Complicated and Uncomplicated Pregnancies: Women’s Perception of Risk

Gupton, Annette; Heaman, Maureen; Cheung, Leo W.K.

doi:10.1111/j.1552-6909.2001.tb01535.x

Cited by 78 publications

(95 citation statements)

References 15 publications

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“…Several studies have reported a distinction between women's perceptions of risk to the baby, and risk to themselves or the pregnancy (Gray, 2006;Gupton et al, 2001;Maloni & Kutil, 2000) -illustrating the complexity of the concept. While the current study also distinguished between perceived risk to mother and perceived risk to baby, these were assessed using only four single-item measures.…”

Section: Discussionmentioning

confidence: 99%

“…Yet it is essential to develop valid and reliable tools, which are sensitive to change. Other researchers have utilised visual analogue scales (Gray, 2006;Gupton et al, 2001) and acknowledged the need for refinement and psychometric testing of these scales. Exploration of the factors contributing to perceptions of risk, the processes by which women construct these meanings, and the potential for differing internal working models of attachment among women would benefit from detailed qualitative investigation.…”

Section: Discussionmentioning

confidence: 99%

“…It is therefore important to consider the woman's own perception of her pregnancy related difficulty in addition to the medical risk rating made by medical personnel (Corbin, 1987 as cited in Gupton, Heaman, & Cheung, 2001). In order to address this potentially important distinction between perceptions of risk in the prediction of maternal-foetal attachment, the current study sought to investigate the relationship between maternal perceptions of risk (in addition to medical risk ratings) and maternal-foetal attachment among women who have been hospitalised for a pregnancy related complication (rather than focusing on medically high-risk versus low-risk populations).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Maternal appraisals of risk, coping and prenatal attachment among women hospitalised with pregnancy complications

White

McCorry

Scott-Heyes

et al. 2008

Journal of Reproductive and Infant Psychology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Maternal appraisals of risk, coping and prenatal attachment among women hospitalised with pregnancy complications

White

McCorry

Scott-Heyes

et al. 2008

Journal of Reproductive and Infant Psychology

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“…These included six cross-sectional studies of women with high risk pregnancies (Heaman, Beaton et al 1992;Gupton, Heaman et al 2001;Gray 2006;White, McCorry et al 2008;Headley and Harrigan 2009;Heaman and Gupton 2009) and one retrospective study of mothers of twins conducted within the first three days following delivery (Papiernik, Tafforeau et al 1997).…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Risk perception of women during high risk pregnancy: A systematic review

Lee

Ayers

Holden

2012

Health, Risk & Society

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“…Recommendations based on the study were that interventions including routine assessment of their perceived stress and pregnancy attitudes have the possibility of improving perinatal outcomes. Gupton, Heaman, and Cheung (2001) set out to determine the relationship between biomedical, psychosocial, and demographic risk factors and women's perceptions of pregnancy risk in a descriptive, correlational study. A comparison was made between women with and without complications in their pregnancies.…”

Section: Research Support Psychosocial Variablesmentioning

confidence: 99%

"Assess the stress: Identifying psychosocial risk to optimize perinatal outcomes in military gravids"

Arabia¹

2002

PsycEXTRA Dataset

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, (Logsdon, 2000;Norbeck & Tilden, 1983).This can lead to stress, which directly and indirectly affects maternal and fetal well being.Complications Although extensive research has been conducted over the past 30 years validating the link between psychosocial factors and perinatal outcomes, little attention is given to these in the perinatal setting. Obstetrical providers are still relying on biomedical and demographic information alone to determine perinatal risk.Women in the military are a vulnerable population at risk for antepartum, intrapartum, and postpartum complications (Magann & Nolan, 1991;Rosen & Evans, 2000). The lack of social support due to geographic separation from family, friends, and often times, partners, seems to be contributory to their risk. This is significant since studies have shown that social support can buffer the detrimental effects of stress.The purpose of the proposed innovation is twofold. One, to heighten military provider awareness of the impact stress and psychosocial variables have on perinatal outcomes. Two, to incorporate psychosocial risk assessment and strategies to counter those risks throughout routine prenatal care.The proposed innovation will be a one-day continuing education program to 50-60 OB/GYN physicians, residents, nurse practitioners, clinical nurses, medical technicians, and inpatient nurse managers providing care at Wilford Hall Medical Center, San Antonio, Texas. The innovation will continue over 12 months by utilizing The Prenatal Psychosocial Profile (PPP) at least three times over the course of the pregnancy to assess stress, social support, and self-esteem. Formal documentation and intervention strategies will be readily accessible to providers.Evaluation of the program will include pre-and post-attitudinal questionnaires along with a program evaluation. A follow-up questionnaire will be administered at one year to all healthcare personnel providing OB/GYN services to evaluate the acceptance of psychosocial evaluation and input for the decision making process to accept, modify, or adopt the innovation. Evaluation will also include review of prenatal records at three, six, and twelve months to determine if the PPP is being utilized, psychosocial risks are being addressed, and appropriate interventions are being recommended.

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Complicated and Uncomplicated Pregnancies: Women’s Perception of Risk

Cited by 78 publications

References 15 publications

Maternal appraisals of risk, coping and prenatal attachment among women hospitalised with pregnancy complications

Maternal appraisals of risk, coping and prenatal attachment among women hospitalised with pregnancy complications

Risk perception of women during high risk pregnancy: A systematic review

"Assess the stress: Identifying psychosocial risk to optimize perinatal outcomes in military gravids"

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