Maternal development experiences of women hospitalized to prevent preterm birth

Regina P. Lederman, Ellen Boyd, Kathleen Pitts, Cynthia Roberts-Gray, Maria Hutchinson, Sean Blackwell

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objective: To examine ways that women's experience of hospitalization with bed rest to prevent preterm birth impacts prenatal maternal development. Method: Interviews based on the Interview Schedules for Dimensions of Maternal Development in Psychosocial Adaptation to Pregnancy were conducted at a hospital in the southwestern United States with a convenience sample of 41 women during confinement to bed rest to prevent preterm birth. The interviews were recorded, and verbatim transcripts were submitted to thematic analysis. Results: Five themes were mapped from the women's narratives: (1) acceptance of pregnancy, but with fears specific to elevated risks to self and baby; (2) heightened identification with motherhood and fatherhood protector roles; (3) renewal or deepening of mother-daughter closeness intensified by high-risk pregnancy; (4) enhanced couple support and collaboration; and (5) acceptance of responsibility to perform in remaining pregnant and preparing for labor, but willingness to accept help from doctors and nurses. Conclusions: This study of hospitalization to prevent preterm birth showed that women experience hospitalization as a burden to be endured to meet future goals, but that it also can facilitate prenatal maternal development in psychosocial adaptation to high risk pregnancy. Implications for research and practice are discussed.

Original languageEnglish (US)
Pages (from-to)133-138
Number of pages6
JournalSexual and Reproductive Healthcare
Volume4
Issue number4
DOIs
StatePublished - Dec 1 2013

Keywords

  • Antepartum bed rest
  • High-risk pregnancy
  • Maternal development
  • Prenatal or Pregnancy Anxiety
  • Psychosocial adaptation

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

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