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The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review
BACKGROUND: Hemophilia carriers (HCs) face specific psychosocial challenges related to pregnancy, caused by their inherited bleeding disorder. Optimal support from healthcare providers can only be realized by exploring medical and psychological healthcare requirements. OBJECTIVE: To review all publi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7383726/ https://www.ncbi.nlm.nih.gov/pubmed/32271985 http://dx.doi.org/10.1111/jth.14825 |
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author | Punt, Marieke C. Aalders, Tanja H. Bloemenkamp, Kitty W. M. Driessens, Mariette H. E. Fischer, Kathelijn Schrijvers, Marlies H. van Galen, Karin P. M. |
author_facet | Punt, Marieke C. Aalders, Tanja H. Bloemenkamp, Kitty W. M. Driessens, Mariette H. E. Fischer, Kathelijn Schrijvers, Marlies H. van Galen, Karin P. M. |
author_sort | Punt, Marieke C. |
collection | PubMed |
description | BACKGROUND: Hemophilia carriers (HCs) face specific psychosocial challenges related to pregnancy, caused by their inherited bleeding disorder. Optimal support from healthcare providers can only be realized by exploring medical and psychological healthcare requirements. OBJECTIVE: To review all published evidence on the experiences and attitudes of HCs regarding reproductive decision‐making, prenatal diagnosis, pregnancy, childbirth, and puerperium to provide an accessible overview of this information for health care providers. STUDY SELECTION: Cochrane library, PubMed/MEDLINE, EMBASE, CINAHL, and PsycINFO were searched for original qualitative data. Two authors performed study selection, risk‐of‐bias assessment, data extraction, and data analysis through meta‐summary. The extracted themes were discussed within the research team. FINDINGS: Fifteen studies with an overall moderate quality were included. The following findings were identified: (a) Quality of life of family members with hemophilia influences reproductive decision‐making; (b) Genetic counselling is generally considered useful; (c) The development of a specialized carrier clinic is considered valuable; (d) HCs describe prenatal diagnosis as beneficial yet psychosocially challenging; and (e) noninvasive prenatal diagnosis and preimplantation genetic diagnosis are predominantly considered beneficial. These findings are limited by the overall moderate quality of included studies and the possibly partly outdated results in the current era of hemophilia treatment. CONCLUSIONS: Available qualitative literature on HCs around pregnancy focuses on genetic counselling and prenatal diagnosis. Future studies are needed on the experiences and needs of HCs through pregnancy and puerperium as well as in light of emerging hemophilia diagnosis and treatment options. |
format | Online Article Text |
id | pubmed-7383726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73837262020-07-27 The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review Punt, Marieke C. Aalders, Tanja H. Bloemenkamp, Kitty W. M. Driessens, Mariette H. E. Fischer, Kathelijn Schrijvers, Marlies H. van Galen, Karin P. M. J Thromb Haemost HAEMOSTASIS BACKGROUND: Hemophilia carriers (HCs) face specific psychosocial challenges related to pregnancy, caused by their inherited bleeding disorder. Optimal support from healthcare providers can only be realized by exploring medical and psychological healthcare requirements. OBJECTIVE: To review all published evidence on the experiences and attitudes of HCs regarding reproductive decision‐making, prenatal diagnosis, pregnancy, childbirth, and puerperium to provide an accessible overview of this information for health care providers. STUDY SELECTION: Cochrane library, PubMed/MEDLINE, EMBASE, CINAHL, and PsycINFO were searched for original qualitative data. Two authors performed study selection, risk‐of‐bias assessment, data extraction, and data analysis through meta‐summary. The extracted themes were discussed within the research team. FINDINGS: Fifteen studies with an overall moderate quality were included. The following findings were identified: (a) Quality of life of family members with hemophilia influences reproductive decision‐making; (b) Genetic counselling is generally considered useful; (c) The development of a specialized carrier clinic is considered valuable; (d) HCs describe prenatal diagnosis as beneficial yet psychosocially challenging; and (e) noninvasive prenatal diagnosis and preimplantation genetic diagnosis are predominantly considered beneficial. These findings are limited by the overall moderate quality of included studies and the possibly partly outdated results in the current era of hemophilia treatment. CONCLUSIONS: Available qualitative literature on HCs around pregnancy focuses on genetic counselling and prenatal diagnosis. Future studies are needed on the experiences and needs of HCs through pregnancy and puerperium as well as in light of emerging hemophilia diagnosis and treatment options. John Wiley and Sons Inc. 2020-05-12 2020-07 /pmc/articles/PMC7383726/ /pubmed/32271985 http://dx.doi.org/10.1111/jth.14825 Text en © 2020 The Authors. Journal of Thrombosis and Haemostasis published by Wiley Periodicals LLC on behalf of International Society on Thrombosis and Haemostasis This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | HAEMOSTASIS Punt, Marieke C. Aalders, Tanja H. Bloemenkamp, Kitty W. M. Driessens, Mariette H. E. Fischer, Kathelijn Schrijvers, Marlies H. van Galen, Karin P. M. The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review |
title | The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review |
title_full | The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review |
title_fullStr | The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review |
title_full_unstemmed | The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review |
title_short | The experiences and attitudes of hemophilia carriers around pregnancy: A qualitative systematic review |
title_sort | experiences and attitudes of hemophilia carriers around pregnancy: a qualitative systematic review |
topic | HAEMOSTASIS |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7383726/ https://www.ncbi.nlm.nih.gov/pubmed/32271985 http://dx.doi.org/10.1111/jth.14825 |
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