Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
13
04
2021
accepted:
06
07
2021
entrez:
19
7
2021
pubmed:
20
7
2021
medline:
10
11
2021
Statut:
epublish
Résumé
Women with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly understood. The aim of this systematic review of qualitative literature is to evaluate risk perceptions of pregnancy in women with chronic disease. Eleven electronic databases including grey literature were systematically searched for qualitative studies published in English which reported on pregnancy, risk perception and chronic disease. Full texts were reviewed by two researchers, independently. Quality was assessed using the Critical Appraisal Skills Programme Qualitative checklist and data were synthesised using a thematic synthesis approach. The analysis used all text under the findings or results section from each included paper as data. The protocol was registered with PROSPERO. Eight studies were included in the review. Three themes with sub-themes were constructed from the analysis including: Information Synthesis (Sub-themes: Risk to Self and Risk to Baby), Psychosocial Factors (Sub-themes: Emotional Response, Self-efficacy, Healthcare Relationship), and Impact on Behaviour (Sub-themes: Perceived Risk and Objective Risk). Themes fitted within an overarching concept of Balancing Act. The themes together inter-relate to understand how women with chronic disease perceive their risk in pregnancy. Women's pregnancy-related behaviour and engagement with healthcare services appear to be influenced by their perception of pregnancy risk. Women with chronic disease have risk perceptions which are highly individualised. Assessment and communication of women's pregnancy risk should consider their own understanding and perception of risk. Different chronic diseases introduce diverse pregnancy risks and further research is needed to understand women's risk perceptions in specific chronic diseases.
Sections du résumé
BACKGROUND
Women with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly understood. The aim of this systematic review of qualitative literature is to evaluate risk perceptions of pregnancy in women with chronic disease.
METHODS
Eleven electronic databases including grey literature were systematically searched for qualitative studies published in English which reported on pregnancy, risk perception and chronic disease. Full texts were reviewed by two researchers, independently. Quality was assessed using the Critical Appraisal Skills Programme Qualitative checklist and data were synthesised using a thematic synthesis approach. The analysis used all text under the findings or results section from each included paper as data. The protocol was registered with PROSPERO.
RESULTS
Eight studies were included in the review. Three themes with sub-themes were constructed from the analysis including: Information Synthesis (Sub-themes: Risk to Self and Risk to Baby), Psychosocial Factors (Sub-themes: Emotional Response, Self-efficacy, Healthcare Relationship), and Impact on Behaviour (Sub-themes: Perceived Risk and Objective Risk). Themes fitted within an overarching concept of Balancing Act. The themes together inter-relate to understand how women with chronic disease perceive their risk in pregnancy.
CONCLUSIONS
Women's pregnancy-related behaviour and engagement with healthcare services appear to be influenced by their perception of pregnancy risk. Women with chronic disease have risk perceptions which are highly individualised. Assessment and communication of women's pregnancy risk should consider their own understanding and perception of risk. Different chronic diseases introduce diverse pregnancy risks and further research is needed to understand women's risk perceptions in specific chronic diseases.
Identifiants
pubmed: 34280227
doi: 10.1371/journal.pone.0254956
pii: PONE-D-21-12200
pmc: PMC8289065
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0254956Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Health Psychol. 2007 Mar;26(2):136-45
pubmed: 17385964
J Obstet Gynecol Neonatal Nurs. 2014 Jan-Feb;43(1):25-37
pubmed: 24428144
Nephrol Dial Transplant. 2021 Nov 9;36(11):2008-2017
pubmed: 33313680
Midwifery. 2014 Apr;30(4):403-11
pubmed: 23770044
Can J Nurs Res. 1990 Winter;22(4):37-50
pubmed: 2134643
Science. 1974 Sep 27;185(4157):1124-31
pubmed: 17835457
Midwifery. 2020 Aug;87:102715
pubmed: 32447183
Science. 1977 Apr 8;196(4286):129-36
pubmed: 847460
MCN Am J Matern Child Nurs. 2004 Mar-Apr;29(2):111-6
pubmed: 15028919
Health Educ Q. 1984 Spring;11(1):1-47
pubmed: 6392204
Birth. 2003 Jun;30(2):109-15
pubmed: 12752168
J Health Psychol. 2012 Sep;17(6):866-85
pubmed: 22147063
Soc Work Health Care. 2020 Jan;59(1):20-45
pubmed: 31714182
J Midwifery Womens Health. 2009 May-Jun;54(3):191-200
pubmed: 19410211
Milbank Mem Fund Q. 1966 Jul;44(3):Suppl:94-127
pubmed: 5967464
Clin Nurs Res. 1992 Aug;1(3):252-65
pubmed: 1493490
Midwifery. 2017 Jul;50:99-105
pubmed: 28399474
Int J Clin Pharm. 2014 Feb;36(1):145-53
pubmed: 24162929
Seizure. 2012 Oct;21(8):597-602
pubmed: 22762859
J Clin Ethics. 2013 Fall;24(3):239-52
pubmed: 24282851
Health Care Women Int. 1987;8(5-6):317-37
pubmed: 3693139
Qual Health Res. 2014 Apr;24(4):575-85
pubmed: 24682021
Open Med. 2009;3(3):e123-30
pubmed: 21603045
J Obstet Gynecol Neonatal Nurs. 2001 Mar-Apr;30(2):192-201
pubmed: 11308109
Patient Educ Couns. 2001 Jun;43(3):301-4
pubmed: 11384827
Birth. 1994 Sep;21(3):131-4
pubmed: 7857454
Epilepsy Behav. 2018 May;82:52-56
pubmed: 29587185
West J Nurs Res. 2006 Mar;28(2):216-29; discussion 230-3
pubmed: 16513920
Heart Lung Circ. 2014 Sep;23(9):811-7
pubmed: 24796679
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
J Adv Nurs. 2016 Sep;72(9):2016-29
pubmed: 27199186
BMJ Open. 2019 Feb 27;9(2):e026690
pubmed: 30819714
J Midwifery Womens Health. 2012 Jul-Aug;57(4):396-402
pubmed: 22758361
BMC Pregnancy Childbirth. 2012 Sep 19;12:100
pubmed: 22988825
Diabetol Metab Syndr. 2012 Sep 11;4(1):41
pubmed: 22964143
PLoS One. 2020 Jan 3;15(1):e0227325
pubmed: 31899773
BMC Pregnancy Childbirth. 2019 Sep 27;19(1):335
pubmed: 31558157
Soc Sci Med. 2003 Feb;56(4):671-84
pubmed: 12560003
Diabetes Spectr. 2019 May;32(2):118-124
pubmed: 31168282
Best Pract Res Clin Obstet Gynaecol. 2019 May;57:77-88
pubmed: 30600168
JAMA Netw Open. 2020 Feb 5;3(2):e1920964
pubmed: 32049292