What experiences did the high risk pregnancy reveal to the couple?

Document Type : Original Article

Authors

1 Associate Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Assistant Professor, Department of Counseling, School of Psychology and Educational Sciences, Shahid Beheshti University , Tehran, Iran.

3 Assistant Professor, Department of Midwifery, Gorgan Branch, Islamic Azad University, Gorgan, Iran.

10.22038/ijogi.2024.76586.5938

Abstract

Introduction: Considering the prevalence of high-risk pregnancies in developing countries, the increase in maternal and fetal morbidity and mortality, as well as the adverse effects of these pregnancies on the mental health of couples، it is necessary to understand the experience of high-risk pregnancy in couples. Since one of the most realistic ways to achieve the challenges ahead is to use people's own experiences, this study was conducted with aim to explain the experience of couples with high-risk pregnancies.
Methods: This qualitative study was conducted in 2018 on couples with high-risk pregnancies in the health centers and Sayad Hospital in Gorgan. The participants were selected in a purposeful way and with maximum diversity for structured in-depth interviews. Guba and Lincoln criteria were used for data accuracy. The data collection and analysis was done simultaneously based on the contract qualitative content analysis process based on Granheim's method and by MAXQDA software (version 10).
Results: Totally, 23 couples with high-risk pregnancies participated. The age range of women was 20-45 years and men were 22-52 years. The contents included the concern and fear of couples for maternal and fetal health, the way to deal with the problem, and need to comprehensive services and support of the relatives.
Conclusion: Considering the worry about maternal and fetal health and the lack of comprehensive services, paying attention to increasing information and acquiring skills to cope with problems and a healthy lifestyle in couples, as well as providing comprehensive supportive services and support of the relatives is required in order to couples have a good experience of high-risk pregnancy by reducing high-risk pregnancy complications.

Keywords

Main Subjects

References

  1. James DK, Steer PJ, Weiner CP, Gonik B. High risk pregnancy e-book: Management options-expert consult. Elsevier Health Sciences; 2010.
  2. Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Williams Obstetrics. 26nd New York: McGraw Hill; 2022.
  3. Maternal mortality: evidence brief. Matern Mortal 2019(1):1-4.
  4. Bajalan Z, Sabzevari Z, Qolizadeh A, Abdollahi F. Prevalence of high-risk pregnancies and the correlation between the method of delivery and the maternal and neonatal outcomes. J Pediatr Nurs 2019; 5(3):52-8.
  5. Michel KN, Ilunga BC, Astrid KM, Blaise IK, Mariette KK, Pitchou KT, et al. Epidemiological profile of high-risk pregnancies in Lubumbashi: case of the provincial hospital Janson Sendwe. Open Access Library Journal 2016; 3(12):1-7.
  6. Fairbrother N, Young AH, Zhang A, Janssen P, Antony MM. The prevalence and incidence of perinatal anxiety disorders among women experiencing a medically complicated pregnancy. Archives of women's mental health 2017; 20:311-9.
  7. Hajikhani NA, Ozgoli G, Pourebrahim T, Mehrabi Y, Khoori E. Characterizing mental health status of couples in high-risk pregnancy and its relevant characteristics. Int J Womens Health Reprod Sci 2018; 6(4):465-70.
  8. Hajikhani NA, Ozgoli G, Pourebrahim T, Mehrabi Y. Predictors of mental health during high-risk pregnancy. Crescent Journal of Medical & Biological Sciences 2020; 7(1).
  9. Azam Hajikhani Golchin N, Mahmoodi Z, Nasiri M, Rahnemaei FA, Ozgoli G. Predictors of Fathers' Worry about High Risk Pregnancies of their Wives: A Path Analysis. International Journal of Pediatrics 2022; 10(3):15664-74.
  10. O’Brien ET, Quenby S, Lavender T. Women’s views of high risk pregnancy under threat of preterm birth. Sexual & Reproductive Healthcare 2010; 1(3):79-84.
  11. Turkestani F, Abedini M, Radpoyan L, Rahimi S. National guide to providing midwifery and delivery services. Ministry of Health and Medical Education, Office of Family and Population Health, Department of Maternal Health; 2016.
  12. Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative. Lippincott Williams & Wilkins; 2011.
  13. Hajikhani NA, Ozgoli G, Pourebrahim T, Mehrabi Y, Abollmaali K, Mohammadi F, et al. Development and Psychometric Evaluation of the Men’s Worry about Their Wives’ High Risk Pregnancy Questionnaire. International journal of community based nursing and midwifery 2018; 6(3):186.
  14. Antunes M, Viana CR, Charepe Z. Hope aspects of the women’s experience after confirmation of a high-risk pregnancy Condition: a systematic scoping review. InHealthcare 2022; 10(12):2477.
  15. Mohammadi S, Shojaei K, Maraghi E, Motaghi Z. Explaining the psychological distress of women with high-risk pregnancies in Iran: A qualitative study. Iranian Journal of Nursing and Midwifery Research 2022; 27(6):560-6.
  16. Borghei NS, Taghipour A, Roudsari RL. The concern of fetal health: women's experiences of worries during pregnancy. Iranian Journal of Obstetrics, Gynecology and Infertility 2016; 19(28).
  17. Shojaeian Z, Khadivzadeh T, Sahebi A, Kareshki H, Tara F. Perceived risk in women with high risk pregnancy: A qualitative study. Iranian Journal of Nursing and Midwifery Research 2021; 26(2):168-74.
  18. Dabb C, Dryer R, Brunton RJ, Yap K, Roach VJ. Paternal pregnancy-related anxiety: Systematic review of men's concerns and experiences during their partners' pregnancies. Journal of Affective Disorders 2023; 323:640-58.
  19. Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best practice & research Clinical obstetrics & gynaecology 2014; 28(1):25-35.
  20. Biehle SN, Mickelson KD. Worries in expectant parents: Its relation with perinatal well‐being and relationship satisfaction. Personal Relationships 2011; 18(4):697-713.
  21. Öhman SG, Grunewald C, Waldenström U. Women's worries during pregnancy: testing the Cambridge Worry Scale on 200 Swedish women. Scandinavian journal of caring sciences 2003; 17(2):148-52.
  22. Nansubuga E, Ayiga N. Male involvement in utilization of emergency obstetric care and averting of deaths for maternal near misses in Rakai district in Central Uganda. African Population Studies 2015; 29(2).
  23. Stein-Parbury J. Patient and person: Interpersonal skills in nursing. Elsevier Health Sciences; 2013.
  24. Jackson K, Erasmus E, Mabanga N. Fatherhood and high-risk pregnancy: a scoping review. BMC Pregnancy and Childbirth 2023; 23(1):168.
  25. Tajvidi M, Dehghan-Nayeri N. Experiencing spirituality in pregnancy: A phenomenological study. Nursing And Midwifery Journal 2016; 14(8):674-81.
  26. Mirzakhani K, Ebadi A, Faridhosseini F, Khadivzadeh T. Pregnant women's experiences of well-being in high-risk pregnancy: A qualitative study. Journal of Education and Health Promotion 2023; 12(1):6.
  27. Wen KY, Fang CY, Ma GX. Breast cancer experience and survivorship among Asian Americans: a systematic review. Journal of Cancer Survivorship 2014; 8:94-107.
  28. Mirghafourvand M, Zandinava H, Shafaei FS, Mohammad-Alizadeh-Charandabi S, Ghanbari-Homayi S. Effectiveness of self-care training on pregnancy consequences in gestational diabetes: a randomized controlled clinical trial. Shiraz E-Medical Journal 2019; 20(6).
  29. Nguyen TA, Oosterhoff P, Ngoc YP, Wright P, Hardon A. Self-help groups can improve utilization of postnatal care by HIV-infected mothers. Journal of the Association of Nurses in AIDS Care 2009; 20(2):141-52.
  30. Jadid-Milani M. Promotion of self-transcendence in a multiple sclerosis peer support groups. Zahedan Journal of Research in Medical Sciences 2014; 16(5).
  31. Toghyani R, Ramezani MA, Izadi M, Shahidi S, Aghdak P, Moti Z, et al. The Effect of Prenatal Care Group Education on Pregnant Mothers'knowledge, Attitude and Practice. Iranian Journal of medical education 2008; 7(2):317-24.
  32. Bashir S, Ansari AH, Sultana A. Knowledge, Attitude, and Practice on Antenatal Care Among Pregnant Women and its Association With Sociodemographic Factors: A Hospital-Based Study. Journal of Patient Experience 2023; 10:23743735231183578.
  33. Mehran N, Hajian S, Simbar M, Alavi Majd H. A review of men's participation in perinatal care: A systematic review. Hayat 2020; 26(1):28-45.
  34. Barjasteh S, Moghadam TF. Antenatal anxiety and pregnancy worries in association with marital and social support. Nursing and Midwifery Journal 2016; 14(6):504-15.
  35. Hosseini ST, Abbasalizadeh F, Hakimi S, Tabrizi FP. The effect of family support on anxiety and depression in pregnant women with high-risk pregnancies hospitalized in the third trimester of pregnancy: Results of randomized controlled trial. Medical Journal of Tabriz University of Medical Sciences 2023; 44(6):478-88.
  36. Abdi S, Faramarzi M, Bouzari Z, Chehrazi M, Esfandyari M. Association between social support and pregnancy stress: a cross-sectional study of neighbors’ interactions. Journal of the Egyptian Public Health Association 2022; 97(1):15.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 27, Issue 1
March 2024
Pages 9-22

Files

Share

How to cite

Statistics