Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.

<h4>Background</h4>Women with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly unders...

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Autores principales:	Elizabeth R Ralston, Priscilla Smith, Joseph Chilcot, Sergio A Silverio, Kate Bramham
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f1691c46b03a40388514bf09b004104c
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spelling	oai:doaj.org-article:f1691c46b03a40388514bf09b004104c2021-12-02T20:06:50ZPerceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.1932-620310.1371/journal.pone.0254956https://doaj.org/article/f1691c46b03a40388514bf09b004104c2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254956https://doaj.org/toc/1932-6203<h4>Background</h4>Women with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly understood. The aim of this systematic review of qualitative literature is to evaluate risk perceptions of pregnancy in women with chronic disease.<h4>Methods</h4>Eleven electronic databases including grey literature were systematically searched for qualitative studies published in English which reported on pregnancy, risk perception and chronic disease. Full texts were reviewed by two researchers, independently. Quality was assessed using the Critical Appraisal Skills Programme Qualitative checklist and data were synthesised using a thematic synthesis approach. The analysis used all text under the findings or results section from each included paper as data. The protocol was registered with PROSPERO.<h4>Results</h4>Eight studies were included in the review. Three themes with sub-themes were constructed from the analysis including: Information Synthesis (Sub-themes: Risk to Self and Risk to Baby), Psychosocial Factors (Sub-themes: Emotional Response, Self-efficacy, Healthcare Relationship), and Impact on Behaviour (Sub-themes: Perceived Risk and Objective Risk). Themes fitted within an overarching concept of Balancing Act. The themes together inter-relate to understand how women with chronic disease perceive their risk in pregnancy.<h4>Conclusions</h4>Women's pregnancy-related behaviour and engagement with healthcare services appear to be influenced by their perception of pregnancy risk. Women with chronic disease have risk perceptions which are highly individualised. Assessment and communication of women's pregnancy risk should consider their own understanding and perception of risk. Different chronic diseases introduce diverse pregnancy risks and further research is needed to understand women's risk perceptions in specific chronic diseases.Elizabeth R RalstonPriscilla SmithJoseph ChilcotSergio A SilverioKate BramhamPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254956 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Elizabeth R Ralston Priscilla Smith Joseph Chilcot Sergio A Silverio Kate Bramham Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
description	<h4>Background</h4>Women with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly understood. The aim of this systematic review of qualitative literature is to evaluate risk perceptions of pregnancy in women with chronic disease.<h4>Methods</h4>Eleven electronic databases including grey literature were systematically searched for qualitative studies published in English which reported on pregnancy, risk perception and chronic disease. Full texts were reviewed by two researchers, independently. Quality was assessed using the Critical Appraisal Skills Programme Qualitative checklist and data were synthesised using a thematic synthesis approach. The analysis used all text under the findings or results section from each included paper as data. The protocol was registered with PROSPERO.<h4>Results</h4>Eight studies were included in the review. Three themes with sub-themes were constructed from the analysis including: Information Synthesis (Sub-themes: Risk to Self and Risk to Baby), Psychosocial Factors (Sub-themes: Emotional Response, Self-efficacy, Healthcare Relationship), and Impact on Behaviour (Sub-themes: Perceived Risk and Objective Risk). Themes fitted within an overarching concept of Balancing Act. The themes together inter-relate to understand how women with chronic disease perceive their risk in pregnancy.<h4>Conclusions</h4>Women's pregnancy-related behaviour and engagement with healthcare services appear to be influenced by their perception of pregnancy risk. Women with chronic disease have risk perceptions which are highly individualised. Assessment and communication of women's pregnancy risk should consider their own understanding and perception of risk. Different chronic diseases introduce diverse pregnancy risks and further research is needed to understand women's risk perceptions in specific chronic diseases.
format	article
author	Elizabeth R Ralston Priscilla Smith Joseph Chilcot Sergio A Silverio Kate Bramham
author_facet	Elizabeth R Ralston Priscilla Smith Joseph Chilcot Sergio A Silverio Kate Bramham
author_sort	Elizabeth R Ralston
title	Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
title_short	Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
title_full	Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
title_fullStr	Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
title_full_unstemmed	Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
title_sort	perceptions of risk in pregnancy with chronic disease: a systematic review and thematic synthesis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f1691c46b03a40388514bf09b004104c
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Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.

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