RNQualitativeInternational journal of community based nursing and midwifery2023

High Risk-pregnant Women's Experiences of Risk Management: A Qualitative Study.

Talat Khadivzadeh, Zahra Shojaeian, Ali Sahebi

PMID 36650847

WHAT IT FOUND

High-risk pregnant Iranian women described moving between worry, shock and helplessness, and hope, trust in God and practical planning.

Some sought information and followed advice; others denied risk, avoided doctors, or became pregnant without assessment.

Key findings

01Worry and despair were common, especially when women had chronic disease, several risk factors or previous poor pregnancy outcomes.

02Some women found hope, optimism and trust in God when they believed their risk was manageable or permitted by a doctor.

03Women's actions varied: some tried all possible solutions, including peer experience and support, while others did not assess risk before pregnancy.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included only 25 women in Mashhad, Iran, who could speak Persian and had outpatient high-risk pregnancy, so it may not apply to other settings or women with different risks. Only the women were interviewed; care providers did not participate, so the paper does not show how clinicians understood the same situations. Purposeful sampling and volunteers may have selected women more willing to talk about their experiences. It describes experiences and does not test whether any communication or support method improves outcomes.

Declared interests

The supplied text does not report conflicts of interest or funding.

The easy way to misread this

Do not treat these themes as proof that a particular risk-management programme works. The study asked 25 women what they experienced; it did not compare care approaches or measure pregnancy outcomes.

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