Kownaklai Jaruwan, Kuasit Umaporn, Thaicharoen Nanthiya
Maternal-Child Care and Midwifery, Faculty of Nursing, Mahasarakham University, Kantharawichai, Maha Sarakham, Thailand.
Antenatal Clinic, Roi Et Hospital, Mueang Roi Et, Roi Et, Thailand.
Iran J Nurs Midwifery Res. 2025 Jan 15;30(1):74-80. doi: 10.4103/ijnmr.ijnmr_107_23. eCollection 2025 Jan-Feb.
The decision and experience of high-risk pregnant women to undergo amniocentesis can depend on their setting, context, social structures, and significant others, including cultural values and beliefs. What is less understood is women's experience with decision-making, which may contribute to their anxiety during and after amniocentesis. This study aimed to explore the decision-making experiences of Thai pregnant women undergoing amniocentesis.
A qualitative content analysis approach was employed to collect and analyze data. Purposive sampling and in-depth interviews were conducted between July and October 2021 with 15 Thai high-risk pregnant women after undergoing amniocentesis. Data analysis involved multiple readings of transcriptions to discern themes and understanding of the women's stories.
Four themes of decision-making experiences were identified: (1) "Shocked, worried, and questioned why the risk was high"; (2) "Does my baby have Down syndrome? I want to know"; (3) "Worried"; and (4) "Relief from anxiety."
Women's experiences with amniocentesis involved uncertain positive and negative feelings through the journey of undergoing, waiting, and receiving the test results. The nurses and nurse-midwives played an important role in counseling Thai pregnant women about whether to undergo amniocentesis.
高危孕妇接受羊膜穿刺术的决定和经历可能取决于她们所处的环境、背景、社会结构以及重要他人,包括文化价值观和信仰。人们对女性决策经历的了解较少,而这可能会导致她们在羊膜穿刺术期间及术后感到焦虑。本研究旨在探索接受羊膜穿刺术的泰国孕妇的决策经历。
采用定性内容分析法收集和分析数据。2021年7月至10月,对15名接受羊膜穿刺术后的泰国高危孕妇进行了目的抽样和深入访谈。数据分析包括多次阅读转录文本以辨别主题并理解这些女性的故事。
确定了决策经历的四个主题:(1)“震惊、担忧并质疑为何风险高”;(2)“我的宝宝患有唐氏综合征吗?我想知道”;(3)“担忧”;(4)“焦虑缓解”。
女性在羊膜穿刺术过程中,包括接受检查、等待和收到检查结果的整个过程中,经历了不确定的积极和消极情绪。护士和助产士在为泰国孕妇提供关于是否接受羊膜穿刺术的咨询方面发挥了重要作用。