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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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-01-01
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| Series: | International Journal of Community Based Nursing and Midwifery |
| Subjects: | |
| Online Access: | https://ijcbnm.sums.ac.ir/article_48883_ea24df07a54e1c19e2ac3fcfa4e31245.pdf |
| _version_ | 1828067125127806976 |
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| author | Talat khadivzadeh Zahra Shojaeian Ali Sahebi |
| author_facet | Talat khadivzadeh Zahra Shojaeian Ali Sahebi |
| author_sort | Talat khadivzadeh |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-10T23:41:22Z |
| format | Article |
| id | doaj.art-5201d3e468764d18bc998024689a7a24 |
| institution | Directory Open Access Journal |
| issn | 2322-2476 2322-4835 |
| language | English |
| last_indexed | 2024-04-10T23:41:22Z |
| publishDate | 2023-01-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | International Journal of Community Based Nursing and Midwifery |
| spelling | doaj.art-5201d3e468764d18bc998024689a7a242023-01-11T06:55:42ZengShiraz University of Medical SciencesInternational Journal of Community Based Nursing and Midwifery2322-24762322-48352023-01-01111576610.30476/ijcbnm.2022.96781.214848883High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative StudyTalat khadivzadeh0Zahra Shojaeian1Ali Sahebi2Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;Department of Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran;Senior Faculty of the William Glaser institute, Sydney, AustraliaBackground: 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.https://ijcbnm.sums.ac.ir/article_48883_ea24df07a54e1c19e2ac3fcfa4e31245.pdfpregnancyrisk managementhigh –risk |
| spellingShingle | Talat khadivzadeh Zahra Shojaeian Ali Sahebi High Risk-pregnant Women’s Experiences of Risk Management: A Qualitative Study International Journal of Community Based Nursing and Midwifery pregnancy risk management high –risk |
| 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 | pregnancy risk management high –risk |
| url | https://ijcbnm.sums.ac.ir/article_48883_ea24df07a54e1c19e2ac3fcfa4e31245.pdf |
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