scholarly journals Well-being in high-risk pregnancy: an integrative review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kobra Mirzakhani ◽  
Abbas Ebadi ◽  
Farhad Faridhosseini ◽  
Talaat Khadivzadeh

Abstract Background A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in HRP, there is no clear definition for it. This study aimed to explore the concept of well-being in HRP. Methods This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance to well-being in HRP. The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute. Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in HRP. Results Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. The four unique dimensions of well-being in HRP are physical, mental-emotional, social, and spiritual well-being. These dimensions differentiate well-being in HRP from well-being in low-risk pregnancy and in non-pregnancy conditions. Conclusion As a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components.

Author(s):  
kobra mirzakhani ◽  
Abbas Ebadi ◽  
Farhad Faridhosseini ◽  
Talat Khadivzadeh

Abstract Background: A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in HRP, there is no clear definition for it. This study aimed to explore the concept of well-being in HRP. Methods: This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance to well-being in HRP. The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute. Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in HRP. Results: Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. The four unique dimensions of well-being in HRP are physical, mental-emotional, social, and spiritual well-being. These dimensions differentiate well-being in HRP from well-being in low-risk pregnancy and in non-pregnancy conditions. Conclusion: As a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components.


2019 ◽  
Author(s):  
kobra mirzakhani ◽  
Abbas Ebadi ◽  
Farhad Faridhosseini ◽  
Talaat Khadivzadeh

Abstract Background: A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in high-risk pregnancy, there is no clear definition for it. This study aimed to explore the concept of well-being in high-risk pregnancy. Methods: This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance well-being in high-risk pregnancy. The full-texts of all articles were assessed using the checklists of the Joanna Briggs Institute (JBI). Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in high-risk pregnancy. Results: Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. Findings showed that the four dimensions of well-being in high-risk pregnancy concept were physical, mental-emotional, social, and spiritual well-being. Conclusion: As a complex and multidimensional concept, well-being in high-risk pregnancy refers to the pregnant woman’s evaluation of her life during high-risk pregnancy. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components. Keywords: Well-being, Pregnancy, High-risk pregnancy


2019 ◽  
Author(s):  
kobra mirzakhani(Former Corresponding Author) ◽  
Abbas Ebadi ◽  
Farhad Faridhosseini ◽  
Talaat Khadivzadeh(New Corresponding Author)

Abstract Abstract Background: A prerequisite to the interventions for well-being improvement in high-risk pregnancy is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in high-risk pregnancy, there is no clear definition for it. This study aimed to explore the concept of well-being in high-risk pregnancy. Methods: This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance well-being in high-risk pregnancy. The full-texts of all articles were assessed using the checklists of the Joanna Briggs Institute (JBI). Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in high-risk pregnancy. Results: Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. Findings showed that the four dimensions of well-being in high-risk pregnancy concept were physical, mental-emotional, social, and spiritual well-being. Conclusion: As a complex and multidimensional concept, well-being in high-risk pregnancy refers to the pregnant woman’s evaluation of her life during high-risk pregnancy. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components. Keywords: Well-being, Pregnancy, High-risk pregnancy


2018 ◽  
Vol 8 (2) ◽  
pp. 145
Author(s):  
Fitrias Putri Handayani ◽  
Endang Fourianalistyawati

This study aims to investigate the relationship between depression and spiritual well-being among women with a high-risk pregnancy. A quantitative method with correlational design was employed. Eighty-five participants were recruited for this study using accidental sampling technique. All participants were pregnant women with a high-risk pregnancy (between 24 and 36 weeks of gestation). Data were collected using two instruments, namely an adapted CESD-R (Center for Epidemiological Studies-Depression Scale Revised) to measure depression and an adapted Gomez & Fisher’s SWBQ (Spiritual Well-Being Questionnaire) to measure spiritual well-being. Results shows that there is a significant negative relationship between depression and spiritual well-being (r = -0,422 in the significance level of 0.01). It can be concluded from the result that the low level of depression correlates with the high spiritual well-being. Key words: Depression, spiritual well-being, high-risk pregnancyAbstrak: Penelitian ini bertujuan untuk melihat depresi dan kesejahteraan spiritual pada ibu hamil risiko tinggi. Metode penelitian ini adalah kuantitatif dengan desain korelasional. Dalam penelitian ini depresi dan kesejahteraan spiritual diukur dengan alat ukur yang telah diadaptasi, depresi diukur dengan Center For Epidemiological Studies - Depression Scale Revised (CESD-R) sedangkan kesejahteraan spiritual diukur dengan Spiritual Well-being Questionnaire (SWBQ). Pengambilan sampel dilakukan dengan teknik accidental sampling dan sebanyak 89 ibu hamil risiko tinggi dengan usia kehamilan diatas 6 bulan (24 – 36 minggu) menjadi partisipan dalam penelitian ini. Hasil menunjukkan terdapat hubungan yang signifikan dan bernilai negatif antara depresi dengan kesejahteraan spiritual sebesar r= - 0,422 (hubungan sedang) dengan signifikansi 0,01. Kesimpulan dari hasil penelitian ini adalah tingkat depresi yang rendah memiliki hubungan dengan kesejahteraan spiritual yang tinggi.


Author(s):  
Martina Smorti ◽  
Francesca Ginobbi ◽  
Tommaso Simoncini ◽  
Federica Pancetti ◽  
Alessia Carducci ◽  
...  

AbstractLiterature has shown that hospitalized women with high-risk pregnancy tend to develop anxious and depressive symptoms. Research has used quantitative or qualitative methods. By integrating both quantitative and qualitative methods, this study aims to analyze: a) the level of depression, anxiety, and pregnancy-related anxiety in a group of women hospitalized with high-risk pregnancy (hospitalized high-risk) compared with a group of non-hospitalized women with low-risk pregnancy; b) the content of hospitalization-related emotions in a high-risk group. A cross-sectional study was conducted on 30 hospitalized high-risk pregnant women and 32 women with low-risk pregnancy. Participants completed the Edinburgh Postnatal Depression Scale, Hospital Anxiety and Depression Scale (Anxiety), and Pregnancy Related Anxiety Questionnaire. The hospitalized high-risk group also completed open-ended questions about emotions experienced during hospitalization. Univariate Analysis of Covariance showed that the hospitalized high-risk group reported higher general anxiety and depression than the low-risk pregnancy group. Low-risk group reported higher level of concerns about own appearance than high-risk group. Narratives showed that the anxious and depressive symptoms of hospitalized women are related to the loneliness of being away from family. Despite attempts to understand hospitalization, they express concerns about pregnancy. Psychological support for hospitalized pregnant women should be provided to facilitate the communication of emotions that leads women to elaborate the experience of hospitalization to better adapt and cope with the critical condition.


2020 ◽  
Vol 1 (2) ◽  
pp. 8-14
Author(s):  
Ketut Suarayasa ◽  
Bertin Ayu Wandira

The purpose of this study was to obtain an overview of pregnancy risk factors in pregnant women accompanied by young doctor from the IKM-KK department of the Faculty of Medicine at Tadulako University during a stase at the Primary Health Care in the city of Palu. The design of this study was descriptive in order to obtain an overview of pregnancy risk factors obtained from the checklist for assisting pregnant women. The population in this study were all pregnant women who received young doctor from the IKM-KK department in the last 2 (two) years, totaling 147 pregnant women. While the sample in this study was 3rd trimester pregnant women whose notes in the accompanying book are complete. The results showed that: 1) Compliance with the lowest Antenatal Care standard in laboratory tests (70%); 2) Pregnant Women with Low Risk Pregnancy (KRR) of 58.2%, High Risk Pregnancy (KRT) of 32.2% and Very High Risk Pregnancy (KRST) of 9.6%; 3) The three highest risk factors for pregnancy are getting pregnant too soon again <2 years (31.3%), had cesarean section (22.9%) and pre-eclampsia (16.7%); and 4) Pregnant women with very high risk pregnancies (KRST) at most (72.7%) were found in urban health centers, including: kamonji (36.3%), Singgani (18.2%) and Talise (18.2%).


Author(s):  
Jorge Elias Daher Nader ◽  
Aldo Guzman Soria ◽  
Maikel Leyva Vázquez ◽  
Xavier Chan Gomez ◽  
Marlene Isabel Hernandez Navarro

Fetal distress is an alteration of the fetus maternal exchange with disorder in the metabolism due to complications of high-risk pregnancies that affect the well-being of the fetus, Evaluation by Doppler echography and amniotic fluid index can help us to diagnose fetal distress; the Objective of the research was to analyze the Brain placenta index and amniotic fluid index in high-risk pregnancies as a predictor of low Apgar; We investigated pregnant women who attended the hospital Alfredo G Paulson performing Doppler ultrasounds, the result when evaluating the pathologies of high Risk comparing ALI with Apgar was (p.208) and BPI with Apgar was (p.064) which indicates that there are differences so we came to the conclusion that they do not predict if the fetus at the time of birth would present Apgar bass.


2020 ◽  
Vol 7 (2) ◽  
pp. 201-206
Author(s):  
Balgopal Singh Bhati ◽  
◽  
Praveen Kumar Choudhary ◽  
Sunita Bishnoi ◽  
◽  
...  

2010 ◽  
Vol 10 (1) ◽  
pp. 69-74
Author(s):  
Ana Carla P. Montenegro ◽  
Viviane Rosado D' Assunção ◽  
Monique Gabrielli B. Luna ◽  
Pollyanna Valente N. Raposo ◽  
Francisco Bandeira

OBJECTIVES: to compare the levels of cortisol (cortisolemia refers to the level of cortisol in blood) in women with a high-risk pregnancy compared with those with a low-risk pregnancy, by way of evaluation of levels of cortisol in saliva, using the electrochemical luminescence technique (ECL). METHODS: 38 women aged between 17 and 40 years in the third trimester of pregnancy were divided in two groups: 20 low-risk pregnancies and 18 high-risk ones. Cortisol in saliva was collected at midnight and measured using ECL. The mean levels of cortisol in saliva in the two groups were compared using the Kruskal-Wallis test. RESULTS: the mean systolic and diastolic pressure was normal in both groups. The levels of cortisol in the saliva of women with high-risk pregnancies was significantly higher than those for the low-risk pregnancy group (20.2 (±21,1) nmol/L vs 11.4(±16.2) nmol/L; p=0.007). CONCLUSIONS: a high risk pregnancy involves higher levels of cortisol than a low-risk one. The levels of cortisol in saliva, as measured using ECL, can be used to identify hypercortisolism in pregnancy.


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