| تعداد نشریات | 21 |
| تعداد شمارهها | 1,306 |
| تعداد مقالات | 11,945 |
| تعداد مشاهده مقاله | 83,589,157 |
| تعداد دریافت فایل اصل مقاله | 122,243,725 |
Exploring Health-Seeking Behaviors in Iranian Women with High-Risk Pregnancy: A Qualitative Study | ||
| International Journal of Community Based Nursing & Midwifery | ||
| مقاله 6، دوره 14، شماره 4 - شماره پیاپی 56، دی 2026، صفحه 338-351 اصل مقاله (440.83 K) | ||
| شناسه دیجیتال (DOI): 10.30476/ijcbnm.2026.107770.2853 | ||
| نویسندگان | ||
| Safieh Jamali1؛ Solmaz Mohammadi2؛ Nahid Javadifar2؛ Saeed Ghanbari3؛ Mojgan Javadnoori* 2 | ||
| 1Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; | ||
| 2Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; | ||
| 3Department of Statistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran | ||
| چکیده | ||
| Background: Health-seeking behaviors are essential for preventing pregnancy complications and improving maternal and fetal health outcomes. In high-risk pregnancies, these behaviors constitute a complex process influenced by various individual, cultural, and socioeconomic factors. This study aimed to explore the health-seeking behaviors of Iranian women experiencing high-risk pregnancy. Methods: This qualitative study was conducted from August 2024 to March 2025 in Ahvaz, Iran. Using purposive sampling with maximum variation, 24 participants (18 women with high-risk pregnancies and 6 healthcare providers) were interviewed. Data were collected using in-depth, semistructured interviews and continued until data saturation was achieved. The data were analyzed using conventional qualitative content analysis based on the Elo and Kyngäs framework. MAXQDA software version 20 was used for data organization and management. Results: The data analysis identified three main categories and seven subcategories. The categories included proactive health-seeking behaviors (health monitoring and care, and lifestyle-related behaviors), reactive health-seeking behaviors (therapeutic and care reactions, information-seeking reactions, and psychological reactions for stress management), and avoidant behaviors (avoidance of seeking help and medical services and avoidance of social interaction). Conclusion: Women with high-risk pregnancies exhibit diverse health-seeking behaviors. A comprehensive understanding of these patterns enables healthcare providers and intervention program designers to deliver targeted education and support, thereby reducing avoidant behaviors, promoting proactive actions, and ultimately improving maternal and fetal health outcomes. | ||
| کلیدواژهها | ||
| Health behavior؛ High-risk Pregnancy؛ Qualitative research؛ Women | ||
| مراجع | ||
|
1. Shrestha A. High risk pregnancy detection and management: need of present day obstetric care. Kathmandu University Medical Journal. 2022;20:122-3. 2. Gary Cunningham F, Leveno KJ, Dashe JS, et al. Williams Obstetrics. 26th ed. New York: McGraw Hill; 2022. 3. Holness N. High-Risk Pregnancy. Nurs Clin North Am. 2018;53:241-51. 4. Wilkins PA, Wong D. The High-Risk Pregnancy. In: Wong D, Wilkins PA. Equine Neonatal Medicine. New York: John Wiley & Sons; 2024. 5. Zhang Y, Ding W, Wu T, et al. Pregnancy with multiple high-risk factors: a systematic review and meta-analysis. J Glob Health. 2025;15:04027. 6. Andrade AFM, Casotte MDB, Valenzuela LX, et al. High-Risk Pregnancy: Associated Factors, Impacts, and the Importance of Prenatal Care. Brazilian Journal of Implantology and Health Sciences. 2024;6:2392-406. 7. Murugesu L, Damman OC, Derksen ME, et al. Women’s Participation in Decision-Making in Maternity Care: A Qualitative Exploration of Clients’ Health Literacy Skills and Needs for Support. Int J Environ Res Public Health. 2021;18:1130. 8. Ahmed S, Islam TT, Huda FA, Alam A, Akter R, Rahman QS. Decision-making process in seeking antenatal care: A cohort study in a poor urban and a typical rural area in Bangladesh. J Glob Health. 2024;14:04097. 9. Alemu DA, Zegeye AM, Zeleke LB, et al. Pregnancy Risk Perception and Associated Factors among Pregnant Women Attending Antenatal Care at Health Centers in Jabi Tehnan District, Amhara, Northwestern Ethiopia, 2021. Int J Reprod Med. 2022;2022:6847867. 10. Munezero E, Manoukian S. The social determinants of health and health seeking behaviour in populations affected by armed conflict: a qualitative systematic review. Med Confl Surviv. 2021;37:293-318. 11. Abuduxike G, Aşut Ö, Vaizoğlu SA, et al. Health-seeking behaviors and its determinants: a facility-based cross-sectional study in the Turkish Republic of Northern Cyprus. Int J Health Policy Manag. 2020;9:240-9. 12. Guo F, Xiong H, Qi X, et al. Maternal health-seeking behavior and associated factors in the Democratic Republic of the Congo. Health Educ Behav. 2021;48:700-9. 13. Markos Z, Kassegn A, Tesfaye D, et al. Delayed initiation of antenatal care and its determinants in Ethiopia: A systematic review and meta-analysis. Midwifery. 2026:156:104734. 14. Rezaee R, Ravangard R, Amani F, et al. Healthy lifestyle during pregnancy: Uncovering the role of online health information seeking experience. PLoS One. 2022;17:e0271989. 15. Dahab R, Sakellariou D. Barriers to accessing maternal care in low-income countries in Africa: a systematic review. Int J Environ Res Public Health. 2020;17:4292. 16. Salem EES, Gaheen MAA, Bela GAES. Factors Affecting Health Seeking Behavior among Pregnant Women in rural Areas. Tanta Scientific Nursing Journal. 2022;26:12-32. 17. Zhang Z, Cunningham K, Adhikari RP, et al. Maternal decision-making input and health-seeking behaviors between pregnancy and the child’s second birthday: a cross-sectional study in Nepal. Matern Child Health J. 2020;24:1121-9. 18. Agha N, Ansar F, Rind RD, et al. A quantitative study of antenatal care, access barriers and maternal health vulnerability in rural Sindh, Pakistan. Health Education. 2026. [Online] 19. Cooper LB, Harsono AA, Enah C, et al. Barriers to Maternal and Neonatal Healthcare in Cameroon: A Qualitative Study of Key Stakeholder for mMIST Intervention Adaptation. Int J Women’s Health. 2026;18:557348. 20. Abdulraheem AF, Ononokpono DN, Raimi MO. Breaking barriers to safe motherhood: how social, cultural, and geographic inequalities shape skilled birth attendance in Nigeria. Sociol Int J. 2025;9:188‒200. 21. Javanmardi M, Noroozi M, Mostafavi F, et al. Challenges to access health information during pregnancy in Iran: a qualitative study from the perspective of pregnant women, midwives and obstetricians. Reprod Health. 2019;16:128. 22. Sabetghadam S, Keramat A, Goli S, et al. Maternal health literacy, health information-seeking behavior and pregnancy outcomes among Iranian pregnant women: A cross-sectional study. Community Health Equity Res Policy. 2023;44:77-87. 23. Sharifi M, Amiri-Farahani L, Kariman N, et al. Sources of get information and related factors during pregnancy among Afghan migrant women in Iran. Nurs Open. 2021;8:975-81. 24. Shrestha J, Gurung SD, Subedi A, et al. Identifying high risk pregnancy and its effectiveness in determining maternal and perinatal outcome. Birat Journal of Health Sciences. 2021;6:1565-72. 25. Aliabadi S, Jafari M, Kazemi F, et al. Perceived Stress and Related Factors in Iranian High-Risk Pregnant Mothers: A Cross-Sectional Study. Current Women’s Health Reviews. 2025;21(2). 26. Daemi A, Ravaghi H, Jafari M. Risk factors of neonatal mortality in Iran: a systematic review. Med J Islam Repub Iran. 2019;33:87. 27. Bajalan Z, Sabzevari Z, Qolizadeh A, et al. Prevalence of high-risk pregnancies and the correlation between the method of delivery and the maternal and neonatal outcomes. J Pediatr Nurs. 2019;5:52-8. [In Persian] 28. Mohammadi S, Shojaei K, Maraghi E, et al. Explaining the psychological distress of women with high-risk pregnancies in Iran: A qualitative study. Iran J Nurs Midwifery Res. 2022;27:560-6. 29. Mirzakhani K, Ebadi A, Faridhosseini F, et al. Pregnant women’s experiences of well-being in high-risk pregnancy: A qualitative study. J Educ Health Promot. 2023;12:6. 30. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62:107-15. 31. Lincoln YS, Guba EG. Naturalistic Inquiry. Beverly Hills (CA): Sage Publications; 1985. 32. Albarqi MN. The impact of prenatal care on the prevention of neonatal outcomes: a systematic review and meta-analysis of global health interventions. Healthcare. 2025;13:1076. 33. Hailu E, Bekele D, Megersa G. Timely initiation of new antenatal care contact model and its associated factors among pregnant women at Munessa health facilities, Ethiopia: a facility-based cross-sectional study. Front Med (Lausanne). 2025;12:1532041. 34. Al Hashmi I, Al Omari O. Self-efficacy in relation to adherence to healthy behaviours among pregnant women: a concept analysis. Cent Eur J Nurs Midw. 2022;13:664-74. 35. Gebeyehu NA, Gelaw KA, Lake EA, et al. Women decision-making autonomy on maternal health service and associated factors in low-and middle-income countries: Systematic review and meta-analysis. Women’s Health. 2022;18:17455057221122618. 36. Tsironikos GI, Potamianos P, Zakynthinos GE, et al. Effectiveness of Lifestyle Interventions during Pregnancy on Preventing Gestational Diabetes Mellitus in High-Risk Women: A Systematic Review and Meta-Analyses of Published RCTs. J Clin Med. 2023;12:7038. 37. Webb R, Ayers S, Shakespeare J. Improving accessing to perinatal mental health care. J Reprod Infant Psychol. 2022;40:435-8. 38. Khosravi A, Ebrahimidavvasi S, BasirianJahromi R, et al. Health Information Seeking Behavior of Pregnant Women Referring To Health Centers and its Relationship with Their Health Literacy Level. International Journal of Information Science and Management. 2023;21:197-207. 39. Daniati N, Widjaja G, Olalla Gracìa M, et al. The health belief model’s application in the development of health behaviors. Health Education and Health Promotion. 2021;9:521-7. 40. ShojaeiBaghin M. Online Health Information Seeking Behavior of Pregnant Women: A social cognitive perspective. 2024:11:171-8. 41. Xu H, Zhou Y, Wang X. Research on the influencing factors of maternal online health information-seeking behavior. Front Public Health. 2025;13:1592093. 42. Vora V, Kanyal S, Chauhan A, et al. Cultural perceptions and social determinants of health in perinatal mental health: An obstetric-psychiatric perspective. Int J Gynecol Obstet. 2025;172:137-48. 43. Jones A, Duong CC. Exploring predictors of help-seeking behaviors among women with postpartum depression: A social media recruited sample. Public Health Nurs. 2024;41:894-900. 44. Place JMS, Renbarger K, Van De Griend K, et al. Barriers to help-seeking for postpartum depression mapped onto the socio-ecological model and recommendations to address barriers. Front Glob Women’s Health. 2024;5:1335437. 45. Sheikh J, Allotey J, Kew T, et al. Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action. EClinicalMedicine. 2023;67:102264. 46. Jeon S, Noh W. Psychosocial factors associated with health behaviors in pregnant women of advanced maternal age in Korea. Front Public Health. 2023;11:1179416. | ||
|
آمار تعداد مشاهده مقاله: 74 تعداد دریافت فایل اصل مقاله: 112 |
||