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High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study

BACKGROUND: Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted...

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Autores principales: Khadivzadeh, Talat, Shojaeian, Zahra, Sahebi, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shiraz University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9839972/
https://www.ncbi.nlm.nih.gov/pubmed/36650847
http://dx.doi.org/10.30476/IJCBNM.2022.96781.2148
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author Khadivzadeh, Talat
Shojaeian, Zahra
Sahebi, Ali
author_facet Khadivzadeh, Talat
Shojaeian, Zahra
Sahebi, Ali
author_sort Khadivzadeh, Talat
collection PubMed
description BACKGROUND: Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted to explore the risk management experiences of high-risk pregnant mothers. METHODS: This Qualitative study was conducted in educational hospitals in Mashhad, Iran, from July 2018 to December 2020. The purposive sampling method was used to recruit the participants based on medical or obstetric high-risk conditions in pregnancy. Qualitative data were obtained from in-depth and semi-structured 29 interviews. Mothers’ experiences of pregnancy in a risky condition were asked, and the interview continued until data saturation. Data were analyzed using the MAXQDA 10 software and the Elo and Kyngäs method. RESULTS: Maternal experiences for risk management in pregnancy were formed by nine sub-categories and three categories: the excitement of emotion including: “feeling worry and despair”, “gladness in the shadow of hope and optimism”, “momentary shocking and excitement”, and “inactivity and helplessness”; self-contemplation including: “active analysis of the ways of moderating the risk”, “cognitive denial”, and “ignoring the risk”; and witnessed action including: “problem-focused and rational actions”, and “avoidance and inefficient engagements”. CONCLUSION: Risk management experiences of pregnant women with high-risk pregnancies include a wide range of positive and negative feelings, effective and ineffective thoughts, and behaviors. Mutual collaboration between mothers and midwives/obstetricians by providing high-quality risk management counseling can lead to choosing effective risk management strategies.
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spelling pubmed-98399722023-01-16 High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study Khadivzadeh, Talat Shojaeian, Zahra Sahebi, Ali Int J Community Based Nurs Midwifery Original Article BACKGROUND: Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted to explore the risk management experiences of high-risk pregnant mothers. METHODS: This Qualitative study was conducted in educational hospitals in Mashhad, Iran, from July 2018 to December 2020. The purposive sampling method was used to recruit the participants based on medical or obstetric high-risk conditions in pregnancy. Qualitative data were obtained from in-depth and semi-structured 29 interviews. Mothers’ experiences of pregnancy in a risky condition were asked, and the interview continued until data saturation. Data were analyzed using the MAXQDA 10 software and the Elo and Kyngäs method. RESULTS: Maternal experiences for risk management in pregnancy were formed by nine sub-categories and three categories: the excitement of emotion including: “feeling worry and despair”, “gladness in the shadow of hope and optimism”, “momentary shocking and excitement”, and “inactivity and helplessness”; self-contemplation including: “active analysis of the ways of moderating the risk”, “cognitive denial”, and “ignoring the risk”; and witnessed action including: “problem-focused and rational actions”, and “avoidance and inefficient engagements”. CONCLUSION: Risk management experiences of pregnant women with high-risk pregnancies include a wide range of positive and negative feelings, effective and ineffective thoughts, and behaviors. Mutual collaboration between mothers and midwives/obstetricians by providing high-quality risk management counseling can lead to choosing effective risk management strategies. Shiraz University of Medical Sciences 2023-01 /pmc/articles/PMC9839972/ /pubmed/36650847 http://dx.doi.org/10.30476/IJCBNM.2022.96781.2148 Text en Copyright: © International Journal of Community Based Nursing and Midwifery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Khadivzadeh, Talat
Shojaeian, Zahra
Sahebi, Ali
High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study
title High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study
title_full High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study
title_fullStr High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study
title_full_unstemmed High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study
title_short High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study
title_sort high risk-pregnant women’s experiences of risk management: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9839972/
https://www.ncbi.nlm.nih.gov/pubmed/36650847
http://dx.doi.org/10.30476/IJCBNM.2022.96781.2148
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