本個案研究的目的是探討一位早期破水的高齡經產婦，在以剖腹的方式產下一位13對染色體異常早產兒後，所經歷之哀傷反應。作者於照顧個案期間觀察個案之各項語言與非語言行為，以行為過程記錄方式收集資料，寫成七篇行為過程記錄作為資料分析之依據。個案從產後在NICU第一次接觸新生兒到新生兒死亡期間，所表現出來的哀傷之情緒反應有震驚與否認、憤怒與忌妒、磋商、憂鬱和接受。作者在新生兒病危期間，建立一對一的互動關係以便滿足個案的個別需要，包括陪伴個案探視新生兒，當一個良好主動的傾聽者、情緒的支持者並耐心的解釋病情及告知醫師治療情況，並向個案澄清對產下染色體異常兒之無法預防和不可預測的因素，以減輕其自責及憂鬱感。鼓勵及引導個案表達她的情緒，以協助個案渡過哀傷過程及產後身心健康的恢復及家庭重新的運作。

This report describes the grief reactions of a after delivering a premature baby with trisomy 13. As a participant observer, the primary author provided nursing care and observed the case’s verbal and nonverbal behaviors. All the data were process recorded, and content analysis was employed. The result showed that the grief reactions included shock and denial, anger and envy, bargaining, self-blame and depression, and acceptance. The neonate’s critical condition and therapeutic regimen were explained to the mother. Risk factors and unpredictability of giving birth to a chromosomally abnormal baby are also clarified. The author acted as a good listener, encouraged the mother to express her sentiments and gave her appropriate emotional support. Gradually the mother recovered from suffering and resumed her daily activities.