特殊轉變時機」、「社會性」、「文化層面」等五大層面有助於失去胎兒婦女復原歷程之保護因子。
研究結果指出，個體若無法立即有效因應危險因子，正視其存在、嘗試行動上安頓，與之共存，能夠減低正向適應歷程中的阻礙；保護因子若於日常生活中展現具體成果，有助於正向適應。

Two motives have combined to make me write this paper on my unusual birth and my friend who had suffered from perinatal loss. Research on perinatal loss women often focused
in nuring care and concerned with grieved adaption. What seem to be lacking,however, is the
content of positive adaption. Therefore, the purpose here are explore how perinatal loss
womem adapted positively and what changes between these womem after lossing their fetal.
The narrative analysis of the qualitative approach is used in this study, and the method of
data collection is narrative interview. Throug construction, destruction and reconstruction of
Narrative Therapy , the data collection had been made. Then using Three-Dimension narrative
analysis method to describe how the resilience operates throughout each story.
According to the cross-stories analysis, it shows that the resilience after perinatal loss is
influenced by some protective and dangerous factors. The protective factors can be divided
into Personality、Family Support Process、Particular Changing Events、Society and Cultural;
the dangerous factors can be classified into four parts such as: Biology、Psychology、Society
and Cultural.
Based on the observation in this study, it is found that the individual is not able to reach
the positive adaption progress smoothly if she is not able to confront the dangerous factors
and deal with them efficiently. On the other hand, it administers to positive adaption if the
protective factors are able to take effects in the daily life.
As the research had seen, the individuals who loss their fetals could reduce obstacles of positive adaption progress, if they confront the dangerous factors which can't be coped with immediately, and try to take action to improve the circumstance. Moreover, it would be
helpful if positive factors are able to take effect in their daily life.

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