Thai Pregnant Women’s Perceptions Regarding Fetal Brain Development: A Qualitative Descriptive Study

Authors

  • Khajit Boonpradit Faculty of Nursing, Chiang Mai University, Thailand.
  • Nantaporn Sansiriphun Faculty of Nursing, Chiang Mai University, Thailand.
  • Kasara Sripichyakan Faculty of Nursing, Chiang Mai University, Thailand.
  • Nonglak Chaloumsuk Faculty of Nursing, Chiang Mai University, Thailand.

DOI:

https://doi.org/10.60099/prijnr.2023.261523

Keywords:

Fetal brain development, Perception, Pregnant women, Qualitative descriptive study, Thailand

Abstract

Fetal brain development is a complex process that continues throughout pregnancy. Women need to ensure good brain development throughout their pregnancy, but a deep understanding of their perception of this issue exists. This qualitative descriptive study aimed to describe the perceptions of pregnant women regarding fetal brain development. Data were collected from 15 pregnant women living in a southern province of Thailand between August 2020 and January 2022 through in-depth interviews. In addition, analysis of qualitative data was performed using thematic analysis.

From the data analysis, three themes emerged. The first theme was a Discrepancy between the significance and understanding of fetal brain development with two subthemes: 1) Perceiving the significance of fetal brain development and 2) Unclear understanding of fetal brain development. The second theme was Unrecognized harms of suboptimal fetal brain development with two subthemes: 1) Expectations for fetal brain development and 2) Understanding of harms. The third theme was Promoting fetal brain development with two subthemes: 1) Practices for nourishment and 2) Avoidance of harm. We concluded that pregnant women had a limited understanding of fetal brain development and harms hat could jeopardize fetal brain development, leading to difficulty promoting fetal brain development. Therefore, nurses should be trained to educate pregnant women, emphasizing the accurate understanding of fetal brain development, nourishment, and harm avoidance based on pregnant women’s context.

References

Barkovich AJ, Raybaud C. Pediatric neuroimaging. 6th ed. Philadelphia: Wolters Kluwer; 2019.

Cunningham FG, Leveno K, Dashe J, Hoffman B, Spong C, Casey B. Williams obstetrics. 26th ed. New York City: McGraw Hill / Medical; 2022.

Department of Health. The miracle of 1,000 days: maternal and child nutrition, growth and development policy. Bangkok: Department of Health, Ministry of Public Health; 2017 (in Thai).

Yamaoka Y, Isumi A, Doi S, Ochi M, Fujiwara T. Differential effects of multiple dimensions of poverty on child behavioral problems: results from the A-CHILD study. Int J Environ Res Public Health. 2021;18(22):11821. https://doi.org/10.3390/ ijerph182211821 DOI: https://doi.org/10.3390/ijerph182211821

National Statistical Office. Health statistics. 2023 [cited 2023 Apr 3]. Available from: http://statbbi.nso.go.th/staticreport/page/sector/th/05.aspx (in Thai).

Rajanagarindra Institute of Child Development. Situation of child development in Thailand 2017. Chiang Mai: RICD; 2017 (in Thai).

Bureau of Information, Office of the Permanent Secretary. The Ministry of Public Health reveals the results of the “IQ” survey of Grade 1 children as higher than the standard level while “EQ” is at a normal level. Accelerate the development of deprived groups. 2022 May 10 [cited 2023 May 2]. Available from: https://pr.moph.go.th/?url=pr/detail/2/04/173883/ (in Thai).

Rajanukul Institute, Department of Mental Health. Survey results of the IQ, EQ situation of Thai children in 2016. 2019 [cited 2023 Apr 3]. Available from: https://th.rajanukul. go.th/preview-3958.html

Suwanruangsri P, Chatchawet W, Thitimapong B. Factors related to behaviors for promoting fetal brain development among adolescent primigravida. Songklanagarind J Nurs. 2022;42(1):23–34 (in Thai).

Puwanant M, Boonrusmee S, Jaruratanasirikul S, Chimrung K, Sriplung H. Dietary diversity and micronutrient adequacy among women of reproductive age: a cross-sectional study in Southern Thailand. BMC Nutr. 2022. doi:10.1186/s40795-022-00619-3. DOI: https://doi.org/10.1186/s40795-022-00619-3

Onchoi C, Kongtip P, Nankongnab N, Chantanakul S, Sujirarat D, Woskie S. Organophosphates in meconium of newborn babies whose mothers resided in agricultural areas of Thailand. Southeast Asian J Trop Med Public Health. 2020;51(1):77-87.

Thammarat R, Polprasarn P, Jantasuwan R. Knowledge and safe consumption behavior of vegetables and fruit from pesticides and serum cholinesterase levels in pregnant women, Nakhon Si Thammarat Province. RTNNMDjournal. 2020;47(3);660–72 (in Thai).

Sonthon P, Sonthon A. Factors associated with secondhand smoke exposure in the home among pregnant women in Phetchabun Province. THJPH. 2019;49(3):350–62 (in Thai).

Niriayo YL, Mohammed K, Asgedom SW, Demoz GT, Wahdey S, Gidey K. Self-medication practice and contributing factors among pregnant women. PLoS ONE. 2021;16(5): e0251725. doi: /10.1371/journal.pone.0251725. DOI: https://doi.org/10.1371/journal.pone.0251725

Demirtaş MS. The pathogenesis of congenital anomalies: roles of teratogens and infections. In: Verma RP, editor. Congenital anomalies in newborn infants - clinical and etiopathological perspectives. London, UK: IntechOpen; 2020.

Landon MB, Galan H, Jauniaux E, Driscoll DA, Berghella V, Grobman WA, et al. Gabbe’s obstetrics: normal and problem pregnancies. 8th ed. Philadelphia: Saunders; 2020.

World Health Organization. Birth defects in South-East Asia: a public health challenge. Geneva: World Health Organization; 2013.

World Health Organization. Five keys to safer food manual. Geneva: WHO Department of Food Safety, Zoonoses and Foodborne Diseases; 2006.

National Institute for Occupational Safety and Health. Reproductive health and the workplace. 2019 [cited 2023 Apr 3]. Available from: https://www.cdc.gov/niosh/ topics/repro/pesticides.html

World Health Organization. Infection prevention and control in the context of coronavirus disease (COVID-19): a living guideline. 2022 [cited 2023 Apr 3]. Available from: https://apps.who.int/iris/handle/10665/352339

Centers for Disease Control and Prevention. Pregnant or thinking of getting pregnant? 2022 Sept 20 [cited 2023 Apr 3]. Available from: https://www.cdc.gov/pregnancy/meds/treatingfortwo/facts.html

Pino O, Di Pietro S, Poli D. Effect of musical stimulation on placental programming and neurodevelopment outcome of preterm infants: a systematic review. Int J Environ Res Public Health. 2023;20. doi:10.3390/ijerph20032718. DOI: https://doi.org/10.3390/ijerph20032718

Bagherzadeh R, Gharibi T, Safavi B, Mohammadi SM, Karami F, Keshavarz S. Pregnancy; an opportunity to return to a healthy lifestyle: a qualitative study. BMC Pregnancy Childbirth. 2021;21:751. doi:10.1186/s12884-021- 04213-6. DOI: https://doi.org/10.1186/s12884-021-04213-6

Yakuwa MS, Pancieri L, Neill S, de Mello DF. Mothers’ understanding of brain development in early childhood: a qualitative study in Brazil. SAGE Open. 2022;12(2). doi:10.1177/21582440221096131. DOI: https://doi.org/10.1177/21582440221096131

Sripichyakan K, Parkpoom PK, Sansiriphun N. The perceptions of parents in northern Thailand regarding prenatal development. Pacific Rim Int J Nurs Res. 2020;24(2):260–73.

Turale S. A brief introduction to qualitative description: a research design worth using. Pacific Rim Int J Nurs Res. 2020;24(3):289-91.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349–57. doi:10.1093/intqhc/mzm042. DOI: https://doi.org/10.1093/intqhc/mzm042

Creswell JW. Qualitative inquiry and research design: choosing among five approaches. 3rd ed. Thousand Oaks: Sage; 2013.

Sandelowski M. Focus on research methods: Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334–40. DOI: https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G

Lincoln YS, Guba E. Naturalistic inquiry. 1st ed. Thousand Oaks: SAGE; 1985. DOI: https://doi.org/10.1016/0147-1767(85)90062-8

Gilworth G, Milton S, Chater A, Nazareth I, Roposch A, Green J. Parents’ expectations and experiences of the 6-week baby check: a qualitative study in primary care. BJGP Open. 2020;4(5):bjgpopen20X101110. doi: 10.3399/bjg popen20x101110. DOI: https://doi.org/10.3399/bjgpopen20X101110

Hammer R, Gouilhers S, Radu I, Pehlke-Milde J, Meyer Y. Uncertainty, manageability and individuation: a longitudinal qualitative study of women’s conceptualizations of risk from pregnancy to breastfeeding—the case of alcohol consumption. SSM Qual Res Health. 2022; 2:100152. doi: 10.1016/j. ssmqr.2022.100152. DOI: https://doi.org/10.1016/j.ssmqr.2022.100152

Javanmardi M, Noroozi M, Mostafavi F, Ashrafi-Rizi H. Exploring women’s health information needs during pregnancy: a qualitative study. J Family Reprod Health. 2020;14(4):252-8. doi: 10.18502/jfrh.v14i4.5209. DOI: https://doi.org/10.18502/jfrh.v14i4.5209

Herzog-Petropaki N, Derksen C, Lippke S. Health behaviors and behavior change during pregnancy: theory-based investigation of predictors and interrelations.Sexes. 2022;3(3):351–66. doi:10.3390/sexes3030027. DOI: https://doi.org/10.3390/sexes3030027

Pattanasombutsook M, Punthmatharith B, Chunuan S, Hayter M, Graham ME. Prenatal attachment among Thai pregnant adolescents: a qualitative study. Songklanagarind J Nurs. 2020;40(1):1–14 (in Thai).

Kumhom R, Portawin T, Phuphaibul R. Thai family well-being based on family life cycle: south region of Thailand. J Soc Work. 2020;28(2):24–59 (in Thai).

Mazloomy SSM, Karimiankakolaki Z, Kazemi A, Keshavarz Mohammadi, N, Fallahzadeh H. Exposure to secondhand smoke in Iranian pregnant women at home and the related factors. Tob Prev Cessat. 2019;5:7. doi:10.18332/tpc/104435. DOI: https://doi.org/10.18332/tpc/104435

Lyall V, Wolfson L, Reid N, Poole N, Moritz KM, Egert S, et al. “The problem is that we hear a bit of everything. . .”: a qualitative systematic review of factors associated with alcohol use, reduction, and abstinence in pregnancy. Int J Environ Res Public Health. 2021;18(7):3445. doi:10.3390/ijerph 18073445. DOI: https://doi.org/10.3390/ijerph18073445

Vu GV, Ngo CQ, Phan PT, Doan LPT, Nguyen TT, Nguyen MH, et al. Inadequate knowledge, attitude and practices about secondhand smoke among non-smoking pregnant women in urban Vietnam: the need for health literacy reinforcement. Int J Environ Res Public Health. 2020;17(10):3744. doi:10.3390/ijerph17103744. DOI: https://doi.org/10.3390/ijerph17103744

Downloads

Published

2023-06-17

How to Cite

1.
Boonpradit K, Sansiriphun N, Sripichyakan K, Chaloumsuk N. Thai Pregnant Women’s Perceptions Regarding Fetal Brain Development: A Qualitative Descriptive Study. PRIJNR [Internet]. 2023 Jun. 17 [cited 2024 Apr. 28];27(3):516-29. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/261523