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

© The Author(s) 2021..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Obstetric medicine - 15(2022), 3 vom: 01. Sept., Seite 180-184

Sprache:

Englisch

Beteiligte Personen:

Nana, Melanie [VerfasserIn]
Tydeman, Florence [VerfasserIn]
Bevan, Georgie [VerfasserIn]
Boulding, Harriet [VerfasserIn]
Kavanagh, Kimberley [VerfasserIn]
Dean, Caitlin [VerfasserIn]
Williamson, Catherine [VerfasserIn]

Links:

Volltext

Themen:

Hyperemesis gravidarum
Journal Article
Suicidal ideation
Termination of pregnancy
Treatment experience

Anmerkungen:

Date Revised 21.10.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1177/1753495X211040926

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM347774881