Emotional state of primigravid women with pregnancy susceptible to prolongation

  1. Ana Belén López Araque
  2. María Dolores López Medina
  3. Manuel Linares Abad
Journal:
Investigación y educación en enfermería

ISSN: 0120-5307

Year of publication: 2015

Volume: 33

Issue: 1

Pages: 93-101

Type: Article

DOI: 10.17533/UDEA.IEE.V33N1A11 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Investigación y educación en enfermería

Abstract

Objective. This study sought to know the perception of theemotional state of women with pregnancy susceptible toprolongation. Methodology. The research was conducted withqualitative descriptive methodology, founded on in-depthindividual interviews of 7 gestants susceptible to prolongation,with ages between 21 and 32 years and duration of thepregnancy comprised between 40+5 and 41+4 weeks. Results.The emotional state varies throughout the pregnancy; once theprobable date of delivery has passed, the emotional well-being isaltered by fear of pain during delivery, possible complications, andcaring for the newborn, presenting a state of nervousness due tothe imminent delivery. In addition, the women described the needfor the presence of a companion during and after the delivery.Conclusion. Fear can affect negatively the subjective experience ofthe pregnancy during its final phase, the delivery process, and thetransition to maternity in gestants with pregnancy susceptible toprolongation. These women need support and specific educationfrom the midwife according to their individual needs.

Bibliographic References

  • (1) Usandizaga JA, Escalante JM. Fisiología del embarazo. In: Usandizaga JA, Fuente PP, González GA. editores. Obstetricia y ginecología. Madrid: Marban; 2011. P. 96-129.
  • (2) American College of Obstetricians and Gynaecologists Committee Opinion No. 579. Definition of term pregnancy. Int J of Gynaecol Obstet. 2013; 122:1139–40.
  • (3) Amador de VCI, Ventura BZ, Arencibia RK, Ávila RD. Comportamiento del embarazo postérmino en nuestro medio. AMC [Internet]. 2009 [cited 2013 Jan 23]; 13(2). Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552009000200011&lng=es.
  • (4) Parcells D. Women's mental health nursing: depression, anxiety and stress during pregnancy. J Psychiatr Ment Health Nurs. 2010; 17(9):813-20.
  • (5) Domínguez-Luna A, Fernández-Míguez MM, Domínguez-Luna SC. La agonía de la espera: en reposo hacia la maternidad. Matronas Prof. 2012; 13(2):43-9.
  • (6) Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. 2010; 202(1):5-14.
  • (7) Van Bussel J, Spitz B, Demyttenaere K. Women's mental health before, during, and after pregnancy: a population-based controlled cohort study. Birth: Issues in Perinatal Care. 2006; 33(4):297-302.
  • (8) Mccauley K, Elsom S, Muir-Cochrane E, Lyneham J. Midwives and assessment of perinatal mental health. J Psychiatr Ment Health Nurs. 2011; 18(9):786-95.
  • (9) Piccini CA, Lopes RS, Gomes AG, De Nardi T. Gestação e a constituição da maternidade. Psicol Estud. 2008; 13(1):63-72.
  • (10) Wickham S. Post-term pregnancy: the problem of the boundaries. Midwifery Digest. 2009; 19(4):463–9.
  • (11) Tusón VA. El análisis de la conversación: entre la estructura y el sentido. Estudios de Sociolingüística. 2002; 3(1):133-53.
  • (12) Huberman, AM, Miles MB. Data management and analysis methods. In Denzin, N.K. and Lincon, Y.S. Handbook of Qualitative Research.Thousand Oaks, CA: Sage. 1994. p. 428-44.
  • (13) Coffey A, Atkinson P. Encontrar el sentido a los datos cualitativos: estrategias complementarias de investigación. Medellín: Universidad de Antioquia; 2003.
  • (14) De Montigny PG, de Montignya F. Conceiving a first child: fathers’ perceptions of contributing elements to their decision. J Reprod Infant Psychol. 2013; 31(3):274-84.
  • (15) Piccini CA, Carvalho FT, Ourique LR, Lopes RS. Perceptions and feelings of pregnant women concerning prenatal care. Psic Teor Pesq. 2012; 28(1):27-33.
  • (16) Grimalt L, Heresi M. Estilos de apego y representaciones maternas durante el embarazo. Rev Chil Pediatr. 2012; 83(3):239-46.
  • (17) Siddiqui A, Hägglöf B, Eisemann M. Own memories of upbringing as a determinant of prenatal attachment in expectant women. J Reprod Infant Psychol. 2000; 18(1):67–74.
  • (18) Alhusen JL. A literature update on maternal-fetal attachment. J Obstet Gynecol Neonat Nurs. 2008; 37(3):315-28.
  • (19) Widarsson M, Kerstis B, Sundquist KG, Engström G, Sarkadi A. Support needs of expectant mothers and fathers: a qualitative study. J Perinat Educ. 2012; 21(1):36-44.
  • (20) Sapountzi-Krepia D, Tsaloglidou A, Psychogiou M, Lazaridou C, Vehvilainen JK. Mothers' experiences of pregnancy, labour and childbirth: A qualitative study in Northern Greece. Int J Nurs Pract. 2011; 17(6): 583-90.
  • (21) Bayrampour H, Heaman M, Duncan KA, Tough S. Advanced maternal age and risk perception: a qualitative study. BMC Pregnancy Childbirth [Internet]. 2012 [Cited May 11, 2013]; 19;12:100. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490979/
  • (22) Nakamura Y. Nursing intervention to enhance acceptance of pregnancy in first-time mothers: focusing on the comfortable experiences of pregnant women. Jpn J Nurs Sci. 2010; 7(1):29-36.
  • (23) Maldonado-Durán M, Sauceda-García JM, Lartigue T. Cambios fisiológicos y emocionales durante el embarazo normal y la conducta del feto. Perinatol Reprod Hum. 2008; 22(1): 5-14.
  • (24) Peñacoba-Puente C, Carmona-Monge FJ, Marín-Morales D, Naber K. Coping strategies of Spanish pregnant women and their impact on anxiety and depression. Res Nurs Health. 2013; 36(1):54-64.
  • (25) Salomonsson B, Wijma K, Alehagen S. Swedish midwives' perceptions of fear of childbirth. Midwifery [Internet]. 2010 [Cited May 11,2013];26(3):327-337. Available from: http://www.sciencedirect.com/science/article/pii/S0266613808000648.
  • (26) Arnold L, Sawyer A, Rabe H, Abbott J, Gyte G, Duley J, et al. Parents’ first moments with their very preterm babies: a qualitative study. BMJ Open. 2013; 3:4 e002487.
  • (27) Bergamaschi SF, Praça NS. Vivência da puérpera-adolescente no cuidado do recém-nascido, no domicílio. Rev Esc Enferm USP. 2008; 42(3):454-60.
  • (28) Coo-Calcagni S, Bei B, Milgrom J, Trinder J. The relationship between sleep and mood in first-time and experienced mothers. Behav Sleep Med. 2012; 10(3):167-79.
  • (29) Da Costa D, Rippen N, Dritsa M, Ring A. Self-reported leisure-time physical activity during pregnancy and relationship to psychological well-being. J Psychosom Obstet Gynaecol. 2003; 24(2):111-9.
  • (30) Committee on Obstetric Practice. ACOG committee opinion (Reaffirmed 2009). Exercise during pregnancy and the postpartum period. Int J Gynaecol Obstet. 2002; 77(1):79-81.
Data source: Dialnet