Study on support to increase parental readiness in primigravid women requiring long-term hospitalization due to medically high-risk pregnancy and their husbands -An analysis of concepts based on elements that constitute parental readiness in subjects-.
Objective This study aimed to clarify concepts based on elements that constitute parental readiness during pregnancy in primigravid women requiring long-term hospitalization due to medically high-risk pregnancy and their husbands, and to determine the direction of support. Participants and Methods S...
| Publicado en: | Journal of Japan Academy of Midwifery Vol. 39; no. 1; pp. 37 - 54 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Japan Academy of Midwifery
Apr2025
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| 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=187737911&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187737911 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09176357 YYI jtl: Journal of Japan Academy of Midwifery issn: 09176357 maglogo: N pubinfo: dt: Apr2025 vid: 39 iid: 1 pid: 20519 pub: Japan Academy of Midwifery artinfo: ui: 187737911 187737911 187737911 10.3418/jjam.JJAM-2024-0008 187737911 ppf: 37 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Study on support to increase parental readiness in primigravid women requiring long-term hospitalization due to medically high-risk pregnancy and their husbands -An analysis of concepts based on elements that constitute parental readiness in subjects-. aug: au: MATSUURA, Shiho SHIMIZU, Yoshiko KITAYAMA, Akio affil: Department of Nursing, Faculty of Medicine, Shimane University sug: subj: Pregnancy, High Risk Primiparas Psychosocial Factors Expectant Mothers Psychosocial Factors Spouses Psychosocial Factors Parents Psychosocial Factors Hospitalization Evaluation Adaptation, Psychological Evaluation Parental Attitudes Evaluation Human Male Female Pregnancy Qualitative Studies Descriptive Research Semi-Structured Interview Family Relations Parental Leave Thematic Analysis Conceptual Framework Attitude to Pregnancy Marriage Support, Psychosocial Patient Centered Care Stress, Psychological Self Concept Descriptive Statistics Male Female ab: Objective This study aimed to clarify concepts based on elements that constitute parental readiness during pregnancy in primigravid women requiring long-term hospitalization due to medically high-risk pregnancy and their husbands, and to determine the direction of support. Participants and Methods Semi-structured interviews were conducted with primigravid women aged 20-40 years at ≥22 to <34 weeks of pregnancy, who were diagnosed with medically high-risk pregnancy due to maternal factors requiring hospitalization and treatment, as well as their husbands. Using the Steps for Coding and Theorization (SCAT) method, we extracted from the data themes and constructs relating to parental readiness in primigravid women and their husbands. Following qualitative descriptive analysis by further stratification of these, conceptualization of parental readiness was performed. Results A total of 17 participants, including 6 pairs of primigravid women who were all diagnosed with threatened premature labor as the chief complaint and their husbands (12 participants) and 5 primigravid women who alone provided consent, were enrolled in this study. Stratification of the themes and constructs for the 11 primigravid women and 6 husbands led to the extraction of 34 and 29 elements, respectively. Furthermore, as a result of stratification of each element, 8 concepts were extracted from primigravid women (e.g., [acceptance of pregnancy as the foundation for becoming a parent]) and 7 concepts were extracted from husbands (e.g., [mutual marital relationship with shared significance]). By focusing on the characteristics, commonalities, similarities, and differences of the concepts from primigravid women and their husbands, 7 directions of support were derived, including "acceptance of pregnancy can be shared," "mutual marital relationship can be constructed," "realization of the presence of the fetus can be shared between husband and wife," "image of becoming parents can be enriched and shared between husband and wife," "side effects of hospitalization for becoming parents can be alleviated," "gap between husband and wife about becoming parents can be eliminated," and "the burden of becoming parents can be eliminated." Conclusions The concepts of parental readiness during pregnancy in primigravid women whose pregnancy became medically high-risk and their husbands could be determined from elements extracted by stratifying each of the themes and constructs of parental readiness. Moreover, by focusing on concepts that were similar, common, and different between primigravid women and their husbands, seven directions of support to accompany the transition to parenthood aligning with the background of participants were derived. In the future, determining whether or not primigravid women and their husbands are transitioning to parenthood along these directions will help facilitate a review of whether the support is unsatisfactory or situational. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Japanese refInfo: holdings: @attributes: islocal: N |
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