scholarly journals Experiencing pregnancy at an advanced maternal age in a private hospital

Rev Rene ◽  
2022 ◽  
Vol 23 ◽  
pp. e70958
Author(s):  
Andressa Kachel Chemim ◽  
Beatriz Cristina de Castro ◽  
Juliane Dias Aldrighi ◽  
Marilene Loewen Wall ◽  
Aline Lara de Carvalho ◽  
...  

Objective: to describe the experiences of pregnant women at advanced maternal age assisted in a private hospital. Methods: a qualitative study, carried out with 17 women, by means of semi-structured interviews via telephone. The data was submitted to Thematic Content Analysis. Results: the participants were between 35 and 40 years old. Two categories emerged: Experiencing pregnancy as a couple and family: the preparation of the couple for pregnancy and childbirth (Pregnancy after 35 years old as an element of potentiality; Change in the family routine for the baby’s arrival) and Experiencing pregnancy and its changes: perceiving pregnancy as a healthy and calm experience (Change in emotional patterns related to the pregnancy process). Conclusion: experiencing pregnancy late in life was not a concern for women. Maturity and favorable socioeconomic conditions may have a protective influence on the course of healthy pregnancies in women attending the private health service.

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Shakiba Zahed ◽  
Maryam Emami ◽  
Shahrzad Bazargan-Hejazi ◽  
Ahmad Ali Eslami ◽  
Majid Barekatain ◽  
...  

Abstract Background The burden of caring for People with Dementia (PWD) is heavy; identifying incentives that motivate them in providing care is essential in facilitating and optimizing care. This study aims to explore and describe these motivating factors. Methods We conducted this qualitative study between January 2016 and January 2017 in Isfahan, Iran. Data were extracted through in-depth, semi-structured interviews with 19 caregivers of PWD. These data were then examined through thematic content analysis. Results We identified four categories of psychological motives based on the caregivers’ feedback and experience. These include 1) Moral-based motives, 2) Religious, and spiritual motives; 3) Financial motives, and 4) Wicked motives. Conclusions Our results revealed several aspects of caregivers’ motives. They include moral, religious, and spiritual aspects; sharing housing accommodations, and the likelihood of inheriting a portion of the patient’s assets based on unspoken rules and informal arrangements in the family, and wicked and immoral aspects. These findings can inform future efforts in enhancing the experiences of caregivers of PWD, and subsequently, the quality of care these patients receive. It further suggests that family members, members of a religious and spiritual organization, as well as social media, could play important roles in setting the stage.


2015 ◽  
Vol 8 ◽  
pp. CCRep.S31958 ◽  
Author(s):  
Bruna C. S. Melo ◽  
Ana Portocarrero ◽  
Cláudia Alves ◽  
André Sampaio ◽  
Luisa Mota-Vieira

The detection of supernumerary marker chromosomes (SMCs) in prenatal diagnosis is always a challenge. In this study, we report a paternally inherited case of a small SMC(15) that was identified in prenatal diagnosis due to advanced maternal age. A 39-year-old woman underwent amniocentesis at 16 weeks of gestation. A fetal abnormal karyotype − 47,XX,+mar − with one sSMC was detected in all metaphases. Since this sSMC was critical in the parental decision to continue or interrupt this pregnancy, we proceeded to study the fetus and their parents. Cytogenetic and molecular analyses revealed a fetal karyotype 47,XX,+mar pat.ish idic(15)(ql2)(D15Zl++,SNRPN−-), in which the sSMC(15) was a paternally inherited inverted duplicated chromosome and did not contain the critical region of Prader–Willi/Angelman syndromes. Moreover, fetal uniparental disomy was excluded. Based on this information and normal obstetric ultrasounds, the parents decided to proceed with the pregnancy and a phenotypically normal girl was born at 39 weeks of gestation. In conclusion, the clinical effects of sSMCs need to be investigated, especially when sSMCs are encountered at prenatal diagnosis. Here, although the paternal sSMC(15) was not associated with an abnormal phenotype, its characterization allows more accurate genetic counseling for the family progeny.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Seyedeh Maryam Pourmousavi Khangheshlaghi ◽  
Hamideh Bahaoddini ◽  
Fatemeh Seifollahi Nasrabadi

: The present study aimed to describe the lived experiences of women regarding the home quarantine during the coronavirus pandemic. A qualitative study was conducted on 12 women residing in Tehran, Iran who were selected via purposive sampling. Data were collected via semi-structured interviews and analyzed by thematic content analysis. The obtained results indicated seven dimensions regarding the quarantine period from the perspective of threat and opportunity, including family (keeping the family foundation intact, incapability in controlling problems), individual (performance-based pleasure, performance-based numbness), spiritual (resorting to God, impatience), and health-related aspects (observation, indifference). Each dimension was divided into various subcategories. Our findings indicated that proper actions must be taken by all walks of life and authorities to enhance the physical and mental health of the community during this critical period.


2008 ◽  
Vol 21 (2) ◽  
pp. 275-281 ◽  
Author(s):  
Juliana Stefanello ◽  
Ana Márcia Spanó Nakano ◽  
Flávia Azevedo Gomes

OBJECTIVE: To identify the meaning of care in the puerperal phase, within the family context. METHODS: It is a qualitative research, developed with 12 puerperal women and their relatives, who helped them with care after delivery. Data collection was performed by means of semi-structured interviews. The data were analyzed based on the technique of thematic content analysis. RESULTS: In the postnatal period, care needs to be doubled, as it affects mother and child, besides the body vulnerability, which is open to diseases. In articulation with these ideas, the recommendations and restrictions as components of postpartum care are justified. CONCLUSION: Care in the puerperal phase is a feminine practice filled with beliefs and taboos that grants women with power of agents in this process, since she bears the knowledge of many generations at the same time that they act as subjects and reinvent the previously established systems, constructing themselves as mothers.


2016 ◽  
Vol 50 (spe) ◽  
pp. 130-138 ◽  
Author(s):  
Daniele Merisio Raimundi ◽  
Francieli Furtado Ferreira ◽  
Fernanda Cristina Aguiar Lima ◽  
Valeria de Carvalho Araújo Siqueira

Objective to know the practice of the Family Clinic in Cuiaba and its relationship with the precepts of the expanded clinic, from the perspective of the service nurses. Method qualitative descriptive research, data collection with semi-structured interviews and results analyzed according to the method of thematic content analysis. Results for nurses working in the service, this assumes a differentiated and innovative proposal, which seeks to correlate with shared management in its three spheres. Although most do not know the Enlarged Clinic term in his speech cited its main principles and its tools. The greatest potential described were related to the Support Center for Health and popular participation, and as challenges, the lack of community health worker, the national health establishment registration and the difficulty of operation due to the profile of the professionals technical level arising from secondary care. Conclusions The clinic has positive aspects that can contribute to the advancement of the profession, to train health professionals and an innovative primary care model. Therefore, it emphasizes the need for implementation of continuing education in order to realize its proposal, and further studies on site.


2020 ◽  
Vol 29 (spe) ◽  
Author(s):  
Marta Nabarro ◽  
Rosane Gonçalves Nitschke ◽  
Daniela Priscila Oliveira do Vale Tafner

ABSTRACT Objective: to understand the imaginary of families on health promotion, as well as its limits and strengths in the family routine. Method: a qualitative research of the descriptive-exploratory type. It was conducted with 12 families whose children attend a Municipal preschool and elementary educational center. Data collection was conducted between October and November 2018 by means of individual semi-structured interviews. The material was organized by coding the information until reaching the sense nucleus of the text, thus discovering the classes and their connections. Data analysis involved processes of preliminary analysis, ordering, key connections, coding, and categorization. Results; three subcategories emerged: The imaginary of fathers and mothers about health promotion in the family routine; Strengths that can contribute to the promotion of health in the family routine; and Limits of the families to promote health in the family routine. Conclusion: from the perspective of the imaginary, the importance of this research strengthens the possibility of sustaining strategies which favor an improvement in the everyday life of these families, further reinforcing community health to attain a healthy lifestyle.


2014 ◽  
Vol 48 (spe2) ◽  
pp. 39-45 ◽  
Author(s):  
Thatiana de Medeiros Vale da Silva ◽  
Maria Áurea dos Santos ◽  
Fabiane de Amorim Almeida

Objective To understand the situations and communications experienced by caregivers of children with tuberculosis (TB) with regard to directly observed therapy (DOT). Method A descriptive exploratory study with a qualitative approach was applied and developed in the ambulatory of Programa Einstein na Comunidade de Paraisópolis (PECP). The data were collected using semi-structured interviews of 13 caregivers of children with TB in DOT. The Collective Subject Discourse (CSD) method was used to analyze the data. Results Seven CSDs were identified and grouped into four categories: "Living in a difficult situation", "Changing the family routine", "Responsibility almost always fall son the mother", and "Adapting to the DOT". Conclusions The difficulties faced by the caregiver of the child at the beginning of DOT significantly changed the familiar routine. The responsibility for its continuity was assigned to the mother, who must adapt to the demands of the treatment and face the situation.


2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Laís Helena de Souza Soares Lima ◽  
Estela Maria Leite Meirelles Monteiro ◽  
Maria Wanderleya de Lavor Coriolano ◽  
Francisca Márcia Pereira Linhares ◽  
Ana Márcia Tenório de Souza Cavalcanti

ABSTRACT Objectives: to identify elements that contribute to strengthen the family system of children with Zika virus congenital syndrome according to Betty Neuman’s theory. Methods: qualitative research, carried out in the outpatient service of a public hospital in the city of Recife, Brazil, with 13 mothers, by semi-structured interviews. The IRAMUTEQ software was used for data analysis and the interpretation was carried out according to Betty Neuman’s Systems Model Theory. Results: the dendrogram originated five categories, which we named: Family Routine, Health Service Assistance, Changes in Lifestyle, Support Network, and Social Repercussions of Care for the the Family Context. Final considerations: nursing actions based on Betty Neuman’s theory provide subsidies for the recognition of elements that strengthen the defense lines of the family system. These resources can be explored, aiming to maintaining the well-being and balance in the context of the family system.


Author(s):  
Aina Simson ◽  
Andrew Möwes

This qualitative study was designed to investigate the experiences, feelings and views of families with intellectually impaired children at the Dagbreek and Môreson Centres in the Khomas Education region of Namibia. For the purpose of this study, a qualitative approach was adopted. Semi-structured interviews were carried out to collect data with a sample of ten families whose children attended school at the aforementioned Centre’s. The data collected was analyzed using thematic content analysis. Four sub- themes were identified and from them it was discovered that the ‘overall experience of their children’s impairment’ by parents and guardians was unique since they had mixed feelings (both positive and negative) and had different reactions to the diagnosis of their children’s impairment. The study noted that the existence of an intellectually impaired child in the family has a major impact on family members, the relationships of parents, separation of parents, extended families as well as on the public or community members.


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