51. Perspectives, preferences and needs regarding early prediction of preeclampsia in Dutch pregnant women : a qualitative study
- Author
-
Crombag, Neeltje M.T.H., Lamain-de Ruiter, Marije, Kwee, Anneke, Schielen, Peter C.J.I., Bensing, Jozien M., Visser, Gerard H.A., Franx, Arie, Koster, Maria P.H., Leerstoel Bensing, Stress and self-regulation, Obstetrics & Gynecology, Leerstoel Bensing, and Stress and self-regulation
- Subjects
Adult ,medicine.medical_specialty ,Reproductive medicine ,Psychological intervention ,Preeclampsia, Screening, Attitudes, Preferences, Need, Qualitative research ,Need ,Risk Assessment ,Decision Support Techniques ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Obstetrics and gynaecology ,Pre-Eclampsia ,Pregnancy ,Preferences ,Qualitative research ,Obstetrics and Gynaecology ,medicine ,Journal Article ,Humans ,Mass Screening ,030212 general & internal medicine ,Netherlands ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics and Gynecology ,Patient Preference ,Focus Groups ,medicine.disease ,Preeclampsia ,Focus group ,Parity ,Pregnancy Trimester, First ,Early Diagnosis ,Family medicine ,Attitudes ,Screening ,Anxiety ,Female ,medicine.symptom ,Thematic analysis ,business ,Attitude to Health ,Research Article - Abstract
Background: To improve early risk-identification in pregnancy, research on prediction models for common pregnancy complications is ongoing. Therefore, it was the aim of this study to explore pregnant women's perceptions, preferences and needs regarding prediction models for first trimester screening for common pregnancy complications, such as preeclampsia, to support future implementation. Method: Ten focus groups (of which five with primiparous and five with multiparous women) were conducted (n = 45). Six focus groups were conducted in urban regions and four in rural regions. All focus group discussions were audio taped and NVIVO was used in order to facilitate the thematic analysis conducted by the researchers. Results: Women in this study had a positive attitude towards first trimester screening for preeclampsia using prediction models. Reassurance when determined as low-risk was a major need for using the test. Self-monitoring, early recognition and intensive monitoring were considered benefits of using prediction models in case of a high-risk. Women acknowledged that high-risk determination could cause (unnecessary) anxiety, but it was expected that personal and professional interventions would level out this anxiety. Conclusion: Women in this study had positive attitudes towards preeclampsia screening. Self-monitoring, together with increased alertness of healthcare professionals, would enable them to take active actions to improve pregnancy outcomes. This attitude enhances the opportunities for prevention, early recognition and treatment of preeclampsia and probably other adverse pregnancy outcomes.
- Published
- 2017