Perceived Risk in Women with High Risk Pregnancy: A Qualitative Study.

High Risk Iran pregnancy qualitative research risk assessment

Journal

Iranian journal of nursing and midwifery research
ISSN: 1735-9066
Titre abrégé: Iran J Nurs Midwifery Res
Pays: India
ID NLM: 101558775

Informations de publication

Date de publication:
Historique:
received: 25 02 2020
revised: 30 05 2020
accepted: 28 12 2020
entrez: 26 5 2021
pubmed: 27 5 2021
medline: 27 5 2021
Statut: epublish

Résumé

Risk perception in high-risk pregnancies influences the mothers' adherence to medical treatments and recommendations. Because of the lack of information about the women's perception of risk, the aim of this study was to explain perception of risk in high-risk pregnancies. This qualitative study was conducted on 25 women with a high-risk pregnancy in educational hospitals of Mashhad, Iran, from August 2017 to August 2018. Data were collected through semi-structured interviews and data saturation was reached after 29 interviews. Data collection and analysis were simultaneously carried out using the qualitative content analysis method adopted by Elo and Kyngäs in MAXQDA software. Data analysis resulted in the four main categories of perception of risk control ability (risk controlling through experience, risk tolerance through relying on a higher power, and risk tolerance to reach family goals), wrong estimation of risk (wrong calculation of possible risks based on wrong beliefs and knowledge, and incorrect risk estimation caused by misunderstanding), possibility of mutual vulnerability of pregnancy and risk condition (possibility of vulnerability of the fetus to risk factors, and possibility of the mother's vulnerability to risk factors), and induced risk (risk induced by negative experiences, induced threat of unknown pregnancy outcome, and fear of ambiguous medical terms). The results of this study promoted our understanding of risk perception in women with high-risk pregnancies. Therefore, it will help to establish a-Ž better link between women with a high-risk pregnancy and the health team, enhance and improve maternal and fetal care.

Sections du résumé

BACKGROUND BACKGROUND
Risk perception in high-risk pregnancies influences the mothers' adherence to medical treatments and recommendations. Because of the lack of information about the women's perception of risk, the aim of this study was to explain perception of risk in high-risk pregnancies.
MATERIALS AND METHODS METHODS
This qualitative study was conducted on 25 women with a high-risk pregnancy in educational hospitals of Mashhad, Iran, from August 2017 to August 2018. Data were collected through semi-structured interviews and data saturation was reached after 29 interviews. Data collection and analysis were simultaneously carried out using the qualitative content analysis method adopted by Elo and Kyngäs in MAXQDA software.
RESULTS RESULTS
Data analysis resulted in the four main categories of perception of risk control ability (risk controlling through experience, risk tolerance through relying on a higher power, and risk tolerance to reach family goals), wrong estimation of risk (wrong calculation of possible risks based on wrong beliefs and knowledge, and incorrect risk estimation caused by misunderstanding), possibility of mutual vulnerability of pregnancy and risk condition (possibility of vulnerability of the fetus to risk factors, and possibility of the mother's vulnerability to risk factors), and induced risk (risk induced by negative experiences, induced threat of unknown pregnancy outcome, and fear of ambiguous medical terms).
CONCLUSIONS CONCLUSIONS
The results of this study promoted our understanding of risk perception in women with high-risk pregnancies. Therefore, it will help to establish a-Ž better link between women with a high-risk pregnancy and the health team, enhance and improve maternal and fetal care.

Identifiants

pubmed: 34036066
doi: 10.4103/ijnmr.IJNMR_32_20
pii: IJNMR-26-168
pmc: PMC8132863
doi:

Types de publication

Journal Article

Langues

eng

Pagination

168-174

Informations de copyright

Copyright: © 2021 Iranian Journal of Nursing and Midwifery Research.

Déclaration de conflit d'intérêts

Iran J Nurs Midwifery Res.

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Auteurs

Zahra Shojaeian (Z)

Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Talat Khadivzadeh (T)

Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Ali Sahebi (A)

Department of Psychology, William Glaser institute, Sydney, Australia.

Hossein Kareshki (H)

Department of Counseling Educational Psychology, School of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

Fatemeh Tara (F)

Research Center for Patient Safety, Mashhad University of Medical Sciences, Mashhad, Iran.

Classifications MeSH