TY - JOUR
T1 - Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum
T2 - a mixed methods study
AU - Nana, Melanie
AU - Tydeman, Florence
AU - Bevan, Georgie
AU - Boulding, Harriet
AU - Kavanagh, Kimberley
AU - Dean, Caitlin
AU - Williamson, Catherine
PY - 2021/10/19
Y1 - 2021/10/19
N2 - 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.
AB - 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.
KW - hyperemesis gravidarum
KW - suicidal ideation
KW - termination of pregnancy
KW - treatment experience
U2 - 10.1177/1753495x211040926
DO - 10.1177/1753495x211040926
M3 - Article
JO - Obstetric Medicine
JF - Obstetric Medicine
SN - 1753-495X
ER -