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

Stainton, M. Colleen; Fethney, Judith; Woodhart, Lyn; Islam, Shamim

doi:10.1016/j.wombi.2006.08.001

Cited by 13 publications

(18 citation statements)

References 17 publications

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“…Heaman and Gupton (1998) confirmed that feelings of depression were predominant among hospitalized women in their ethnographic study. Stainton et al . (2006) reported that high‐risk pregnant women in a home or hospital setting had high levels of anxiety that decreased over time, but anxiety was significantly higher among hospitalized women.…”

Section: Discussionmentioning

confidence: 99%

Assessment of quality of life in pregnant Japanese women: Comparison of hospitalized, outpatient, and non‐pregnant women

Nakamura

Takeishi

Atogami

et al. 2012

Nursing & Health Sciences

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This cross-sectional study explored the comfort and quality of life in hospitalized, preterm, pregnant women compared with pregnant outpatients, and identified the relationship between comfort, quality of life, and hospitalization. Two-hundred-and-twenty-one hospitalized pregnant women who met the inclusion criteria were recruited from obstetric units, and 1015 outpatient pregnant women were recruited from obstetric outpatient units in Japan. The women were questioned on six domains of the Japanese Short-Form-36 version 2 (bodily pain, general health, vitality, role emotional, social functioning, and mental health) and on their subjective comfort. A total of 189 hospitalized pregnant women and 503 low-risk pregnant women were analyzed. Subjective comfort and all six domains of health-related quality of life showed significantly lower scores for hospitalized women than outpatient women (P < 0.05-0.001). The mean differences in social functioning and role-emotional domains between the two groups were particularly marked. The result of this study suggests that these patients require positive psychological support to improve their comfort and quality of life.

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Section: Discussionmentioning

confidence: 99%

Assessment of quality of life in pregnant Japanese women: Comparison of hospitalized, outpatient, and non‐pregnant women

Nakamura

Takeishi

Atogami

et al. 2012

Nursing & Health Sciences

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“…Medical complications of pregnancy can invoke stressful emotional postpartum responses in parents which differ from the usual stresses associated with parenthood . In particular, medical complications give rise to feelings of lack of control, worry about the fetus, and uncertainty regarding pregnancy outcomes, which adds to the distress and anxiety levels in women . Similarly, the work of Sittner et al demonstrates that the stress of a complicated pregnancy alters the coping skills of women and, as a result, they may experience disrupted marital and family relationships.…”

Section: Introductionmentioning

confidence: 99%

“…24 In particular, medical complications give rise to feelings of lack of control, worry about the fetus, and uncertainty regarding pregnancy outcomes, which adds to the distress and anxiety levels in women. 25 Similarly, the work of Sittner et al 26 demonstrates that the stress of a complicated pregnancy alters the coping skills of women and, as a result, they may experience disrupted marital and family relationships. Maloni et al 27 have also found a positive association of hospital admission and bedrest with maternal stress levels.…”

Section: Introductionmentioning

confidence: 99%

Anxiety among women experiencing medically complicated pregnancy: A systematic review and meta‐analysis

Abrar

Fairbrother

Smith

et al. 2019

Birth

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Background Symptoms of anxiety are common among pregnant and postpartum women, and 15%‐20% of pregnancies are affected by medical complications. Despite this, little is known about the relationship of medical complications in pregnancy and women's experience of anxiety. The purpose of this research was to conduct a systematic review and meta‐analysis of differences in anxiety symptom severity among women experiencing a medically complicated versus a medically uncomplicated pregnancy. Methods This work was guided by the PRISMA reporting process. Electronic databases MEDLINE and PsycINFO were searched to identify studies that met the inclusion criteria. An adaptation of the Newcastle‐Ottawa Quality Assessment Scale for case‐control studies was used to perform a quality assessment review. A random‐effects meta‐analysis was used to calculate the estimated average standardized mean differences. Results Based on the five studies which met our inclusion criteria, findings provide evidence of higher levels of anxiety symptoms among pregnant women experiencing a medically complicated versus a medically uncomplicated pregnancy. Despite considerable heterogeneity, all mean difference estimates are in the direction of greater anxiety in the high‐risk groups. Conclusions Women experiencing a medically complex pregnancy report higher levels of anxiety symptoms compared to women experiencing a medically uncomplicated pregnancy.

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“…Researchers in two studies conducted in Australia, however, investigated emotional and experiential outcomes of care provided in the two settings. Both studies assessed outcomes for women who had a variety of pregnancy complications but were not treated with bed rest (Stainton et al, 2005;Stainton, Lohan, Fethney, Woodhart, & Islam, 2006). Women in both settings had high levels of anxiety that decreased over time, but anxiety was significantly higher among hospitalized women (Stainton et al, 2006).…”

Section: Comparison Of Hospital and Home Care Without 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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Women's responses to two models of antepartum high-risk care: Day stay and hospital stay

Cited by 13 publications

References 17 publications

Assessment of quality of life in pregnant Japanese women: Comparison of hospitalized, outpatient, and non‐pregnant women

Assessment of quality of life in pregnant Japanese women: Comparison of hospitalized, outpatient, and non‐pregnant women

Anxiety among women experiencing medically complicated pregnancy: A systematic review and meta‐analysis

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

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