The lived experience of women with a high-risk pregnancy: A phenomenology investigation

Midwifery. 2020 Mar:82:102625. doi: 10.1016/j.midw.2019.102625. Epub 2019 Dec 30.

Abstract

Background: Pregnancy is a time of transformation, hope, expectation, and worry for women and their families - none more so than when the pregnancy is at-risk. The objective of this study was to describe the lived experience of women during high-risk pregnancy.

Methods: This qualitative investigation utilized a hermeneutic phenomenology study. The study was conducted in a public health center in a large urban area in southeast Iran. Purposive sampling of 20 women with a high-risk pregnancy. Participants included both nulligravid and multigravid women in the second and third trimesters of pregnancy with varied medical conditions. Data collection used face-to-face interview with transcribed data analyzed using Braun and Clarke's six stage thematic analysis approach.

Results: Four themes were extracted and included challenge of family in high-risk pregnancy, challenge of anticipation for motherhood, and challenges for future pregnancies, and challenge of adaptation.

Conclusions: Findings demonstrate that women with a high-risk pregnancy struggle to adapt with burdens related to successful maternal role attainment and family functioning. Fears about pregnancy outcome and future pregnancies are dominant.

Keywords: High-risk; Lived experience; Pregnancy; Qualitative study.

MeSH terms

  • Adult
  • Female
  • Hermeneutics
  • Humans
  • Interviews as Topic / methods
  • Iran
  • Life Change Events*
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, High-Risk / psychology*
  • Qualitative Research