Effect of self-care before and during pregnancy to prevention and control preeclampsia in high-risk women

Rasouli, Masoumeh; Pourheidari, Mahboubeh; Gardesh, Zeinab Hamzeh

doi:10.4103/ijpvm.ijpvm_300_17

Cited by 14 publications

(11 citation statements)

References 72 publications

(68 reference statements)

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“…Therefore, the pregnancy may represent a great opportunity for discussion and intervention by health professionals. This complements the literature on prenatal health interventions that emphasizes this as an opportunity for good short-term outcomes ( Solhi et al, 2019 ;Miller, 2016 ;Shorey & Ng, 2019 ;Rasouli et al, 2019 ).…”

Section: Discussionsupporting

confidence: 54%

Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: A qualitative study

et al. 2020

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Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that often leads to situations of harm to the mother-fetus binomial. Given the potential for complications and morbidities in these pregnant women, it is essential that a multidisciplinary team be involved in pregnancy planning, as well as monitoring the course of the pregnancy and the postpartum period. Owing to the imminent risks of disease worsening along with consequent disabilities, these women may experience psychological and psychosocial impacts conflicting with the psychological demands of pregnancy.Objective: To understand the meanings attributed to pregnancy by women with SLE.Design: A qualitative design with face-to-face interview following a semi-structured script of open-ended questions.Setting: A specialized outpatient clinic where during prenatal care, women with stable disease undergo scheduled appointments. Participants:The sample was intentionally composed of women visiting a specialized outpatient clinic from July 2017 to July 2018. The participants (N = 26) were interviewed in depth, with no refusal. Thematic analysis according to the 7 steps of qualitative analysis was conducted using NVivo 11.Findings: Four categories were identified: (1) unplanned pregnancy and nonuse of contraception, (2) feeling healthy despite a doctor's warning of the disease worsening because of pregnancy, (3) joy coupled with fear of the future and pregnancy, and (4) self-perception and straight perception. Conclusions:The experiences of pregnant women with SLE are permeated by ambiguous feelings. These women feel healthy because they can bear a child despite the chronic disease diagnosis and, at the same time, experience fear and insecurity owing to the imminent possibility of disease-related disabilities and limitations. They especially wish to experience motherhood, and they strive for safety and support.Implications for practice: Health teams must be structured to welcome and advise these women in planning relationships and pregnancy, as well as choosing the best contraceptive methods and making optimal reproductive decisions. The development of strategies to deal with changes in the perinatal period may be helpful, as these women are willing to take care of themselves.

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Section: Discussionsupporting

confidence: 54%

Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: A qualitative study

et al. 2020

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“…These symp-toms cause significant distress that impacts daily functioning, interferes with work per-formance and impairs the quality of life of both pregnant women and their families [ 3 , 4 , 5 ]. Moreover, persistent and severe symptoms are associated with adverse effects regarding fetal development and increased pregnancy risks, such as preeclampsia, vaginal bleeding, preterm birth and postpartum complications [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study

Lee

Wen

Hsiung

et al. 2021

IJERPH

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During pregnancy, a woman’s enlarged uterus and the developing fetus lead to symptom distress; in turn, physical and psychological aspects of symptom distress are often associated with adverse prenatal and birth outcomes. This study aimed to identify the trends in the trajectory of these symptoms. This longitudinal study recruited 95 pregnant women, with a mean age of 32 years, from the prenatal wards of two teaching hospitals in northern Taiwan. Symptom distress was measured by a 22-item scale related to pregnancy-induced symptoms. The follow-up measurements began during the first trimester and were taken every two to four weeks until childbirth. More than half of the pregnant women experienced symptom distress manifested in a pattern depicted to be “Decreased then Increased” (56.8%). Other noticeable patterns were “Continuously Increased” (28.4%), “Increased then Decreased” (10.5%) and “Continuously Decreased” (4.2%), respectively. It is worth noting that most pregnant women recorded a transit and increase in their symptom distress, revealed by their total scores, at the second trimester (mean 22.02 weeks) of pregnancy. The participants’ major pregnancy-related distress symptoms were physical and included fatigue, frequent urination, lower back pain, and difficulty sleeping. The mean scores for individual symptoms ranged from 2.32 to 3.61 and were below the “moderately distressful” level. This study provides evidence that could be used to predict women’s pregnancy-related symptom distress and help healthcare providers implement timely interventions to improve prenatal care.

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“…The established evidence base for lifestyle interventions was also reflected in previous systematic reviews on self-care for pre-eclampsia and gestational diabetes. 9 11 This might be attributable to a perceived lower risk of harm when conducting trials investigating lifestyle interventions, compared with clinical or pharmacological interventions. Moreover, lifestyle interventions tend to take place in their own living environments and in their own time, and hence may be more amenable to self-care approaches.…”

Section: Discussionmentioning

confidence: 99%

“…Examples include prescription medicines that can be made available over-the-counter (OTC), self-collection of samples for testing or home testing kits for certain diseases. Some systematic reviews have been conducted on self-care interventions in pregnancy9–11; however these previous reviews focused on a few selected interventions and outcomes, and mainly the antenatal or postpartum periods. No previous review has explored the broad and heterogeneous body of research across preconception, antenatal, intrapartum and postpartum periods, in order to identify those that may be effective or applicable from a self-care perspective.…”

Section: Introductionmentioning

confidence: 99%

Self-care interventions for preconception, antenatal, intrapartum and postpartum care: a scoping review

et al. 2023

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ObjectiveTo identify current and emerging self-care interventions to improve maternity healthcare.DesignScoping review.Data sourcesMEDLINE, Embase, EmCare, PsycINFO, Cochrane CENTRAL/CDSR, CINAHL Plus (last searched on 17 October 2021).Eligibility criteriaEvidence syntheses, interventional or observational studies describing any tool, resource or strategy to facilitate self-care in women preparing to get pregnant, currently pregnant, giving birth or post partum.Data extraction/synthesisScreening and data collection were conducted independently by two reviewers. Self-care interventions were identified based on predefined criteria and inductively organised into 11 categories. Characteristics of study design, interventions, participants and outcomes were recorded.ResultsWe identified eligible 580 studies. Many included studies evaluated interventions in high-income countries (45%) and during antenatal care (76%). Self-care categories featuring highest numbers of studies were diet and nutrition (26% of all studies), physical activity (24%), psychosocial strategies (18%) and other lifestyle adjustments (17%). Few studies featured self-care interventions for sexual health and postpartum family planning (2%), self-management of medication (3%) and self-testing/sampling (3%). Several venues to introduce self-care were described: health facilities (44%), community venues (14%), digital platforms (18%), partner/peer support (7%) or over-the-counter products (13%). Involvement of health and community workers were described in 38% and 8% of studies, who supported self-care interventions by providing therapeutics for home use, training or counselling. The most common categories of outcomes evaluated were neonatal outcomes (eg, birth weight) (31%), maternal mental health (26%) and labour outcomes (eg, duration of labour) (22%).ConclusionSelf-care interventions in maternal care are diverse in their applications, implementation characteristics and intended outcomes. Many self-care interventions were implemented with support from the health system at initial stages of use and uptake. Some promising self-care interventions require further primary research, though several are matured and up-to-date evidence syntheses are needed. Research on self-care in the preconception period is lacking.

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Effect of self-care before and during pregnancy to prevention and control preeclampsia in high-risk women

Cited by 14 publications

References 72 publications

Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: A qualitative study

Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: A qualitative study

Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study

Self-care interventions for preconception, antenatal, intrapartum and postpartum care: a scoping review

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