Document Detail


The experiences and challenges of pregnant women coping with thrombophilia.
MedLine Citation:
PMID:  17238947     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the unique experiences, challenges, and coping strategies of pregnant women diagnosed with thrombophilia and who are on daily heparin injections. DESIGN: A qualitative, descriptive approach with semistructured interviews was used. PARTICIPANTS AND SETTING: Nine women from the thrombosis clinic of a large university-affiliated hospital in Montreal, Canada, participated in the study. DATA ANALYSIS: Thematic analysis was used throughout the processes of interviewing, transcribing, and reviewing the data. RESULTS: Findings indicate that past pregnancy experiences influenced the meaning of diagnosis and treatment as well as the participants' experience of uncertainty. Participants expressed a need for increased professional support in health care decision making as well as increased information around injection technique. In facing these challenges, participants coped by taking control and maintaining perspective. CONCLUSIONS: Coping with thrombophilia in pregnancy can be a stressful experience. However, the ensuing challenges are perceived as manageable discomforts in light of the outcome of a healthy baby.
Authors:
Tanya Z Martens; Jessica D Emed
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  36     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-01-22     Completed Date:  2007-04-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-62     Citation Subset:  IM; N    
Affiliation:
School of Nursing, McGill University, and Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Quebec, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adult
Anticoagulants / therapeutic use
Attitude to Health*
Drug Monitoring / psychology
Fear
Female
Health Knowledge, Attitudes, Practice
Health Services Needs and Demand
Heparin / therapeutic use
Humans
Nursing Methodology Research
Patient Education as Topic
Pregnancy
Pregnancy Complications, Hematologic / prevention & control,  psychology*
Pregnant Women / psychology*
Qualitative Research
Quebec
Questionnaires
Self Administration / psychology
Self Care / methods,  psychology
Social Support
Stress, Psychological / etiology
Thrombophilia / prevention & control,  psychology*
Chemical
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin

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


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