Perceived Risk in Women with High Risk Pregnancy

Abstract

Background: Risk perception in high-risk pregnancies influences the mothers' adherence to medical treatments and recommendations. Because of the lack of information about the women's perception of risk, the aim of this study was to explain perception of risk in high-risk pregnancies. Materials and Methods: This qualitative study was conducted on 25 women with a high-risk pregnancy in educational hospitals of Mashhad, Iran, from August 2017 to August 2018. Data were collected through semi-structured interviews and data saturation was reached after 29 interviews. Data collection and analysis were simultaneously carried out using the qualitative content analysis method adopted by Elo and Kyngäs in MAXQDA software. Results: Data analysis resulted in the four main categories of perception of risk control ability (risk controlling through experience, risk tolerance through relying on a higher power, and risk tolerance to reach family goals), wrong estimation of risk (wrong calculation of possible risks based on wrong beliefs and knowledge, and incorrect risk estimation caused by misunderstanding), possibility of mutual vulnerability of pregnancy and risk condition (possibility of vulnerability of the fetus to risk factors, and possibility of the mother's vulnerability to risk factors), and induced risk (risk induced by negative experiences, induced threat of unknown pregnancy outcome, and fear of ambiguous medical terms). Conclusions: The results of this study promoted our understanding of risk perception in women with high-risk pregnancies. Therefore, it will help to establish a-Ž better link between women with a high-risk pregnancy and the health team, enhance and improve maternal and fetal care.

Effect of Oxytocin Combined with Different Volume of Water Sac in High-Risk Term Pregnancies

“…In recent years, high-risk pregnancy has become increasingly common in the clinic, accounting for 8–12% of all pregnancies, an approximately four-fold increase compared to 2010 [ 2 ]. High-risk pregnancy not only poses a great threat to the newborn but may also lead to maternal death due to shock and massive hemorrhage during delivery [ 3 ]. Therefore, in clinic, it is necessary to focus on monitoring and additional targeted treatment for such pregnant women, so as to ensure maternal and child safety.…”

Social representations of pregnant women about high-risk pregnancy: repercussions for prenatal care

“…Study ( 17 ) carried out with GAR in teaching hospitals in Iran showed that these pregnancies are accompanied by many sensations and profound changes in the mental structure, influenced by perceptions, expectations and previous experiences, requiring adaptation strategies in the context in which the risk occurs.…”

“…It is worth mentioning that the diagnosis of HRP, as well as the experience of a borderline situation between life and death, brings a feeling of fear and loneliness caused by stress, and the perception of risk is effective in the attitude towards the treatment, maternal decisions in pregnancy and adherence to medical procedures and recommendations ( 17 ) .…”

Representações sociais de mulheres grávidas sobre a gestação de alto risco: repercussões para assistência pré-natal

“…Estudo (17) realizado com GAR em hospitais de ensino no Irã mostrou que essas gestações são acompanhadas por muitas sensações e profundas modificações na estrutura mental, influenciadas por percepções, expectativas e experiências anteriores, requerendo estratégias de adaptação no contexto em que ocorre o risco.…”