Women's experiences of being in high-risk antenatal care day stay and hospital admission

Stainton, M. Colleen; Woodhart, Lyn

doi:10.1016/s1448-8272(05)80014-8

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…They described not feeling as 'safe' as actually being hospitalised. 7 Both groups of women experienced a disruption to their own lives and to family relationships. This is consistent with other studies of women on bed rest in the USA and Canada 2,4,9,11,17 .…”

Section: Discussionmentioning

confidence: 99%

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Women's responses to two models of antepartum high-risk care: Day stay and hospital stay

et al. 2006

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Section: Discussionmentioning

confidence: 99%

“…This paper reports the women's responses from the quantitative part of a larger study from which the qualitative findings were previously described. 7 …”

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confidence: 99%

Women's responses to two models of antepartum high-risk care: Day stay and hospital stay

et al. 2006

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“…Use of ABR varies within and among U.S. obstetricians for the same pregnancy complications (Maloni et al, 1998a;Ramsey et al, 2004). Reasons for the use of bed rest and hospital treatment are unclear, though one appears to be the assumption that high-risk antepartum care cannot be safely and economically implemented in an outpatient setting (Stainton, Lohan, & Woodhart, 2005;Turnbull et al, 2004). Table 2 lists studies that compare antepartum hospital care with home care programs, with or without bed rest.…”

Section: Alternative Models For Antepartum High-risk Carementioning

confidence: 99%

“…If subsequent complications arise among women at home, transfer to a hospital is expedited, but once stabilized, women return to the home. Home care programs are called by a variety of names depending on the country, including antenatal day care, domiciliary care, and antenatal day stay, that is, a stay of a few hours in a facility associated with a medical center followed by an immediate return to home (Goulet, Gevry, Lemay, et al, 2001;Helewa, Heaman, & Dewar, 2000;Monincx, Birnie, Zondervan, Bleker, & Bonsel, 2001;Stainton et al, 2005). Home care consists of components similar to hospital care, that is, monitoring of maternal and fetal status, but may also contain additional components.…”

Section: Comparison Of Hospital and Home Care With Bed Restmentioning

confidence: 99%

Antepartum Bed Rest for Pregnancy Complications: Efficacy and Safety for Preventing Preterm Birth

Maloni

2010

Biological Research For Nursing

131

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Preterm birth is the major maternal-child health issue across developed nations and the leading cause of perinatal mortality and morbidity. Of all deaths of infants <1 year of age in the United States in 2005, 68.6% occurred in infants born prior to term. Although the preterm birth rate in European countries is 5-7%, the U.S. preterm birth rate is 12.7%, representing an increase of 9% since 2000. Antepartum bed rest/activity restriction (ABR/AR) has been a mainstay of treatment to prevent preterm birth for the past 30 years prescribed for nearly 1 million women in the United States annually, despite a lack of evidence for its effectiveness. In fact, there is increasing evidence that ABR causes several adverse physiologic and psychological side effects among women and their infants. Unfortunately, these findings have had little impact on clinical practice. This integrative review of literature provides a comprehensive analysis of the evidence for the practice of prescribing ABR and its physiologic, behavioral, and experiential side effects. It also presents a model to guide continuing research about the effects of maternal bed rest as well as evidence supporting the use of home care with bed rest, a different, safe, and feasible model of prenatal care for treating women with pregnancy complications used particularly in other countries. Finally, suggestions to improve the health of high-risk pregnant and postpartum women and their infants are provided.

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“…Some of the most common fears associated with pregnancy are those to do with the health of the baby (Melender & Lauri, 1999). Medically complicated and/or high-risk pregnancies have been shown to be anxiety provoking and increase the likelihood of depression as well as causing stress and distress (Barber & Starkey, 2015;Dunkel Schetter & Tanner, 2012;King et al, 2010;Leeners et al, 2008;Leichtentritt, Blumenthal, Elyassi, & Rotmensch, 2005;Perlen, Woolhouse, Gartland, & Brown, 2013;Stainton, Lohan, & Woodhart, 2005).…”

Section: Introductionmentioning

confidence: 99%

Pregnancy gone wrong: Women's experiences of care in relation to coping with a medical complication in pregnancy

Currie¹,

Barber²

2016

nzcomjnl

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A CorrespondingObjective: To understand the experiences of twelve New Zealand women with medical complications in pregnancy.Method: Inductive, semantic, qualitative analysis was employed to obtain an in-depth insight into the experience of having a medical complication during pregnancy. Semi-structured interviews were conducted face-to-face with twelve women. Six had been hospitalised during their pregnancy, while a further six were recruited from outpatient settings.Findings: Five themes were identified: pregnancy distressing and overshadowed by complications; unpredictability and the need for control; importance of the relationship with midwives; disempowerment in hospital; and lessons learnt on the importance of support. Key conclusions:Medical complications during pregnancy can be extremely stressful and women feel particularly vulnerable during this time. Midwives play a key role in supporting women through the process of coping with a pregnancy marked by illness and uncertainty. Implications for practice: Midwives can play a unique role in translating medical jargon and providing emotional guidance and support. A midwife who is engaged and responsive to a woman's needs has the ability to lower distress at this critical juncture in the development of a woman and her family.

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Women's experiences of being in high-risk antenatal care day stay and hospital admission

Cited by 7 publications

References 17 publications

Women's responses to two models of antepartum high-risk care: Day stay and hospital stay

Women's responses to two models of antepartum high-risk care: Day stay and hospital stay

Antepartum Bed Rest for Pregnancy Complications: Efficacy and Safety for Preventing Preterm Birth

Pregnancy gone wrong: Women's experiences of care in relation to coping with a medical complication in pregnancy

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