Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study
Objective: Vulnerability relates to fragile physical, psychological, and socio-environmental circumstances. Pregnant women's social vulnerability can lead to disruptions in their medical follow-ups, prematurity, and increased infant mortality rates, such that their special needs must be conside...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024009125 |
| _version_ | 1797304567709302784 |
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| author | Béatrice Lognos Agnès Oude Engberink Lorène Gonzalez Julia Leandri Carla Charlot Pisoni Nadia Rachedi Bernard Clary Gérard Bourrel Sabine Bayen Elodie Million |
| author_facet | Béatrice Lognos Agnès Oude Engberink Lorène Gonzalez Julia Leandri Carla Charlot Pisoni Nadia Rachedi Bernard Clary Gérard Bourrel Sabine Bayen Elodie Million |
| author_sort | Béatrice Lognos |
| collection | DOAJ |
| description | Objective: Vulnerability relates to fragile physical, psychological, and socio-environmental circumstances. Pregnant women's social vulnerability can lead to disruptions in their medical follow-ups, prematurity, and increased infant mortality rates, such that their special needs must be considered. Yet, despite different governments' ‘perinatality’ plans, international literature suggests their care can be improved. Although quantitative studies regularly evaluate these plans, few studies have assessed vulnerable pregnant women's views. This study explores the needs and expectations of vulnerable women regarding their follow-ups during pregnancy and identified strategies to improve their circumstances. Methods: The study was a phenomenological qualitative study involving semi-structured interviews with women who gave birth in the past six months (December 2017 to June 2018) and who fulfilled at least one vulnerability criterion. The women were recruited by French midwives and general practitioners (GPs). Findings: Concerning these vulnerable pregnant women, three phenomenological categories emerged: 1) they need to be monitored by a single trusted contact; 2) they seek medical and social support adapted to their situations that addresses their needs; and 3) they expect kind and person-centred communication skills from professionals who provide them appropriate information. Conclusion: We identified various international recommendations to screen and care for vulnerable pregnant women, but still these women often experience numerous challenges. Finally, the implementation of recommendations for healthcare professionals based on women's real-life experiences could help optimise the identification of vulnerable pregnant women as well as their follow-up care. |
| first_indexed | 2024-03-08T00:12:19Z |
| format | Article |
| id | doaj.art-9de890d091144c18915c398fedefc03b |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T00:12:19Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-9de890d091144c18915c398fedefc03b2024-02-17T06:38:56ZengElsevierHeliyon2405-84402024-02-01103e24881Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative studyBéatrice Lognos0Agnès Oude Engberink1Lorène Gonzalez2Julia Leandri3Carla Charlot Pisoni4Nadia Rachedi5Bernard Clary6Gérard Bourrel7Sabine Bayen8Elodie Million9University of Montpellier, UMR UA11 INSERM – UM IDESP Institut Desbrest d’Épidémiologie et de Santé Publique Campus Santé, IURC, 641 avenue du doyen Gaston Giraud, 34 093, France; Department of General Practice, Montpellier University of Montpellier, 34000 Montpellier, France; Maison de santé pluriprofessionnelle universitaire Pauline Lautaud (ST Georges d’Orques, Castries, Prades le Lez, Vendargues), France; Corresponding author. Maison de Santé Pluri professionnelle Universitaire Pauline Lautaud, 4 avenue d’Occitanie, 34680 ST Georges d’Orques, France.University of Montpellier, UMR UA11 INSERM – UM IDESP Institut Desbrest d’Épidémiologie et de Santé Publique Campus Santé, IURC, 641 avenue du doyen Gaston Giraud, 34 093, France; Department of General Practice, Montpellier University of Montpellier, 34000 Montpellier, France; Maison de santé pluri professionnelle universitaire Avicenne, 2 rue IBN Sinaï dit Avicenne 66 330 Cabestany, FranceUniversity of Montpellier, UMR UA11 INSERM – UM IDESP Institut Desbrest d’Épidémiologie et de Santé Publique Campus Santé, IURC, 641 avenue du doyen Gaston Giraud, 34 093, France; Department of General Practice, Montpellier University of Montpellier, 34000 Montpellier, France; Maison de santé pluriprofessionnelle universitaire Pauline Lautaud (ST Georges d’Orques, Castries, Prades le Lez, Vendargues), France; Maison de santé pluri professionnelle universitaire Avicenne, 2 rue IBN Sinaï dit Avicenne 66 330 Cabestany, France; Département de L’Hérault, Hôtel du Département mas d’Alco, 1977 avenue du mas de Moulin 34087 Montpellier, France; Maison de Santé Professionnelle 20 route Minervois, 11800 Trèbes, France; Department of General Practice, Pôle formation Faculté médecine H. Warembourg 59045 Lille CEDEX 1, University of Lille, 1, place de Verdun, 59045, France; Centre médical, Rue de la Brèche, 34630 Saint-Thibéry, FranceMaison de santé pluriprofessionnelle universitaire Pauline Lautaud (ST Georges d’Orques, Castries, Prades le Lez, Vendargues), FranceMaison de santé pluriprofessionnelle universitaire Pauline Lautaud (ST Georges d’Orques, Castries, Prades le Lez, Vendargues), FranceDépartement de L’Hérault, Hôtel du Département mas d’Alco, 1977 avenue du mas de Moulin 34087 Montpellier, FranceUniversity of Montpellier, UMR UA11 INSERM – UM IDESP Institut Desbrest d’Épidémiologie et de Santé Publique Campus Santé, IURC, 641 avenue du doyen Gaston Giraud, 34 093, France; Department of General Practice, Montpellier University of Montpellier, 34000 Montpellier, France; Maison de Santé Professionnelle 20 route Minervois, 11800 Trèbes, FranceUniversity of Montpellier, UMR UA11 INSERM – UM IDESP Institut Desbrest d’Épidémiologie et de Santé Publique Campus Santé, IURC, 641 avenue du doyen Gaston Giraud, 34 093, France; Department of General Practice, Montpellier University of Montpellier, 34000 Montpellier, FranceDepartment of General Practice, Pôle formation Faculté médecine H. Warembourg 59045 Lille CEDEX 1, University of Lille, 1, place de Verdun, 59045, FranceUniversity of Montpellier, UMR UA11 INSERM – UM IDESP Institut Desbrest d’Épidémiologie et de Santé Publique Campus Santé, IURC, 641 avenue du doyen Gaston Giraud, 34 093, France; Department of General Practice, Montpellier University of Montpellier, 34000 Montpellier, France; Maison de santé pluriprofessionnelle universitaire Pauline Lautaud (ST Georges d’Orques, Castries, Prades le Lez, Vendargues), FranceObjective: Vulnerability relates to fragile physical, psychological, and socio-environmental circumstances. Pregnant women's social vulnerability can lead to disruptions in their medical follow-ups, prematurity, and increased infant mortality rates, such that their special needs must be considered. Yet, despite different governments' ‘perinatality’ plans, international literature suggests their care can be improved. Although quantitative studies regularly evaluate these plans, few studies have assessed vulnerable pregnant women's views. This study explores the needs and expectations of vulnerable women regarding their follow-ups during pregnancy and identified strategies to improve their circumstances. Methods: The study was a phenomenological qualitative study involving semi-structured interviews with women who gave birth in the past six months (December 2017 to June 2018) and who fulfilled at least one vulnerability criterion. The women were recruited by French midwives and general practitioners (GPs). Findings: Concerning these vulnerable pregnant women, three phenomenological categories emerged: 1) they need to be monitored by a single trusted contact; 2) they seek medical and social support adapted to their situations that addresses their needs; and 3) they expect kind and person-centred communication skills from professionals who provide them appropriate information. Conclusion: We identified various international recommendations to screen and care for vulnerable pregnant women, but still these women often experience numerous challenges. Finally, the implementation of recommendations for healthcare professionals based on women's real-life experiences could help optimise the identification of vulnerable pregnant women as well as their follow-up care.http://www.sciencedirect.com/science/article/pii/S2405844024009125Women's healthHealth disparitiesPregnancySocial vulnerabilityNeeds assessmentPhenomenology |
| spellingShingle | Béatrice Lognos Agnès Oude Engberink Lorène Gonzalez Julia Leandri Carla Charlot Pisoni Nadia Rachedi Bernard Clary Gérard Bourrel Sabine Bayen Elodie Million Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study Heliyon Women's health Health disparities Pregnancy Social vulnerability Needs assessment Phenomenology |
| title | Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study |
| title_full | Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study |
| title_fullStr | Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study |
| title_full_unstemmed | Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study |
| title_short | Meeting the needs of pregnant women in socially vulnerable situations: A phenomenological qualitative study |
| title_sort | meeting the needs of pregnant women in socially vulnerable situations a phenomenological qualitative study |
| topic | Women's health Health disparities Pregnancy Social vulnerability Needs assessment Phenomenology |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024009125 |
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