Background: Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted to explore the risk management experiences of high-risk pregnant mothers. Methods: This Qualitative study was conducted in educational hospitals in Mashhad, Iran, from July 2018 to December 2020. The purposive sampling method was used to recruit the participants based on medical or obstetric high-risk conditions in pregnancy. Qualitative data were obtained from in-depth and semi-structured 29 interviews. Mothers’ experiences of pregnancy in a risky condition were asked, and the interview continued until data saturation. Data were analyzed using the MAXQDA 10 software and the Elo and Kyngäs method. Results: Maternal experiences for risk management in pregnancy were formed by nine sub-categories and three categories: the excitement of emotion including: “feeling worry and despair”, “gladness in the shadow of hope and optimism”, “momentary shocking and excitement”, and “inactivity and helplessness”; self-contemplation including: “active analysis of the ways of moderating the risk”, “cognitive denial”, and “ignoring the risk”; and witnessed action including: “problem-focused and rational actions”, and “avoidance and inefficient engagements”. Conclusion: Risk management experiences of pregnant women with high-risk pregnancies include a wide range of positive and negative feelings, effective and ineffective thoughts, and behaviors. Mutual collaboration between mothers and midwives/obstetricians by providing high-quality risk management counseling can lead to choosing effective risk management strategies. |
- James D, Steer PJ, Weiner CP, Et Al. High-Risk Pregnancy: Management Options. 5th Ed. Cambridge (UK): Cambridge University Press; 2018.
- Berek JS. Berk And Novak’s Gynecology. 16th Ed. Philadelphia: Lippincott Williams And Wilkins; 2020.
- Bajalan Z, Sabzevariha Z, Abdollahi F, Qolizadeh A. Prevalence Of High-Risk Pregnancies And The Correlation Between The Method Of Delivery And The Maternal And Neonatal Outcomes. Journal Of Pediatric Nursing. 2019;5:52-8. [In Persian]
- Michel KN, Ilunga BC, Astrid KM, Et Al. Epidemiological Profile Of High-Risk Pregnancies In Lubumbashi: Case Of The Provincial Hospital Janson Sendwe. Open Access Library Journal. 2016;3(12).
- Lawler D, Begley C, Lalor J. (Re) Constructing Myself: The Process Of Transition To Motherhood For Women With A Disability. Journal Of Advanced Nursing. 2015;71:1672-83.
- Lennon SL. Risk Perception In Pregnancy: A Concept Analysis. Journal Of Advanced Nursing. 2016;72:2016-29.
- Shojaeian Z, Khadivzadeh T, Sahebi A, Et Al. Perceived Risk In Women With High Risk Pregnancy: A Qualitative Study. Iranian Journal Of Nursing And Midwifery Research. 2021;26:168-74.
- Badakhsh M, Hastings-Tolsma M, Firouzkohi MR, Et Al. The Lived Experience Of Women With A High-Risk Pregnancy: A Phenomenology Investigation. Midwifery. 2020. [Online]. Doi: 10.1016/J.Midw.2019.102625
- Helou A, Stewart K, Ryan K, George J. Pregnant Women’s Experiences With The Management Of Hypertensive Disorders Of Pregnancy: A Qualitative Study. BMC Health Services Research. 2021;21:1292.
- Lee S, Ayers S, Holden D. Decision-Making Regarding Place Of Birth In High-Risk Pregnancy: A Qualitative Study. Journal Of Psychosomatic Obstetrics And Gynecology. 2016;37:44-50.
- Collier SA, Mulholland C, Williams J, Et Al. A Qualitative Study Of Perceived Barriers To Management Of Diabetes Among Women With A History Of Diabetes During Pregnancy. Journal Of Women’s Health. 2011;20:1333-9.
- Bennett HA, Boon HS, Romans SE, Grootendorst P. Becoming The Best Mom That I Can: Women’s Experiences Of Managing Depression During Pregnancy – A Qualitative Study. BMC Women’s Health. 2007;7:13.
- Yuill C, Mccourt C, Cheyne H, Leister N. Women’s Experiences Of Decision-Making And Informed Choice About Pregnancy And Birth Care: A Systematic Review And Meta-Synthesis Of Qualitative Research. BMC Pregnancy And Childbirth. 2020;20:343.
- Jahangir M, Khorakian A, Mortazavi SS, Elahi SE. Risk Management Model Of Iran’s Health System Transformation Plan: A Qualitative Study. Payesh. 2019;18:333-45. [In Persian].
- Cunningham FG, Leveno K, Bloom S, Et Al. Williams Obstetrics. 25th Ed. US: Mcgraw Hill; 2018.
- Oliveira DC, Mandú ENT. Women With High-Risk Pregnancy: Experiences And Perceptions Of Needs And Care. Esc Anna Nery. 2015;19:93-101.
- Polit DF, Beck CT. Nursing Research: Generating And Assessing Evidence For Nursing Practice. 10th Ed. Philadelphia: Lippincott Williams And Wilkins; 2017.
- Elo S, Kyngäs H. The Qualitative Content Analysis Process. Journal Of Advanced Nursing. 2008;62:107-15.
- Guba EG, Lincoln YS. Competing Paradigms In Qualitative Research. In: Denzin NK, Lincoln YS, Editors. Handbook Of Qualitative Research. US: Sage Publications; 1994. P.105-17.
- Singh H, Ingersoll K, Gonder-Frederick L, Ritterband L. Diabetes Just Tends To Take Over Everything: Experiences Of Support And Barriers To Diabetes Management For Pregnancy In Women With Type 1 Diabetes. Diabetes Spectr. 2019; 32:118-24.
- Isaacs NZ, Andipatin MG. A Systematic Review Regarding Women’s Emotional And Psychological Experiences Of High-Risk Pregnancies. BMC Psychology. 2020;8:45.
- Wilhelm LA, Alves CN, Demori CC, Et Al. Feelings Of Women Who Experienced A High-Risk Pregnancy: A Descriptive Study. Online Brazilian Journal Of Nursing. 2015;14:284-93.
- Tyrlik M, Konecny S, Kukla L. Predictors Of Pregnancy-Related Emotions. Journal Of Clinical Medicine Research. 2013;5:112-20.
- Lee S, Holden D, Ayers S. Risk Perception And Decision Making In Women With High Risk Pregnancies. In: SRIP 35th Annual Conference; 2015 August 14-15; Nottingham, UK. UK: City Research Online; 2015. Available From: Https://Openaccess.City.Ac.Uk/Id/Eprint/12763/
- Edvardsson K, Ivarsson A, Eurenius E, Et Al. Giving Offspring A Healthy Start: Parents’ Experiences Of Health Promotion And Lifestyle Change During Pregnancy And Early Parenthood. BMC Public Health. 2011;11:936.
- Loke AY, Poon CF. The Health Concerns And Behaviours Of Primigravida: Comparing Advanced Age Pregnant Women With Their Younger Counterparts. Journal Of Clinical Nursing. 2011;20:1141-50.
- Roberts RM, Muller T, Sweeney A, Et Al. Promoting Psychological Well-Being In Women With Phenylketonuria: Pregnancy-Related Stresses, Coping Strategies And Supports. Molecular Genetics And Metabolism Reports. 2014;1:148-57.
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