The psychological impact of providing women with risk information for pre-eclampsia: A qualitative study.
Objective: a new first-trimester universal antenatal screening test for pre-eclampsia was introduced into two UK hospitals. The aim of this study was to investigate the potential psychological benefits, harms and acceptability of providing pregnant women with formal risk information for pre-eclampsi...
| Publicado en: | Midwifery Vol. 30; no. 12; pp. 1187 - 1196 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2014
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103923026&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103923026 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02666138 8IR jtl: Midwifery issn: 02666138 maglogo: N pubinfo: dt: 2014 vid: 30 iid: 12 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 103923026 99771097 10.1016/j.midw.2014.04.006 NLM24917032 103923026 ppf: 1187 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The psychological impact of providing women with risk information for pre-eclampsia: A qualitative study. aug: au: Harris, J. M. Franck, L. Green, B. Michie, S. affil: Health Psychology Research Group, UCL, UK sug: subj: Pre-Eclampsia Psychosocial Factors Prenatal Care Prenatal Diagnosis Pre-Eclampsia Risk Factors Human Qualitative Studies United Kingdom Hospitals Cross Sectional Studies Semi-Structured Interview Thematic Analysis Coping Fear Purposive Sample Interview Guides Pregnancy-Induced Hypertension Pregnancy Female Funding Source Female ab: Objective: a new first-trimester universal antenatal screening test for pre-eclampsia was introduced into two UK hospitals. The aim of this study was to investigate the potential psychological benefits, harms and acceptability of providing pregnant women with formal risk information for pre-eclampsia. Design: cross-sectional interview study. Women were interviewed using a theoretically informed semistructured schedule and transcripts were analysed thematically using Framework Analysis. Setting and participants: primigravid women receiving antenatal care at a central London National Health Service Foundation Trust found either high-risk or low-risk for pre-eclampsia. Findings: 15 primigravid women who received high risk (n=10) or low risk (n=5) results of a 12-week pre-eclampsia screening test were interviewed. Two types of coping typologies were evident from the data. The first were 'danger managers' who had an internal sense of control, were focused on the risk that pre-eclampsia presented to them and exhibited information seeking, positive behaviour changes, and cognitive reappraisal coping mechanisms. The second were 'fear managers' who had an external sense of control, were focused on the risk that pre-eclampsia presented to the fetus, and exhibited avoidance coping mechanisms. In addition to these typologies, three universal themes of 'medicalising the pregnancy', 'embracing technology' and 'acceptability' emerged from the data. Key conclusions: there are potential positive and negative unintended consequences following a firsttrimester screening test for pre-eclampsia. A positive consequence could be self-instigated behaviour change, whereas a negative consequence could be reduced self-monitoring of fetal movements as the pregnancy develops. Implications for practice: this study indicates that women with an increased risk of pre-eclampsia would be willing to engage in efforts to reduce their risk of pre-eclampsia, and there is a potential to use this screening test as a basis for improving health more broadly. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|