Lee Suzanne, Ayers Susan, Holden Des
School of Health Sciences, City University, London, England, UK.
School of Health Sciences, City University, London, England, UK.
Midwifery. 2014 Apr;30(4):403-11. doi: 10.1016/j.midw.2013.04.010. Epub 2013 Jun 14.
risk perception in women with high risk pregnancies affects their decisions about perinatal care and is of interest to anyone involved in the care of pregnant women. This paper provides a metasynthesis of qualitative studies of risk perception in women with high risk pregnancies.
a systematic search of eight electronic databases was conducted. Additional papers were obtained through searching references of identified articles. Six studies were identified that reported qualitative research into risk perception in relation to high risk pregnancy. A metasynthesis was developed to describe and interpret the studies.
the synthesis resulted in the identification of five themes: determinants of risk perception; not seeing it the way others do; normality versus risk; if the infant is ok, I׳m ok; managing risk.
this metasynthesis suggests women at high risk during pregnancy use multiple sources of information to determine their risk status. It shows women are aware of the risks posed by their pregnancies but do not perceive risk in the same way as healthcare professionals. They will take steps to ensure the health of themselves and their infants but these may not include following all medical recommendations.
高危妊娠女性的风险认知会影响她们关于围产期护理的决策，并且对于任何参与孕妇护理的人员来说都很重要。本文对高危妊娠女性风险认知的定性研究进行了综合分析。
对八个电子数据库进行了系统检索。通过搜索已识别文章的参考文献获取了其他论文。识别出六项报告了关于高危妊娠风险认知定性研究的研究。开展了一项综合分析以描述和解释这些研究。
综合分析确定了五个主题：风险认知的决定因素；与他人看法不同；正常与风险；如果婴儿健康，我就健康；管理风险。
这项综合分析表明，孕期高危女性会使用多种信息来源来确定自己的风险状况。研究表明，女性意识到了怀孕带来的风险，但与医护人员对风险的认知方式不同。她们会采取措施确保自身和婴儿的健康，但这些措施可能并不包括遵循所有医疗建议。
