We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum: A mixed methods study.
- Authors
Nana, Melanie; Tydeman, Florence; Bevan, Georgie; Boulding, Harriet; Kavanagh, Kimberley; Dean, Caitlin; Williamson, Catherine
- Abstract
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.
- Subjects
UNITED Kingdom; ABORTION &; psychology; MORNING sickness; HEALTH services accessibility; SOCIAL support; RESEARCH methodology; SUICIDAL ideation; COMPASSION; SURVEYS; MEDICAL referrals; THEMATIC analysis; PSYCHOSOCIAL factors
- Publication
Obstetric Medicine (1753-495X), 2022, Vol 15, Issue 3, p180
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X211040926