Document Detail


Women with primary antibody deficiencies requiring IgG replacement therapy: their perception of prenatal care during pregnancy.
MedLine Citation:
PMID:  15495706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate how a group of women with primary antibody deficiencies (PAD) and receiving replacement therapy with IgG experienced the care they received in their prenatal clinics in relation to PAD and IgG therapy. DESIGN: An exploratory study using a written questionnaire. SETTING: The study originates from an immunodeficiency unit but evaluates care experienced at prenatal clinics. PARTICIPANTS: Nine women (25-43 years) attending an immunodeficiency unit and who fulfilled inclusion criteria for simultaneously having PAD, replacement IgG therapy, and full-term pregnancy (the latter within the past 5 years). MAIN OUTCOME: Women's perception of the response of midwives and physicians at their prenatal clinics to their PAD and IgG therapy during pregnancy. RESULTS: Women perceived that the obstetricians and the midwives had insufficient knowledge about PAD and IgG replacement therapy. Two women reported that their IgG therapy during pregnancy had been questioned. All nine women felt marginalized and unheard by staff regarding their PAD and need for IgG therapy. However, the women were satisfied with the checkups regarding the pregnancy as such. CONCLUSIONS: This study is the first attempt to investigate the prenatal experience of women with PAD (Search of PubMed, 1980 to present, including search terms primary immunodeficiency, pregnancy, and prenatal care). This study demonstrates that increased knowledge about PAD and IgG replacement therapy among midwives and physicians working in prenatal care clinics is needed. This can prevent misleading advice that puts the health of the mother and her fetus at risk. Sensitizing staff about this special group of women can create conditions in which women feel respected, heard, and satisfied with their prenatal care.
Authors:
Susanne Hansen; Ann Gardulf; Elin Andersson; Muska Lindqvist; Rolf Gustafson
Related Documents :
15474766 - Myasthenia gravis and pregnancy.
24717066 - Effect of increasing paternal body mass index on pregnancy and live birth rates in coup...
14607576 - Violence does not influence early pregnancy loss.
9255926 - Unplanned pregnancies in harare: what are the social and sexual determinants?
18757446 - Semen quality according to prenatal coffee and present caffeine exposure: two decades o...
10426236 - Controlled trial of fundal height measurement plotted on customised antenatal growth ch...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  33     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-10-21     Completed Date:  2004-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  604-9     Citation Subset:  IM; N    
Affiliation:
Department of Nursing, Karolinska Institutet, Stockholm, Sweden.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel
Clinical Competence* / statistics & numerical data
Common Variable Immunodeficiency / drug therapy*,  immunology,  nursing
Female
Humans
IgG Deficiency / drug therapy*,  nursing
Immunoglobulin G / administration & dosage*
Immunoglobulins, Intravenous / administration & dosage
Infant, Newborn
Patient Satisfaction* / statistics & numerical data
Pregnancy
Pregnancy Complications / drug therapy,  immunology*,  nursing
Prenatal Care / standards*
Primary Health Care / standards
Questionnaires
Sweden
Time Factors
Chemical
Reg. No./Substance:
0/Immunoglobulin G; 0/Immunoglobulins, Intravenous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Support from health care providers and the psychological adjustment of individuals experiencing infe...
Next Document:  Recipients of oocyte donation: an integrative review.