Risk Perception in Pregnancy

Robinson, Monique; Pennell, Craig E.; McLean, Neil J.; Tearne, Jessica E.; Oddy, Wendy H.; Newnham, John P.

doi:10.1027/1016-9040/a000212

Cited by 12 publications

(13 citation statements)

References 67 publications

(113 reference statements)

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“…Pregnancy and childbirth are associated with potential major risks for women and newborns and the death of thousands of women and millions of infants worldwide. 1 In 2015, an estimated 300,000 women died from pregnancy-related causes. 2,3 Although considerable progress has been made over the last twenty years in reducing maternal, fetal and neonatal mortality by improving access to and provision of high quality services during pregnancy, labor, and delivery, high pregnancy-related mortality is still common in many low-and middle-income countries (LMIC).…”

Section: Introductionmentioning

confidence: 99%

Trends of antenatal care during pregnancy in low- and middle-income countries: Findings from the global network maternal and newborn health registry

Tikmani

Ali

Saleem

et al. 2019

Seminars in Perinatology

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Background-Antenatal care (ANC) is an important opportunity to diagnose and treat pregnancy-related complications and to deliver interventions aimed at improving health and survival of both mother and the infant. Multiple individual studies and national surveys have assessed antenatal care utilization at a single point in time across different countries, but ANC trends have not often been studied in rural areas of low-middle income countries (LMICs). The objective of this analysis was to study the trends of antenatal care use in LMICs over a seven-year period.

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Section: Introductionmentioning

confidence: 99%

Trends of antenatal care during pregnancy in low- and middle-income countries: Findings from the global network maternal and newborn health registry

Tikmani

Ali

Saleem

et al. 2019

Seminars in Perinatology

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“…Recent advances in obstetric management and technology has not decreased women’s obstetric risk perception [34]. Rather, the range of modern prenatal investigations, surveillance, medico-legal milieu, high-tech infertility treatment, and use of the internet and social media have all combined to heighten women and their partners’ anxiety about pregnancy in developed countries [35]. Whether this is the case in low-resource settings needs to be investigated.…”

Section: Discussionmentioning

confidence: 99%

“…Whether this is the case in low-resource settings needs to be investigated. Stress, anxiety, and depression resulting from increased perception of risk during pregnancy could also have far reaching implications for the health of mothers, babies, families and the health system [35]. Conversely, women who downplay their risk status as a result of ignorance, non-utilization of antenatal care, and appropriate investigations, as is the case in low-resourced settings [36], require targeted information, education, and communication interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Studies in developing countries identified age at marriage, education, parity, extended family, place of residence, employment status, wealth, and previous hospital delivery as predictors of obstetric risk perception [2737]. Similarly, age, parity, education, knowledge and practice of antenatal care, previous institutional delivery, and experiencing maternal death in an acquaintance predicted awareness of obstetric danger signs [2736].…”

Section: Introductionmentioning

confidence: 99%

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Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria

Iliyasu

Galadanci

Abdurrahim

et al. 2019

Annals of Global Health

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Background:Risk perception and recognition of danger signs are important cues for accessing obstetric care. These measures are not well documented in many resource-limited settings, including northern Nigeria, a region with poor maternal health indices.Objective:To assess community level obstetric risk perception, danger sign recognition and their predictors in Kano, northern Nigeria.Method:This is a community-based cross-sectional study. Participants were surveyed using structured, pretested questionnaires. Knowledge of obstetric risk factors and danger sign recognition were analyzed, and their predictors modeled using logistic regression to generate adjusted odds ratios (AORs).Results:The obstetric risk factors identified by the 400 respondents included: maternal age (64.3%), history of abortion (37.0%), postpartum haemorrhage (36.0%), previous operative delivery (31.8%), and high parity (31.3%). The most frequently recognised danger signs during pregnancy were: vaginal bleeding (76.8%), seizures (44.5%), and severe abdominal pain (34.8%). Common intrapartum danger signs recognised included: severe bleeding (77.8%), seizures (55.5%), and loss of consciousness (38.3%). Severe bleeding (80.5%), seizures (42.0%), and high fever (28.5%) were the top three danger signs identified in the postpartum period. At multivariate level, respondent sex (female vs. male) (aOR = 3.10, 95% CI = 1.67–5.74), ethnicity (Yoruba vs. Hausa) (aOR = 7.53, 95% CI = 2.51–22.6), occupation (employed vs. unemployed) (aOR = 4.07, 95% CI = 1.87–8.84) and parity (≥5 versus 0) (aOR = 0.23, 95% CI = 0.06–0.92) predicted good obstetric risk perception. Participants’ ethnicity (Yoruba vs. Hausa) (aOR = 4.40, 95% CI = 1.10–19.2) and obstetric risk perception (good vs. poor) (aOR = 12.0, 95% CI = 6.8–21.2) predicted danger sign recognition.Conclusion:The perception of obstetric risk and recognition of danger signs were influenced by participant sex, parity, employment status, and ethnicity. Targeted communication strategies and community-based education are essential to enhance effective utilisation of emergency obstetric services.

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“…The finding that participants perceived STan monitoring as an improved fetal monitoring method, but mainly for complicated pregnancies and/or in instances in which the unborn baby is compromised, was similarly reported in the previous study on women’s satisfaction of STan [ 13 ]. Pregnancy risk factors can be difficult to ascertain from labour outset and degree of both perceived and actual pregnancy risk may change [ 32 ]. Analyses carry implications for maternity care providers’ communication of STan to consumers; specifically, how STan is intended to alert clinicians to problems in labour before they escalate, rather than respond to problems after they become emergencies [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A pilot exploratory investigation on pregnant women’s views regarding STan fetal monitoring technology

Bryson

Wilkinson

Kuah

et al. 2017

BMC Pregnancy Childbirth

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BackgroundWomen’s views are critical for informing the planning and delivery of maternity care services. ST segment analysis (STan) is a promising method to more accurately detect when unborn babies are at risk of brain damage or death during labour that is being trialled for the first time in Australia. This is the first study to examine women’s views about STan monitoring in this context.MethodsSemi-structured interviews were conducted with pregnant women recruited across a range of clinical locations at the study hospital. The interviews included hypothetical scenarios to assess women’s prospective views about STan monitoring (as an adjunct to cardiotocography, (CTG)) compared to the existing fetal monitoring method of CTG alone. This article describes findings from an inductive and descriptive thematic analysis.ResultsMost women preferred the existing fetal monitoring method compared to STan monitoring; women’s decision-making was multifaceted. Analysis yielded four themes relating to women’s views towards fetal monitoring in labour: a) risk and labour b) mobility in labour c) autonomy and choice in labour d) trust in maternity care providers.ConclusionsFindings suggest that women’s views towards CTG and STan monitoring are multifaceted, and appear to be influenced by individual labour preferences and the information being received and understood. This underlies the importance of clear communication between maternity care providers and women about technology use in intrapartum care. This research is now being used to inform the implementation of the first properly powered Australian randomised trial comparing STan and CTG monitoring.Electronic supplementary materialThe online version of this article (10.1186/s12884-017-1598-8) contains supplementary material, which is available to authorized users.

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Risk Perception in Pregnancy

Cited by 12 publications

References 67 publications

Trends of antenatal care during pregnancy in low- and middle-income countries: Findings from the global network maternal and newborn health registry

Trends of antenatal care during pregnancy in low- and middle-income countries: Findings from the global network maternal and newborn health registry

Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria

A pilot exploratory investigation on pregnant women’s views regarding STan fetal monitoring technology

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