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Cardiac conditions in pregnancy and the role of midwives: A discussion paper.

ABSTRACT: Aim:This paper provides an overview of the two broad categories of cardiac conditions observed in pregnancy (congenital and acquired). It also identifies the midwives' role in the childbirth continuum and includes assessment, track and trigger systems and management during labour and delivery. Design:Discussion paper. Methods:Data were collected by reviewing international evidence and by searching computerized databases. Results:Research has identified that women with associated risk factors of a cardiac condition who delay pregnancy have an increased risk of experiencing cardiovascular complications in pregnancy with poorer outcomes. The Three Ps in a Pod clinical initiative in the United Kingdom highlights working as a team in multidisciplinary programmes to improve mothers' care and save lives. Midwives play a key role during pregnancy and need to be appraised in relation to cardiovascular disease observed in pregnancy, its potential risks and anticipated problems and within the continuum of care.

SUBMITTER: Millington S

PROVIDER: S-EPMC6650682 | biostudies-other | 2019 Jul

REPOSITORIES: biostudies-other

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Cardiac conditions in pregnancy and the role of midwives: A discussion paper.

Millington Sandra S Magarey Judith J Dekker Gustaaf A GA Clark Robyn A RA

Nursing open 20190401 3

<h4>Aim</h4>This paper provides an overview of the two broad categories of cardiac conditions observed in pregnancy (congenital and acquired). It also identifies the midwives' role in the childbirth continuum and includes assessment, track and trigger systems and management during labour and delivery.<h4>Design</h4>Discussion paper.<h4>Methods</h4>Data were collected by reviewing international evidence and by searching computerized databases.<h4>Results</h4>Research has identified that women wit ...[more]

PMID: 31367393

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Project description:BACKGROUND:Risk perception in relation to pregnancy and birth is a complex process influenced by multiple personal, psychological and societal factors. Traditionally, the risk perception of healthcare professionals has been presented as more objective and authoritative than that of pregnant women. Doctors have been presented as more concerned with biomedical risk than midwives. Such dichotomies oversimplify and obscure the complexity of the process. This study examines pregnancy-related risk perception in women and healthcare professionals, and what women and professionals believe about each other's risk perception. METHODS:A cross sectional survey of set in UK maternity services. Participants were doctors working in obstetrics (N?=?53), midwives (N?=?59), pregnant women (N?=?68). Participants were recruited in person from two hospitals. Doctors were also recruited online. Participants completed a questionnaire measuring the degree of perceived risk in various childbirth-related scenarios; and the extent to which they believed others agreed with them about the degree of risk generally involved in childbirth. Main outcome measures were the degree of risk perceived to the mother in baby in pregnancy scenarios, and beliefs about own perception of risk in comparison to their own group and other groups. RESULTS:There were significant differences in total risk scores between pregnant women, doctors and midwives in perception of risk to the mother in 68/80 scenarios. Doctors most frequently rated risks lowest. Total scores for perceived risk to the baby were not significantly different. There was substantial variation within each group. There was more agreement on the ranking of scenarios according to risk. Each group believed doctors perceived most risk whereas actually doctors most frequently rated risks lowest. Each group incorrectly believed their peers rated risk similarly to themselves. CONCLUSIONS:Individuals cannot assume others share their perception of risk or that they make correct assessments regarding others' risk perception. Further research should consider what factors are taken into account when making risk assessments.

Dataset Information

Cardiac conditions in pregnancy and the role of midwives: A discussion paper.

Publications

Cardiac conditions in pregnancy and the role of midwives: A discussion paper.

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