Well-being in high-risk pregnancy: an integrative review

Mirzakhani, Kobra; Ebadi, Abbas; Farıdhosseını, Farhad; Khadivzadeh, Talat

doi:10.21203/rs.2.17030/v3

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…Pregnant women suffer from various acute and chronic diseases and pregnancies, as well as adverse environmental and social factors, which can lead to fetal death, intrauterine growth retardation, congenital malformation, premature birth, neonatal diseases, and so on that constitute a high-risk pregnancy process called high-risk pregnancy [ 1 ]. 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 ].…”

Section: Introductionmentioning

confidence: 99%

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

Sun

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. The study estimated the impacts of water sac of different capacities combined with oxytocin (OXT) on pregnant women with high-risk term pregnancies. Methods. Women with high-risk term pregnancies who received OXT were enrolled to perform labor induction using 30 mL (group A), 80 mL (group B), and 150 mL (group C), followed by the comparisons regarding to the success rate of labor induction, cesarean section rate, duration of induced labor to labor, duration of the first stage of labor, postpartum blood loss, the incidence of adverse reactions, and the assessment of cervical ripening using Bishop Score. Besides, neonatal weight, Apgar score, as well as psychological status, and satisfaction of patients were compared among these groups. Results. As compared with group A, the success rate of induced labor was higher in groups B and C with lower cesarean section rate and shorter duration of induced labor to labor, but the duration of the first stage of labor in group B was the shortest among the three groups. The amount of postpartum hemorrhage decreased stepwise from groups A to B to C. In addition, groups A and B showed a reduced incidence of adverse reactions than group C, but the highest level of cervical ripening and highest patient satisfaction was revealed in group C and group B, respectively. Furthermore, the highest patient satisfaction was found in group B. Conclusion. The usage of an 80 mL water sac combined with OXT in high-risk term pregnancy has ideal induction effects, which can guarantee maternal cervical maturity and shorten the time of the first stage of labor.

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Section: Introductionmentioning

confidence: 99%

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

Sun

2022

Evidence-Based Complementary and Alternative Medicine

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Section: Methodsmentioning

confidence: 99%

“…Whittemore and Knafl's review approach consists of five stages, namely problem (or concept) identification, literature search, data evaluation, data analysis, and presentation (Figure 1). 42,43 The concept of maternal caring ability for a preterm infant was examined. The period ranged from 1965 to 2020 was selected to analyze the development of the concept over time.…”

Section: Sample and Data Collectionmentioning

confidence: 99%

Maternal caring ability with the preterm infant: A Rogerian concept analysis

et al. 2022

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Aim To analyze the concept of maternal caring ability for a preterm infant to develop an operational definition. Background Each year, many newborns are born preterm and admitted to the neonatal intensive care unit (NICU). Although their mothers are prepared for discharge home by the staff, it is difficult to identify an operational definition of their maternal caring ability for the preterm infant. Design Concept analysis. Data sources Searches used PubMed, as the primary health‐related literature, ProQuest, Science Direct, CINHAL, web of science, Scopus, and Google Scholar. Keywords caring ability, mother, and preterm infant were used to analyze the development of the concept from 1965 to 2020. Methods Rogers' and Knafl's evolutionary approach has been used to explain the concept of maternal caring ability for the preterm infant. Results The combined searches yielded 23,291 documents published in English. After the screening process, 43 documents were selected. The Graneheim and Lundman analysis method was used to identify the themes related to the attributes of maternal caring ability. Findings showed the caring ability to have four antecedents (maternal characteristics, support systems, infant characteristics, and the illness severity), four attributes (knowledge and skill in neonatal care, self‐efficacy, sensitivity, responsibility, and problem‐solving), and three consequences (parental adjustment, improving infant growth and development, and improving parent–infant relationships). Conclusion The caring ability of the mother of a preterm infant is grounded in an adequate knowledge of caregiving needs of a preterm infant, high caregiving skills, a sense of self‐efficacy, problem‐solving, sensitivity, and responsibility.

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Well-being in high-risk pregnancy: an integrative review

Mirzakhani

Ebadi

Farıdhosseını

et al. 2020

BMC Pregnancy Childbirth

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Background A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in HRP, there is no clear definition for it. This study aimed to explore the concept of well-being in HRP. Methods This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance to well-being in HRP. The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute. Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in HRP. Results Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. The four unique dimensions of well-being in HRP are physical, mental-emotional, social, and spiritual well-being. These dimensions differentiate well-being in HRP from well-being in low-risk pregnancy and in non-pregnancy conditions. Conclusion As a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components.

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Well-being in high-risk pregnancy: an integrative review

Cited by 4 publications

References 38 publications

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

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

Maternal caring ability with the preterm infant: A Rogerian concept analysis

Well-being in high-risk pregnancy: an integrative review

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