An Integrative Review of Mothers' Experiences of Preeclampsia

Værland, Inger Emilie; Vevatne, Kari; Brinchmann, Berit Støre

doi:10.1016/j.jogn.2016.02.006

Cited by 19 publications

(17 citation statements)

References 22 publications

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“…Based on the present findings, together with other studies, [ 3 – 5 ] we would suggest that in addition to permitting labor progression when there are spontaneous contractions, labor can be induced in pregnant women with severe pre-eclampsia as an indication to safely terminating the pregnancy, as long as there are no contraindications for vaginal delivery. Attempting but failing vaginal delivery would not increase the complications of mothers or neonates, however, the results of this study showed that cephalopelvic disproportion and fetal distress were significantly associated with transfer cesarean sections.…”

supporting

confidence: 77%

Risk factors and maternal-fetal outcomes of pregnancies complicated by pre-eclampsia, following cesarean section after a trial vaginal birth

Xu¹,

Yan²,

Chen³

2021

Chinese Medical Journal

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supporting

confidence: 77%

Risk factors and maternal-fetal outcomes of pregnancies complicated by pre-eclampsia, following cesarean section after a trial vaginal birth

Xu¹,

Yan²,

Chen³

2021

Chinese Medical Journal

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“…According to this study and based on the present ndings together with other studies [16][17][18] , we would suggest that, in addition to permitting labour to progress when there are spontaneous contractions,labour can be induced in pregnant of severe preeclampsia with an indication to terminal the pregnancy, as long as there are no contraindications for vaginal delivery. Attempting but failing vaginal delivery would not increase the complications of mother and neonates but fetal monitoring and labor evaluation should be strengthen during the process of labor.…”

supporting

confidence: 60%

Risk Factors and Maternal-Fetal Outcomes of Pregnant with Preeclampsia Who Converted to Cesarean Section After A Trial Vaginal Birth

Yan²,

Chen³

2020

Preprint

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Background: At present, most pregnant with preeclampsia choose direct cesarean section. Whether cesarean section after vaginal trial affects the outcome of mother and child and its related risk factorsIt are still unclear. The purpose of this study is to investigate the risk factors and maternal-neonatal outcomes in severe preeclampsia patients who undergo transfer-cesarean section during vaginal labor. Methods: For this retrospective study, patient with severe preeclampsia data from 2015 to 2019 was collected. Study participants were women with severe preeclampsia having a cesarean section during week 34 and 41 of gestation.The population was classified into three groups: patients with severe preeclampsia had cesarean section directly, patients with severe preeclampsia had vaginal deliveries and patients with severe preeclampsia who sufferred from transfer-cesarean section in the vaginal labor. The demographic variables and maternal-fetal outcomes were collected and analyzed. Results: (1) 34%(553/1626) severe preeclampsia had labor induction or natural labor and the ratio of transfer-cesarean section after trial of labor was 39% (216/553) . (2)There was a greater incidence of postpartum haemorrhage (7.7% versus 4.5%),the need for blood transfusion (2.4% versus 0.6%) and more than 7 days of hospitalization (10.4% versus 0.6%) in patients submitted to direct caesarean section compared with vaginal delivery.Apgar score at 5 min <7score and admission of NICU (7.5% versus 2.7%;26.0% versus 18.4%) in the neonates were significantly higher in the direct cesarean section group compared with vaginal delivery,but no difference between direct cesarean section group and transfer cesarean section.(3)When multiple logistic regression analysis was performed,the variables that remained significantly associated with transfer cesarean section were cephalopelvic disproportion (OR ¼ 2.13; 95% CI: 1.43–8.13) and fetal distress (OR ¼ 2.42; 95% CI: 1.76–6.65). Conclusion: Vaginal delivery can be recommended to pregnants with severe preeclampsia as long as there are no contraindications for vaginal delivery. Attempting but failing vaginal delivery would not increase the complications of mother and neonates,but fetal monitoring and labor evaluation should be strengthen during the process of labor.

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“…Research into the phenomena of existential suffering or health is limited in regard to maternal care . An integrative review revealed that there is limited research concerning mothers' experiences of giving birth to premature infants due to pre‐eclampsia in a Western setting . The aim of this study was to describe the phenomenon of mothers' experiences of being a seriously ill with pre‐eclampsia and on the same time becoming a mother of a premature infant.…”

Section: Introductionmentioning

confidence: 99%

Mothers' experiences of having a premature infant due to pre‐eclampsia

Værland

Vevatne

Brinchmann

2017

Scandinavian Caring Sciences

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Because of the acuteness of the birth and the infant's prematurity, the mothers had various feelings about becoming mothers. Existential issues concerning life and death were triggered regarding their own lives and those of their infants. Their experiences are different from those of other NICU mothers; their illnesses initially restricted them from being with their infants. The mothers found that their own health and the fact that their infants were premature and had to stay in the NICU restricted them from being able to take care of their infants. While they recovered, they strived to act as they felt a real mother should.

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An Integrative Review of Mothers' Experiences of Preeclampsia

Cited by 19 publications

References 22 publications

Risk factors and maternal-fetal outcomes of pregnancies complicated by pre-eclampsia, following cesarean section after a trial vaginal birth

Risk factors and maternal-fetal outcomes of pregnancies complicated by pre-eclampsia, following cesarean section after a trial vaginal birth

Risk Factors and Maternal-Fetal Outcomes of Pregnant with Preeclampsia Who Converted to Cesarean Section After A Trial Vaginal Birth

Mothers' experiences of having a premature infant due to pre‐eclampsia

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