Clinical relationship and psychological experience of hospitalization in “high-risk” pregnancy

Pozzo, Melissa; Brusati, Valentina; Cetin, Irene

doi:10.1016/j.ejogrb.2009.12.009

Cited by 21 publications

(32 citation statements)

References 22 publications

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“…Information from healthcare professionals was considered useful but women were frustrated if they sensed information was being withheld or was inconsistent in nature. The work of Pozzo et al (2010) suggests that women will tolerate uncertainty from healthcare professionals when a definite prognosis cannot be given. Further research is therefore required to examine communication in high risk pregnancy situations where the outcome is uncertain.…”

Section: Discussionmentioning

confidence: 99%

“…This is an issue of concern as women with high risk pregnancies represent a group with which professionals may already have difficulty communicating. For example, in a qualitative study of 17 healthcare professionals involved in the care of women with high risk pregnancies, 15 reported experiencing communication difficulties for reasons including powerlessness, anxiety and lack of time (Pozzo et al 2010).…”

Section: Introductionmentioning

confidence: 99%

“…In a study by Pozzo et al (2010), professionals who reported difficulties communicating with women also noted that women had asked for greater emotional closeness and empathy. In another qualitative study of women with high risk pregnancies and professionals involved in their care it was found that women placed a great deal of emphasis on hope (Roscigno et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…In the study by Pozzo et al (2010), 92% of participants wished to be kept informed even if there was uncertainty about what was going on. Levy (1999) found women wanted information about their pregnancy although they would avoid information they were unable to act on or they perceived as irrelevant.…”

Section: Introductionmentioning

confidence: 99%

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A metasynthesis of risk perception in women with high risk pregnancies

2014

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A metasynthesis of risk perception in women with high risk pregnancies

2014

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“…The latest CEMACE report highlights the association between maternal deaths and lack of engagement with antenatal care (CEMACE 2011). Healthcare professionals have reported feelings of anxiety, powerlessness and concerns regarding time pressure in consultations with women with high risk pregnancies, emotions which may hamper the communication process (Pozzo 2010). Understanding how women with high risk pregnancies perceive risk should improve communication with them and therefore enhance the care provided.…”

Section: Introductionmentioning

confidence: 99%

Risk perception in women with high-risk pregnancies

Lee

2014

British Journal of Midwifery

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Risk perception in women with high risk pregnancies affects the decisions they make about antenatal care and so may therefore influence the wellbeing of mother and baby. This article addresses the factors which influence women when making risk assessments and how these assessments may differ from those of healthcare professionals.Women use multiple sources of information to determine their risk status including advice from professionals, from other trusted sources, and their own intuitive knowledge. They recognise the risks posed by their pregnancies and will take steps to ensure the health of themselves and their babies. However these may not include following all medical recommendations. How they perceive risks and the care they will accept are weighed up in the context of their individual circumstances.Midwives need to be aware of these factors to ensure the care they give is individually appropriate, respectful and realistic.

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On Being Mother and Patient: Dialectical Struggles During Medically High‐risk Pregnancy

McCoyd

Munch

Curran

2018

Infant Mental Health Journal

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Medically high‐risk pregnancy (MHRP) affects 3 to 10% (diagnosis‐dependent) of pregnant women in the United States (National Institute of Child Health Development, 2015), threatening maternal and fetal well‐being. Although mothers’ prenatal distress and mother–infant attachment after birth have been quantitatively researched, little research has examined women's lived experiences of MHRP in the United States. We examined 16 women's experiences of MHRP during hospitalization at an urban, Northeastern U.S. hospital using an interpretive phenomenological approach. Our qualitative findings provide new understanding of how women expend tremendous energy simultaneously navigating new roles of mother and patient. While negotiating these roles, they experienced dialectical struggles and uncertainty relating to emotion management, locus of control, appraisals of self/others, and relational self. Women managed these conflicts within the contexts of their emerging maternal identity, patient–provider relationships, and social relationships. Women struggled as they managed emotion, determined their level of responsibility for fetal outcomes, appraised others and themselves, and worried about how they were perceived. This amplified distress and contributed to women's emotional exhaustion, sense of being overwhelmed, and stress burden. New explication of these energy‐depleting dynamic processes underlying women's experiences of MHRP and their impact on the future mother–infant relationship is considered, and strategies for psychosocial support are identified.

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Clinical relationship and psychological experience of hospitalization in “high-risk” pregnancy

Cited by 21 publications

References 22 publications

A metasynthesis of risk perception in women with high risk pregnancies

A metasynthesis of risk perception in women with high risk pregnancies

Risk perception in women with high-risk pregnancies

On Being Mother and Patient: Dialectical Struggles During Medically High‐risk Pregnancy

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