Kiley Jasmine X, Corlett Annabelle, Mitchell-Sparke Emma, Jasper Brittany, Wishlade Tabitha, Bhagra Catriona, Wetzler Sara, Aiken Catherine E
Department of Obstetrics and Gynaecology, University of Cambridge, Box 223, The Rosie Hospital and NIHR Cambridge Biomedical Research Centre, Cambridge, United Kingdom (Kiley, Mitchell-Sparke, Jasper, Wishlade and Aiken).
Department of Clinical Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom (Corlett).
AJOG Glob Rep. 2025 May 28;5(3):100522. doi: 10.1016/j.xagr.2025.100522. eCollection 2025 Aug.
Cardiovascular conditions are the leading cause of maternal mortality in high-income countries. We aim to inform supportive care that addresses the needs of pregnant women with cardiac conditions.
Medline via Ovid, Embase via Ovid, CINAHL via Ebsco, PsychINFO via Ebsco, Scopus, Web of Science Core Collection, and ASSIA via Proquest were searched, database inception-June 2024.
Studies with qualitative components describing experiences of pregnant women with any cardiac condition globally.
The Critical Appraisal Skills Programme checklist for qualitative research was employed to perform quality assessment. Inductive coding and thematic analysis were conducted using NVivo software.
Thirteen qualitative studies met the inclusion criteria for meta-synthesis. We identified 3 key themes pertaining to the pregnancy experience of women with cardiac conditions, including patient-provider risk perception matching, importance of communication, and peer influence. Women with established versus new cardiac diagnoses in pregnancy had differences in their experiences. Depending on their own perception of risk, women noted over-medicalization or dismissal by their providers. Our findings also showed that some women sought peer support through online support groups, which either provided a sense of community and hope, or were anxiety-inducing.
It is critical for women and providers to have nuanced and personalized discussions about the risk of cardiac conditions during pregnancy. Experience of pregnancy differs amongst women with new or pre-existing cardiac conditions and is based on women's appraisal of their pregnancy's risk level. Reaching an agreement in risk perception is crucial to strengthen the patient-provider relationship and provide a basis for women to feel secure during their pregnancy.
在高收入国家，心血管疾病是孕产妇死亡的主要原因。我们旨在为满足患有心脏疾病的孕妇需求的支持性护理提供信息。
检索了通过Ovid的Medline、通过Ovid的Embase、通过Ebsco的CINAHL、通过Ebsco的PsychINFO、Scopus、科学网核心合集以及通过Proquest的ASSIA，检索时间为数据库创建至2024年6月。
包含描述全球患有任何心脏疾病的孕妇经历的定性研究。
采用定性研究的批判性评估技能计划清单进行质量评估。使用NVivo软件进行归纳编码和主题分析。
13项定性研究符合元综合的纳入标准。我们确定了与患有心脏疾病的女性妊娠经历相关的3个关键主题，包括医患风险认知匹配、沟通的重要性以及同伴影响。孕期有既往心脏诊断与新诊断的女性经历存在差异。根据自身对风险的认知，女性指出存在过度医疗或被医护人员忽视的情况。我们的研究结果还表明，一些女性通过在线支持小组寻求同伴支持，这些小组要么提供了社区感和希望，要么引发了焦虑。
对于女性和医护人员而言，在孕期就心脏疾病风险进行细致入微且个性化的讨论至关重要。患有新的或既往存在的心脏疾病的女性孕期经历不同，且基于她们对自身妊娠风险水平的评估。在风险认知上达成一致对于加强医患关系以及为女性孕期提供安全感至关重要。
