Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Community Based Nurs Midwifery. 2023 Jan;11(1):57-66. doi: 10.30476/IJCBNM.2022.96781.2148.
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.
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.
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".
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.
母婴发病率和死亡率取决于对妊娠风险的识别和风险管理。在伊朗的社会文化背景下，关于高危孕妇自我缓解风险的经验信息很少。本研究旨在探讨高危孕妇的风险管理经验。
本定性研究于 2018 年 7 月至 2020 年 12 月在伊朗马什哈德的教育医院进行。采用目的抽样法，根据妊娠期间的医疗或产科高危情况招募参与者。通过深入和半结构化的 29 次访谈获得定性数据。询问了母亲在高危条件下的妊娠经历，访谈一直持续到数据饱和。使用 MAXQDA 10 软件和 Elo 和 Kyngäs 方法对数据进行分析。
孕妇妊娠风险管理经验由九个亚类和三个类别组成：情绪激动包括：“感到担忧和绝望”、“在希望和乐观的阴影中感到高兴”、“瞬间震惊和兴奋”和“不活跃和无助”；自我反思包括：“积极分析缓解风险的方法”、“认知否认”和“忽视风险”；以及见证行动包括：“以问题为中心的理性行动”和“回避和无效参与”。
高危妊娠孕妇的风险管理经验包括广泛的积极和消极情绪、有效和无效的想法以及行为。母亲和助产士/妇产科医生之间的相互协作，通过提供高质量的风险管理咨询，可以选择有效的风险管理策略。
