A qualitative inquiry into women’s experiences of severe maternal morbidity

Cram, Fiona; Stevenson, Kendall; Geller, Stacie E.; MacDonald, Evelyn Jane; Lawton, Beverley

doi:10.1080/1177083x.2018.1528990

Cited by 9 publications

(8 citation statements)

References 25 publications

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“…[48] After discharge of a near-miss mother, implications include more formal support for mothering when they are in maternal critical care and counseling for partners following this event. [49] There should be a transparent pathway for access to counselling services for near-miss mothers. [12] These counseling services should be provided for successful breastfeeding,[40] sexual problems, and marital problems.…”

Section: Resultsmentioning

confidence: 99%

The needs of women who have experienced “maternal near miss“: A systematic review of literature

Abdollahpour

Heydari

Ebrahimipour

et al. 2019

Iranian J Nursing Midwifery Res

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Background:Maternal Near Miss (MNM) event is associated with emotional, psychological, and social effects on women. Determining the needs of women with these experiences is the key to programming for providing high-quality care and reducing its burden. Hence, this study was conducted to determine the needs of women who have experienced MNM.Materials and Methods:In this literature systematic review, to achieve the intended information, articles published in Web of Science and PubMed databases were systematically searched. The search strategy focused on three keywords or phrases: “maternal morbidity“ OR “maternal near miss“ AND “needs.“ Publication date was all relevant articles before 2019, and publication language was restricted to English. Article search was conducted by two independent reviewers. After the primary search, 2140 articles were found. Eventually, 77 articles, including 20 qualitative studies and 57 quantitative studies, were enrolled for final evaluation.Results:According to the results, the needs of these women could be categorized into six groups of “Management and care needs of health system,“ “Educational needs of health system,“ “Follow up and continuity of care at the primary care level,“ “Need to develop a physical, psychological and social of care packages,“ “Social support,“ and “Psychosocial support and counseling.“Conclusions:The near-miss events change the mothers' living conditions, and therefore, they need to receive special support, given the difficult conditions they are undergoing. It is necessary that a supportive program be designed to follow-up MNM after the discharge to be run by the primary care team.

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Section: Resultsmentioning

confidence: 99%

The needs of women who have experienced “maternal near miss“: A systematic review of literature

Abdollahpour

Heydari

Ebrahimipour

et al. 2019

Iranian J Nursing Midwifery Res

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“…This theme was also mentioned in a study by Souza in 2009 as "physical morbidity of health-threatening conditions" [ 7 ].This result is also in line with the study of Cram in New Zealand in 2019, in which he examined the maternal experience of critical maternal morbidity after 6–12 months of delivery. It has also highlighted the physical dimension of receiving emergency and intensive and critical care [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Death-stricken survivor mother: the lived experience of near miss mothers

et al. 2022

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Background A Near Miss Mother (NMM) who survives life-threatening conditions, experiences intense physical, emotional, and psychological consequences following the maternal near-miss (MNM) events. The aim of this study was therefore to explore indepth understanding meaning of NMM everyday lived experiences on the social and cultural background of Iran. Methods This qualitative study utilized a hermeneutic phenomenology procedure. The study was conducted in hospitals affiliated with the Educational, Research and Treatment Centerwhich usually handle the NMMs. The sampling was purposeful with a maximum variation of eleven NMMs. Datawere collected using unstructured face-to-face interviews, and thetranscribed data were analyzed using Diekelmann, Allen, and Tanner’s seven-stage thematic analysis approach. Results "Death-stricken survivor mother" was the central emerged theme, and three extracted sub-themes included: "Distorted psyche on a journey to death", "physical destruction due to an ominous event ", and the "vicissitudinous life after reviving ". These sub-themes, in turn, involved 12 sub-themes that emerged from 38 common meanings and 1200 codes. Conclusions Findings demonstrate that the living conditions of NMMs are mixed in all aspects of the MNM event. They need a supportive program that includes additional follow-up visits, psychological support from the time of hospitalization until long-time after discharge, alleviation of social, sexual, and financial worries to return them to the normal life, as well as psychosocial rehabilitation to increase their life quality. Furthermore, post-discharge care in NMMs should be done actively and directly at their homes.

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“…Women with trauma from severe maternal morbidity continued to seek professional advice and support after discharge from hospital,33 especially on maternal functioning, sexual health and quality of life 34. Healthcare professionals need to support these mothers since they are at higher risk of impairment in their physical, mental and reproductive health after pregnancy, including an increased risk of death 35…”

Section: Discussionmentioning

confidence: 99%

Comparison of labour and postnatal satisfaction between women with and without severe maternal morbidity: a double-cohort study

2022

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ObjectiveTo compare labour and postnatal satisfaction between women with and without severe maternal morbidity in a tertiary hospital in Kelantan, Malaysia.DesignA prospective double-cohort study.SettingHospital and community based.ParticipantsWomen at childbirth and 1-month post partum.Outcome measuresLabour satisfaction measured using the Malay version of the Women’s Views of Birth Labour Satisfaction Questionnaire and postnatal satisfaction measured using the Malay version of the Women’s Views of Birth Postnatal Satisfaction Questionnaire.ResultsA total of 198 participants responded following childbirth, while 193 responded 1-month post partum. Accordingly, although no significant difference in labour satisfaction scores following childbirth was observed between women with and without severe maternal morbidity, a significant difference in postnatal satisfaction score 1-month post partum had been noted (adjusted mean difference [95% CI]: 3 [0.54 to 5.45]; p=0.019). Moreover, domains for nursing a baby (0.08 [0.024] vs 0.06 [0.029]; p=0.022) and professional support (0.03 [0.022] vs 0.03 [0.029]; p=0.023) differed significantly between women with and without severe maternal morbidity.ConclusionsHealthcare professional support and nursing of babies influenced the relationship between satisfaction and severe maternal morbidity during the later postpartum period.

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A qualitative inquiry into women’s experiences of severe maternal morbidity

Cited by 9 publications

References 25 publications

The needs of women who have experienced “maternal near miss“: A systematic review of literature

The needs of women who have experienced “maternal near miss“: A systematic review of literature

Death-stricken survivor mother: the lived experience of near miss mothers

Comparison of labour and postnatal satisfaction between women with and without severe maternal morbidity: a double-cohort study

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