Medically high-risk pregnancy: Women’s perceptions of their relationships with health care providers

Munch, Shari; McCoyd, Judith L. M.; Curran, Laura; Harmon, Cara

doi:10.1080/00981389.2019.1683786

Cited by 16 publications

(12 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The relationship between women and their HCP also influences women's perception of pregnancy risk and their satisfaction with care. Women frequently sought HCP opinions and psychosocial support when discussing pregnancy risk [37,38,48,49], this was associated with a perceived responsibility shift, either with greater responsibility placed upon the woman or their HCP. Other studies of high-risk pregnancies, have also described women adopting greater responsibility for their baby [46] or accepting either an active or passive role toward their pregnancy-related decision-making [48].…”

Section: Plos Onementioning

confidence: 99%

Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis

et al. 2021

View full text Add to dashboard Cite

Background Women with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly understood. The aim of this systematic review of qualitative literature is to evaluate risk perceptions of pregnancy in women with chronic disease. Methods Eleven electronic databases including grey literature were systematically searched for qualitative studies published in English which reported on pregnancy, risk perception and chronic disease. Full texts were reviewed by two researchers, independently. Quality was assessed using the Critical Appraisal Skills Programme Qualitative checklist and data were synthesised using a thematic synthesis approach. The analysis used all text under the findings or results section from each included paper as data. The protocol was registered with PROSPERO. Results Eight studies were included in the review. Three themes with sub-themes were constructed from the analysis including: Information Synthesis (Sub-themes: Risk to Self and Risk to Baby), Psychosocial Factors (Sub-themes: Emotional Response, Self-efficacy, Healthcare Relationship), and Impact on Behaviour (Sub-themes: Perceived Risk and Objective Risk). Themes fitted within an overarching concept of Balancing Act. The themes together inter-relate to understand how women with chronic disease perceive their risk in pregnancy. Conclusions Women’s pregnancy-related behaviour and engagement with healthcare services appear to be influenced by their perception of pregnancy risk. Women with chronic disease have risk perceptions which are highly individualised. Assessment and communication of women’s pregnancy risk should consider their own understanding and perception of risk. Different chronic diseases introduce diverse pregnancy risks and further research is needed to understand women’s risk perceptions in specific chronic diseases.

show abstract

Section: Plos Onementioning

confidence: 99%

Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The fact that women were recruited while they were inpatients in a hospital may have led them to recall mainly the positive aspects of the hospitalization, and that they were fully cared for by professionals (as reported in narratives and pregnancy-related anxiety questionnaires). Efforts to be a good patient might merely be an attempt to elicit optimal care (Munch et al, 2020), although not all women are able to think positively.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depression in women hospitalized due to high-risk pregnancy: An integrative quantitative and qualitative study

et al. 2021

View full text Add to dashboard Cite

Literature has shown that hospitalized women with high-risk pregnancy tend to develop anxious and depressive symptoms. Research has used quantitative or qualitative methods. By integrating both quantitative and qualitative methods, this study aims to analyze: a) the level of depression, anxiety, and pregnancy-related anxiety in a group of women hospitalized with high-risk pregnancy (hospitalized high-risk) compared with a group of non-hospitalized women with low-risk pregnancy; b) the content of hospitalization-related emotions in a high-risk group. A cross-sectional study was conducted on 30 hospitalized high-risk pregnant women and 32 women with low-risk pregnancy. Participants completed the Edinburgh Postnatal Depression Scale, Hospital Anxiety and Depression Scale (Anxiety), and Pregnancy Related Anxiety Questionnaire. The hospitalized high-risk group also completed open-ended questions about emotions experienced during hospitalization. Univariate Analysis of Covariance showed that the hospitalized high-risk group reported higher general anxiety and depression than the low-risk pregnancy group. Low-risk group reported higher level of concerns about own appearance than high-risk group. Narratives showed that the anxious and depressive symptoms of hospitalized women are related to the loneliness of being away from family. Despite attempts to understand hospitalization, they express concerns about pregnancy. Psychological support for hospitalized pregnant women should be provided to facilitate the communication of emotions that leads women to elaborate the experience of hospitalization to better adapt and cope with the critical condition.

show abstract

“…In contrast, Samantha seemed to successfully manage her emotions and think positively, generally controlled her emotional expression to the point that she could “choose to cry” occasionally, but not in front of HCPs whom she greeted with a decorated room and welcoming smiles. These efforts to be a good patient might merely be her attempts to elicit optimal care (Munch, McCoyd, Curran, & Harmon, in press), yet these data indicate additional emotional labor women must expend. Possibly, such emotion management truly mitigates the potential poor outcomes warned of in the obstetrical literature (Ding et al, 2014; Dole et al, 2003; Lilliecreutz et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

They Say, “If You Don’t Relax…You’re Going to Make Something Bad Happen”: Women’s Emotion Management During Medically High-Risk Pregnancy

McCoyd

Curran

Munch

2019

Psychology of Women Quarterly

Self Cite

View full text Add to dashboard Cite

Little is known about how women with medically high-risk pregnancy manage their emotions while worried about their pregnancies. This study aimed to phenomenologically explore 16 hospitalized women’s emotional reactions and coping during medically high-risk pregnancy with a focus on how emotion management techniques were utilized and what rationales women used for employing them, along with their interpretations of health care providers’ and family members’ advice regarding emotional expression. Respondents universally feared that experienced stress and the resulting distress (negative emotions such as anxiety, sadness, and anger) could harm their fetus. They experienced double binds including believing they must “be positive” to enhance fetal health, despite anxiety and sadness; feeling responsible for housework yet being told not to do it; and needing medical treatments they feared would harm their fetus. In attempting to avoid tears and fears, they expended tremendous energy, leaving themselves depleted and less able to cope. Ubiquitous “think positive” messages amplify women’s sense of failure when distress due to the medically high-risk pregnancy spills over. With little attention to women’s emotional experiences, even to the point of complimenting them as “good incubators,” health care providers may unintentionally shift emotional labor onto vulnerable women. Understanding women’s needs for assistance with emotion management during medically high-risk pregnancy provides important guidance for development of best practices for this population.

show abstract

Medically high-risk pregnancy: Women’s perceptions of their relationships with health care providers

Cited by 16 publications

References 51 publications

Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis

Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis

Anxiety and depression in women hospitalized due to high-risk pregnancy: An integrative quantitative and qualitative study

They Say, “If You Don’t Relax…You’re Going to Make Something Bad Happen”: Women’s Emotion Management During Medically High-Risk Pregnancy

Contact Info

Product

Resources

About