Maternal development experiences of women hospitalized to prevent preterm birth

Lederman, Regina P.; Boyd, Ellen; Pitts, Kathleen; Roberts-Gray, Cynthia; Hutchinson, Maria

doi:10.1016/j.srhc.2013.10.004

Cited by 14 publications

(10 citation statements)

References 17 publications

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“…As antenatal anxiety and depressive symptoms are common among obstetric inpatients, they increase the risk of post partum depression and adversely affect infant and child development [20]. The hospital admission group in our study reported a growing sense of boredom and anxiety during their admission, which is in line with earlier work on hospitalization during pregnancy: women report concerns for the health of their future baby, feeling of helplessness and loneliness while being separated from home, family and friends [10][11][12]. Lack of privacy, when admitted, affected our patients' contact with health care providers, partner, kids (if present) and other family and friends.…”

Section: Discussionsupporting

confidence: 84%

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Home-based telemonitoring versus hospital admission in high risk pregnancies: a qualitative study on women’s experiences

Heuvel

Teunis

Franx

et al. 2020

BMC Pregnancy Childbirth

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Background: Hospital admission during pregnancy complications is considered to be an event of significant impact. Besides conventional in-clinic maternal and fetal monitoring, recent technologies enable home-based telemonitoring with self-measurements in high risk pregnancy. This study is part of a feasibility pilot to explore the usability and acceptability of telemonitoring and aims to gain insight in the experiences and preferences of high risk pregnant women concerning the novel strategy of telemonitoring, opposed to women who were hospitalized in pregnancy. Methods: Using secured Facebook Groups, we conducted four online focus groups: two focus groups with women who were admitted during pregnancy (n = 11) and two with women who received home telemonitoring in the pilot phase (n = 11). The qualitative data were analyzed thematically. Results: Four major themes emerged from both participant groups: [1] care experience, [2] emotions regarding pregnancy, [3] privacy and [4] impact on daily life. Different views were reported on all four themes, resulting in a direct comparison of experiences during hospitalization and telemonitoring. Most admitted patients reported a growing sense of boredom and anxiety during their clinical admission. Lack of privacy on ward was a great concern, as it affected their contact with hospital staff and family. This issue was not reported amongst telemonitored women. These participants still felt like a patient at times but responded that the comfort of their own home and bed was pleasant. Only a minority of telemonitored participants reported being anxious at times at home, while not having a physician or nurse nearby. Being at home resulted in less travel time for partners or family for hospital visits, which had its positive effects on family life. Conclusions: Telemonitoring of a high-risk pregnancy provides an innovative manner to monitor fetal and maternal condition from home. Compared to the experiences of hospital admission in high risk pregnancy, it allows women to be in a comforting and private environment during an anxious time in their lives. As future studies should further investigate the safety and cost effectiveness of this novel strategy, women's views on the preference of telemonitoring need to be taken into consideration.

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Section: Discussionsupporting

confidence: 84%

“…In previous quantitative studies on hospitalization during high risk pregnancy, women report lower self-esteem, greater anxiety and depression and less optimal family functioning [9]. Experienced fear, anxiety for the unknown and perceived immobility and inactivity are amongst stressors and emotions during hospitalization [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Home-based telemonitoring versus hospital admission in high risk pregnancies: a qualitative study on women’s experiences

Heuvel

Teunis

Franx

et al. 2020

BMC Pregnancy Childbirth

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“…Many of the findings of these studies can be generalised to wider obstetric research, however some of their findings will inherently be specific to the trial or study in which the women participated. Furthermore, while many studies have used a qualitative approach to explore women’s experiences of pregnancy, including high risk and complicated pregnancies [18–22], we were unable to identify any studies that had addressed the experience of women with pregnancies complicated by FGR. In previous work by the EVERREST Consortium we had explored the attitudes of women and couples with previous pregnancies affected by severe early-onset FGR towards research in pregnancy [23].…”

Section: Introductionmentioning

confidence: 99%

Pregnant women’s experiences and perceptions of participating in the EVERREST prospective study; a qualitative study

Harvey¹,

David²,

Dyer³

et al. 2019

BMC Pregnancy Childbirth

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Background The EVERREST Prospective Study is a multicentre observational cohort study of pregnancies affected by severe early-onset fetal growth restriction. The study recruits women with singleton pregnancies where the estimated fetal weight is less than the 3rd centile and below 600 g, between 20 + 0 and 26 + 6 weeks of pregnancy, in the absence of a known chromosomal, structural or infective cause. Method The reported study was retrospective descriptive qualitative interview study of women who had participated in the EVERREST Prospective Study. The aim of this study was to explore the experiences and perceptions of pregnant women taking part in research during a pregnancy affected by severe early-onset fetal growth restriction. Audio-recorded semi-structured telephone interviews were conducted with a purposive sample of 12 women, at least 1 year after delivery of their baby. Two of these pregnancies had ended in stillbirth and one in neonatal death, reflecting the outcomes seen in the EVERREST Prospective Study. Participants gave informed consent, were 16 years or older and were interviewed in English. A topic guide was used to ensure a consistent approach. Questions focused on pregnancy experiences, involvement with the EVERREST study and potential involvement in future research. Recordings were transcribed verbatim for thematic analysis using NVivo10. Results Four broad themes were identified; ‘before joining the EVERREST Prospective Study’, ‘participating in research’, ‘information and support’ and ‘looking back and looking forwards’. Each broad theme incorporated several subthemes. All participants recalled their reaction to being told their baby was smaller than expected. The way this news was given had a lasting impact. A range of benefits of participation in the EVERREST Prospective Study were described and the participants were positive about the way it was conducted. As a consequence, they were receptive to participating in future research. However, the findings suggest that research teams should be sensitive when approaching families at a difficult time or when they are already participating in other research. Conclusions This study highlights the willingness of pregnant women to participate in research and identifies strategies for researchers to engage participants. Electronic supplementary material The online version of this article (10.1186/s12884-019-2277-8) contains supplementary material, which is available to authorized users.

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“…The development of maternal identity and women's sense of attachment to the fetus are critical aspects of women's ability to parent in the future (Huth‐Bocks et al., ; Lederman, Boyd, Pitts, Roberts‐Gray, Hutchinson, & Blackwell, Mercer, ; Rubin, ). Women with MHRP fear for their health and life and that of their fetus.…”

mentioning

confidence: 99%

“…Women with MHRP fear for their health and life and that of their fetus. MHRP can complicate the transition to the maternal role and produce feelings of maternal inadequacy and guilt (Curran, McCoyd, Munch, & Wilkenfeld, ; Mu, ), although some evidence has suggested hospitalizations for MHRP seemed to promote positive maternal development due to heightened attention to protecting the fetus/pregnancy (Lederman et al., ). Little is known about how women make meaning of their evolving maternal identity and thoughts about the fetus during MHRP.…”

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confidence: 99%

On Being Mother and Patient: Dialectical Struggles During Medically High‐risk Pregnancy

McCoyd

Munch

Curran

2018

Infant Mental Health Journal

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Medically high‐risk pregnancy (MHRP) affects 3 to 10% (diagnosis‐dependent) of pregnant women in the United States (National Institute of Child Health Development, 2015), threatening maternal and fetal well‐being. Although mothers’ prenatal distress and mother–infant attachment after birth have been quantitatively researched, little research has examined women's lived experiences of MHRP in the United States. We examined 16 women's experiences of MHRP during hospitalization at an urban, Northeastern U.S. hospital using an interpretive phenomenological approach. Our qualitative findings provide new understanding of how women expend tremendous energy simultaneously navigating new roles of mother and patient. While negotiating these roles, they experienced dialectical struggles and uncertainty relating to emotion management, locus of control, appraisals of self/others, and relational self. Women managed these conflicts within the contexts of their emerging maternal identity, patient–provider relationships, and social relationships. Women struggled as they managed emotion, determined their level of responsibility for fetal outcomes, appraised others and themselves, and worried about how they were perceived. This amplified distress and contributed to women's emotional exhaustion, sense of being overwhelmed, and stress burden. New explication of these energy‐depleting dynamic processes underlying women's experiences of MHRP and their impact on the future mother–infant relationship is considered, and strategies for psychosocial support are identified.

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Maternal development experiences of women hospitalized to prevent preterm birth

Cited by 14 publications

References 17 publications

Home-based telemonitoring versus hospital admission in high risk pregnancies: a qualitative study on women’s experiences

Home-based telemonitoring versus hospital admission in high risk pregnancies: a qualitative study on women’s experiences

Pregnant women’s experiences and perceptions of participating in the EVERREST prospective study; a qualitative study

On Being Mother and Patient: Dialectical Struggles During Medically High‐risk Pregnancy

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