Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum : a mixed methods study
Nana, Melanie and Tydeman, Florence and Bevan, Georgie and Boulding, Harriet and Kavanagh, Kimberley and Dean, Caitlin and Williamson, Catherine (2021) Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum : a mixed methods study. Obstetric Medicine, 15 (3). pp. 180-184. ISSN 1753-4968 (https://doi.org/10.1177/1753495x211040926)
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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.
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Item type: Article ID code: 78457 Dates: DateEvent19 October 2021Published19 October 2021Published Online31 July 2021AcceptedSubjects: Medicine > Gynecology and obstetrics Department: Faculty of Science > Mathematics and Statistics
Strategic Research Themes > Health and WellbeingDepositing user: Pure Administrator Date deposited: 08 Nov 2021 14:42 Last modified: 14 Aug 2024 14:41 URI: https://strathprints.strath.ac.uk/id/eprint/78457