Well-being in high-risk pregnancy: an integrative review

Abstract

Background A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in HRP, there is no clear definition for it. This study aimed to explore the concept of well-being in HRP. Methods This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance to well-being in HRP. The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute. Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in HRP. Results Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. The four unique dimensions of well-being in HRP are physical, mental-emotional, social, and spiritual well-being. These dimensions differentiate well-being in HRP from well-being in low-risk pregnancy and in non-pregnancy conditions. Conclusion As a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components.

High-risk pregnant women’s experiences of the receiving prenatal care in COVID-19 pandemic: a qualitative study

“…According to the results of the present study, many mothers adapted to the COVID-19 pandemic condition by adhering to the health protocols and preventive behaviors, as well as taking coping strategies such as positive thinking and trust in God while performing prenatal care to maintain their health and that of the fetus. According to research, coping strategies, reliance on spirituality, and risk-control behaviors during pregnancy are all prerequisites for well-being in high risk pregnancy [ 47 ]. The findings of the Koenig (2020) study also illustrate the importance of faith in mitigating the effects of the disease, even in COVID-19 [ 48 ].…”

Aspectos psicossociais da gestação de alto risco

“…Entretanto, as evidências demostram que a equipe de saúde precisa gerenciar os problemas de saúde física associados ao alto risco, mas também prestar muita atenção aos sentimentos, satisfação e bem-estar das mulheres grávidas (Mirzakhani et al, 2020;McCoyd et al, 2019;Ozgoli et al, 2018).…”

Tempo de espera ao acesso ambulatorial especializado no pré-natal de alto risco: estudo de método misto

“…A gestação é um fenômeno fisiológico e sua evolução, na maioria dos casos, ocorre sem intercorrências, entretanto, algumas gestantes por serem portadoras de alguma doença podem apresentar agravos, com maior probabilidade de evolução desfavorável, colocando em risco a saúde materna ou fetal, fato este que transforma a gravidez em uma gestação de alto risco (AR) (Mirzakhani et al, 2020;Brasil, 2019).…”