Risk perception in pregnancy: a concept analysis

Lennon, Suzanne

doi:10.1111/jan.13007

Cited by 29 publications

(33 citation statements)

References 151 publications

(151 reference statements)

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“…Perceived susceptibility is a belief embedded within the Health Belief Model [12], which predicts preventative health behaviours through a set of core beliefs [13]. Others have conceptualised risk perception as the objective medical risk estimate and the subjective, socially constructed estimation of risk composed of social, psychological, and environmental factors [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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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.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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“…It is clear from the results of the review that teratogenic risk of medications tends to be over‐estimated (Damase‐Michel et al, 2008; Lupattelli et al, 2014; Nordeng et al, 2010; Petersen et al, 2015; Sanz et al, 2001), while proper estimation (Gils et al, 2016; Pons Eda et al, 2014) or under‐estimation (Gils et al, 2016) occurs less frequently. Yet while there is agreement in the literature about the difficulty of understanding the teratogenic risk of medications due to scientific uncertainty (Polifka, Faustman, & Neil, 1997; Twigg, Lupattelli, & Nordeng, 2016), a realistic perception of teratogenic risk is needed by women in childbearing age to adhere to their therapy (Lennon, 2016).…”

Section: Discussionmentioning

confidence: 99%

Risk management of teratogenic medicines: A systematic review

Shroukh

Steinke

Willis

2020

Birth Defects Research

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Aim: To systematically identify studies of implementing risk management measures when prescribing teratogenic medicines for women of childbearing age and studies reporting risk perceptions of teratogenic medications. Methods: MEDLINE, CINAHL, Scopus, EMBASE, and International Pharmaceutical Abstracts were searched. Studies were included in the risk management section if they reported any of the following risk management measures: teratogenic counseling, contraceptive counseling, pregnancy testing before starting treatment, pregnancy testing during treatment, use of contraception before starting treatment, and use of contraception during treatment. Studies were included in the perceptions section if they reported perceived teratogenic risk as numerical value. Results: Fifty-five studies were included in the risk management section and seven studies were included in the perceptions sections. Prevalence of risk management measures varied as follows: teratogenic counseling (9.5%-99.3%), contraceptive counseling (6.1%-98%), pregnancy testing before starting treatment (0%-95.1%), pregnancy testing during treatment (12.7%-100%), contraception use before starting treatment (15.7%-94%), and contraception use during treatment (1.7%-100%). A proper estimation of the teratogenic risk was reported for thalidomide (by general practitioners and obstetric/gynecologists), for etretinate (by pregnant women), and for misoprostol (by pregnant and nonpregnant women). An underestimation was reported for warfarin and retinoids (by general practitioners and obstetric/gynecologists). And overestimation was reported for thalidomide, valproate, lithium, isotretinoin, phenytoin, warfarin and etretinate by different populations. Conclusion: Considerable variation in the implementation of risk management measures when prescribing teratogenic medicines to women of childbearing age is reported in the literature. A common tendency to overestimate the risk of teratogenic medications was evident.

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“…[ 4 ] Risk is based on biomedical factors from the perspective of experts, and according to the perspective of nurses and midwives, pregnancy and childbirth is a natural process in life. [ 6 ] Risk perception during pregnancy is personal, and is not exclusively based on medical diagnoses. [ 7 ] Health service providers' perceptions are affected by religious backgrounds, and their scope of practices and training and values.…”

Section: Introductionmentioning

confidence: 99%

Perceived Risk in Women with High Risk Pregnancy

Shojaeian

Khadivzadeh

Sahebi³

et al. 2021

Iranian Journal of Nursing and Midwifery Research

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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.

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Risk perception in pregnancy: a concept analysis

Cited by 29 publications

References 151 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

Risk management of teratogenic medicines: A systematic review

Perceived Risk in Women with High Risk Pregnancy

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