A Grounded Theory of the Transition from a High-Risk Pregnancy to Motherhood among Women in Northern Thailand

Authors

  • Somphit Amphai RN, PhD (candidate). Lecturer, Faculty of Nursing, Chiang Mai University, Thailand.
  • Kannika Kantaruksa RN, PhD. Associate Professor, Faculty of Nursing, Chiang Mai University, Thailand.
  • Punpilai Sriarporn RN, PhD. Associate Professor, Faculty of Nursing, Chiang Mai University, Thailand.
  • Nantaporn Sansiriphun RN, PhD. Associate Professor, Faculty of Nursing, Chiang Mai University, Thailand.

Keywords:

Experiences, Grounded theory, High risk, Midwifery, Nursing, Pregnancy, Qualitative, Symbolic Interaction, Transition

Abstract

                The transition to motherhood of pregnant women deemed to be of high-risk is a critical period in their lives. They may be confronted with the transition from a woman with a health condition or a healthy pregnancy to being pregnant with complications, and who requires professional and self-care to prevent harm or complications that may occur to both themselves and their fetus. This grounded theory study aimed to explore and develop a theory about the transition experiences from pregnancy to motherhood of such women in Northern Thailand. A purposive sample of 21 women with high-risk pregnancies from the antenatal clinics of two hospitals in Chiang Mai, Thailand were interviewed in-depth during December 2015-August 2016. Interview data were collected and analyzed using grounded theory methodology.

                 The core category that emerged from data analysis was Struggling to have a healthy baby. This transition experience during pregnancy consisted of three phases: Facing a high-risk pregnancy, Hoping for a healthy baby, and Facing the unexpected, and the women underwent many struggles to have a healthy baby. Our findings revealed significant cultural and spiritual beliefs and activities that the women engaged in to ensure a healthy pregnancy, such as eating and drinking traditional herbs, warding off evil, and praying. Midwives and other health care providers can utilize our findings to have a deeper understanding of such women’s feelings, concerns, and strategies to provide comprehensive care for them. They can provide support and encouragement, information about a highrisk pregnancy and its management, and quality nursing care that promotes a good transition experience during pregnancy in this group.

References

Ricci SS. Essentials of maternity, newborn & women's health nursing. 3rd ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins; 2013.

Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman B, et al. Williams Obstetrics. 24th ed. New York: McGraw-Hill; 2014.

Lowdermilk DL, Perry SE, Cashion K. Maternity nursing. 8th ed. Maryland Heights: Mosby Elsevier; 2014.

World Health Organization. Global Health Observatory (GHO): maternal and reproductive health. 2017 [Internet] 2019 Jan 25 [cited 2019 January 25]. Available from: https://www.who.int/gho/maternal_health/en/

Farajnezhad F, Shaahmadi F, Fashi Z, Daaylar L. Prevalence of high-risk pregnancy and some relevant factors in referred women to health centers. Journal of Scientific Achievements. 2017;2(12):4-7. Available from: https://www.researchgate.net/publication/32 2593440

Xuereb RB, Abela A, Spiteri G. Early parenting–portraits from the lives of first-time parents. J Reprod Infant Psychol. 2012;30(5):468-82. doi:10.1080/026468 38.2012.744961.

Troiano NH, Witcher PM, Baird SM. AWHONN's highrisk & critical care obstetrics. 4th ed. Lippincott Williams & Wilkins; 2018.

Lowdermilk DL, Perry SE, Cashion K. Maternity nursing. 8th ed. The United States of America: Mosby Elsevier; 2014.

Fiskin G, Kaydirak MM, Oskay UY. Psychosocial adaptation and depressive manifestations in high-risk pregnant women: implications for clinical practice. Worldviews Evid Based Nurs. 2017;14(1):55–64. doi: 10.1111/wvn.12186.

DiPietro JA. Psychological and psychophysiological considerations regarding the maternal–fetal relationship. Infant Child Dev. 2010;19(1):27–38. doi: 10.1002/ icd.651.

Prinds C, Hvidt NC, Mogensen O, Buus N. Making existential meaning in transition to motherhood -a scoping review. Midwifery. 2014; 30:733-41. Available from: https://doi.org /10.1016/j.midw.2013.06.021

Staneva AA, Bogossian F, Wittkowski A. The experience of psychological distress, depression, and anxiety during pregnancy: a meta-synthesis of qualitative research. Midwifery. 2015;31:563-73. Available from: https:// doi.org/10.1016/j.midw.2015.03.015

Stone RJ. A narrative inquiry of women's substance uses in pregnancy and motherhood. [Dissertation]. United States: Michigan State University; 2014.

MacDonald CA, Jonas-Simpson CM. Living with changing expectations for women with high-risk pregnancies: a Parse method study. Nurs Sci Q. 2009; 22(1):74-82. Available from: https://doi.org/10. 1177/0894318408327298

Mandel DA. The lived experience of single middle-aged women who have experienced complications in a planned pregnancy: a Phenomenological study. [Dissertation]. United States: The State University of New Jersey-Newark; 2008.

Kantaruksa K. Transition experiences of Thai women during their first pregnancy. [PhD Dissertation]. Chiang Mai: Chiang Mai University; 2001.

Phoodaangau B, Deoisres W, Chunlestskul K. Maternity experience: a new role of unexpectedly pregnant students. JTNMC. 2013;28(2):58-74 (in Thai).

Pungbangkadee R, Parisunyakul S, Kantaruksa K, Sripichyakarn K, Kools S. Experiences of early motherhood among Thai adolescents: perceiving conflict between needs as a mother and an adolescent. Thai J Nurs Res. 2010; 12(1):70-82 (in Thai).

Wanapirak C, Tongsong T, Piyamongkol W, Sirichotiyakul S, Tongprasert F, Srisupundit K, et al. Maternal-fetal medicine 2017: annual report. Chiang Mai: Department of Obstetrics and Gynecology Faculty of Medicine Chiang Mai University; 2017.

Wanapirak C, Tongsong T, Piyamongkol W, Sirichotiyakul S, Tongprasert F, Srisupundit K, et al. Maternal-fetal medicine 2018: annual report. Chiang Mai: Department of Obstetrics and Gynecology Faculty of Medicine Chiang Mai University; 2018.

Wanapirak C, Tongsong T, Piyamongkol W, Sirichotiyakul S, Tongprasert F, Srisupundit K, et al. Maternal-fetal medicine 2019: annual report. Chiang Mai: Department of Obstetrics and Gynecology Faculty of Medicine, Chiang Mai University; 2019.

Klunklin A, Uppor W. Grounded theory study in nursing research. Nurs J. 2019;46 Supplement December:116-27. Available from: https://he02.tci-thaijo.org/index.php/ cmunursing/issue/view/16124 (in Thai).

Crooks DL. The importance of symbolic interaction in grounded theory research on women's health. Health Care Women Int. 2001;22(1-2):11-27. doi: 10.1080/ 073993301300003054.

Aldiabat KM, Navenec L. Philosophical roots of classical grounded theory: its foundations in symbolic interactionism. Qual Rep. 2011;16(4):1063-80. Available from: http://www.nova.edu/ssss/QR/QR16-4/aldiabat.pdf

Meleis, AI. Transition theory middle-range and situationspecific theories in nursing research and practice. New York: Springer;2010.

Pilaikiat R, Lamloung U. High-risk pregnant women’s spiritual experiences. JTNMC. 2020; 35(3):119-136 (in Thai).

Lee S, Ayers S, Holden D. A metasynthesis of risk perception in women with high-risk pregnancies. Midwifery. 2014;30(1):403-11. Available from: https://doi.org/10.1016/j.mid w.2013.04.010.

Grimes HA, Forster DA, Newton MS. Sources of information used by women during pregnancy to meet their information needs. Midwifery. 2014;30(1):e26-33. Available from: https://doi.org/10.1016/j.midw. 2013.10.007.

Sat SO, Sozbir SY. Use of mobile applications and blogs by pregnant women in Turkey and the impact on adaptation to pregnancy. Midwifery. 2018;62:273-77. Available from: https://doi.org/10.1016/j.midw.2018.04.001.

Almalik MM, Mosleh SM. Pregnant women: what do they need to know during pregnancy? a descriptive study. Aust J Midwifery. 2017;30(2):100-6. Available from: https://doi.org/ 10.1016/j.wombi.2016.09.001.

Baker B, Yang I. Social media as social support in pregnancy and the postpartum. Sexual & Reproductive Healthcare 2018;17:31-4. Available from: https://doi. org/10.1016/j.srhc.2018.05.003.

Hillier SE, Olander EK. Women's dietary changes before and during pregnancy: a systematic review. Midwifery. 2014;7:19-31. Available from: https://doi.org/10. 1016/j. midw.2017.01.014.

Liamputtong P, Yimyam S, Parisunyakul S, Baosoung C, Sansiriphun N. Traditional beliefs about pregnancy and childbirth among women from Chiang Mai, Northern Thailand. Midwifery. 2005;21(2):139-53. doi:10. 1016/j.midw.2004.05.002.

Withers, M., Kharazmi, N., & Lim, E. Traditional beliefs and practices in pregnancy, childbirth and postpartum: a review of the evidence from Asian countries. Midwifery. 2018;56:158-70. Available from: https://doi.org/ 10.1016/j.midw. 2017.10.019.

Farajnezhad F, Shaahmadi F, Fashi Z, Daaylar L. Prevalence of high-risk pregnancy and some relevant factors in referred women to health centers. JSA. 2017;2(12):4-7. Available from: https://www.researchgate.net/ publication/ 322593440.

Kasai KE, Nomura RM, Benute GR, de Lucia MC, Zugaib M. Women's opinions about mode of birth in Brazil: a qualitative study in a public teaching hospital. Midwifery. 2010; 26(3):319-26. doi: 10.1016/j.midw.2008.08.001.

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Published

2021-03-27

How to Cite

1.
Amphai S, Kantaruksa K, Sriarporn P, Sansiriphun N. A Grounded Theory of the Transition from a High-Risk Pregnancy to Motherhood among Women in Northern Thailand. PRIJNR [Internet]. 2021 Mar. 27 [cited 2024 Nov. 22];25(2):213-28. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/226943

Issue

Vol. 25 No. 2 (2021): April-June, 2021

Section

Original paper

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Copyright: The Pacific Rim International Journal of Nursing Research, Thailand Nursing & Midwifery Council has exclusive rights to publish, reproduce and distribute the manuscript and all contents therein.