Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum: A mixed methods study

被引：10
|
作者：
Nana, Melanie [1 ]
Tydeman, Florence [2 ]
Bevan, Georgie [3 ]
Boulding, Harriet [4 ]
Kavanagh, Kimberley [2 ]
Dean, Caitlin [5 ]
Williamson, Catherine [6 ]
机构：
[1] Guys & St Thomas NHS Fdn Trust, Dept Obstet Med, London, England
[2] Univ Strathclyde, Dept Math & Stat, Glasgow, Lanark, Scotland
[3] British Broadcasting Corp, BBC East, London, England
[4] Kings Coll London, Policy Inst, London, England
[5] Pregnancy Sickness Support, Glasgow, Lanark, Scotland
[6] Kings Coll London, Sch Life Course Sci, London SE1 1UL, England
来源：
OBSTETRIC MEDICINE | 2022年 / 15卷 / 03期
关键词：
Hyperemesis gravidarum; termination of pregnancy; suicidal ideation; treatment experience;
D O I：
10.1177/1753495X211040926
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Background: Difficulty accessing medication and poor patient experience have been implicated as risk factors for termination of pregnancy and suicidal ideation in women with hyperemesis gravidarum. We aimed to gain further insight into these factors in order to further inform and improve patient care. Methods: We performed a sub-analysis on quantitative data generated through a UK-wide survey of 5071 participants. A qualitative analysis of free text comments was performed using an inductive thematic approach. Results: 41.2% % of women taking prescribed medications had to actively request them. 'Extremely poor' or 'poor' experiences were described in 39.4% and 30.0% of participants in primary and secondary care respectively. Protective factors for termination of pregnancy and suicidal ideation include holistic support from family, friends and healthcare providers. Conclusion: Optimal care in hyperemesis gravidarum should incorporate timely access to pharmacotherapy, assessment of mental health, consideration of referral to specialist services and care being delivered in a compassionate manner.
引用
收藏
页码：180 / 184
页数：5
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