Understanding the support needs of women with hyperemesis gravidarum

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-04-25 DOI:10.1016/j.midw.2025.104438

Fiona L. Challacombe , Edward Bickers , Rosanna Gilderthorp , Rachael Buabeng , Claudia Hallett

{"title":"Understanding the support needs of women with hyperemesis gravidarum","authors":"Fiona L. Challacombe , Edward Bickers , Rosanna Gilderthorp , Rachael Buabeng , Claudia Hallett","doi":"10.1016/j.midw.2025.104438","DOIUrl":null,"url":null,"abstract":"<div><h3>Problem</h3><div>Hyperemesis Gravidarum (HG) is a severe condition, but little is known about how best to psychologically support those going through this experience.</div></div><div><h3>Background</h3><div>HG, a severe form of nausea and vomiting affects 0.3–3.4 % of pregnancies. It can have significant psychological impacts on sufferers, with increased rates of anxiety, depression and post-traumatic stress. There is a need for interventions tailored to this group that could ameliorate these impacts.</div></div><div><h3>Aim</h3><div>To explore what women with HG found useful for their mental health, what could and should be targeted in an intervention and optimal features of an intervention.</div></div><div><h3>Methods</h3><div>A series of focus groups were run with 22 survivors of HG, analysed using reflexive thematic analysis.</div></div><div><h3>Findings</h3><div>Four overarching themes were identified: the individual journey of HG; recognition and validation by healthcare professionals; impact on family roles and systems; flexible personalised support. The need for cultural competence in understanding and developing support ran through the themes.</div></div><div><h3>Discussion</h3><div>HG involves both physical and psychological impacts, some of which are exacerbated by invalidating interactions and lack of knowledge in the healthcare system. Those with HG are simultaneously physically and mentally depleted, leading to multiple impacts on woman and family. A tailored intervention including elements of information, recording and active psychological intervention could support women’s physical and mental health during HG, with the potential to prevent or ameliorate negative psychological consequences.</div></div><div><h3>Conclusion</h3><div>Psychological support for women with HG is a current gap. A tailored intervention has promise to mitigate negative impacts of this condition.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104438"},"PeriodicalIF":2.6000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613825001561","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Problem

Hyperemesis Gravidarum (HG) is a severe condition, but little is known about how best to psychologically support those going through this experience.

Background

HG, a severe form of nausea and vomiting affects 0.3–3.4 % of pregnancies. It can have significant psychological impacts on sufferers, with increased rates of anxiety, depression and post-traumatic stress. There is a need for interventions tailored to this group that could ameliorate these impacts.

Aim

To explore what women with HG found useful for their mental health, what could and should be targeted in an intervention and optimal features of an intervention.

Methods

A series of focus groups were run with 22 survivors of HG, analysed using reflexive thematic analysis.

Findings

Four overarching themes were identified: the individual journey of HG; recognition and validation by healthcare professionals; impact on family roles and systems; flexible personalised support. The need for cultural competence in understanding and developing support ran through the themes.

Discussion

HG involves both physical and psychological impacts, some of which are exacerbated by invalidating interactions and lack of knowledge in the healthcare system. Those with HG are simultaneously physically and mentally depleted, leading to multiple impacts on woman and family. A tailored intervention including elements of information, recording and active psychological intervention could support women’s physical and mental health during HG, with the potential to prevent or ameliorate negative psychological consequences.

Conclusion

Psychological support for women with HG is a current gap. A tailored intervention has promise to mitigate negative impacts of this condition.

查看原文本刊更多论文

了解妊娠剧吐妇女的支持需求

问题：妊娠剧吐（HG）是一种严重的疾病，但人们对如何最好地从心理上支持那些经历过这种经历的人知之甚少。背景：0.3% - 3.4%的孕妇会出现严重形式的恶心和呕吐。它会对患者产生重大的心理影响，增加焦虑、抑郁和创伤后压力的发生率。有必要为这一群体量身定制干预措施，以减轻这些影响。目的探讨HG女性认为对其心理健康有益的因素，干预的目标和干预的最佳特征。方法对22例HG幸存者进行一系列焦点小组调查，采用自反性主题分析法进行分析。发现确定了四个总体主题：HG的个人旅程；卫生保健专业人员的认可和确认；对家庭角色和制度的影响；灵活的个性化支持。在理解和发展支持方面需要文化能力贯穿主题。hg包括身体和心理上的影响，其中一些由于无效的相互作用和医疗保健系统知识的缺乏而加剧。HG患者身体和精神同时衰竭，对女性和家庭造成多重影响。包括信息、记录和积极心理干预在内的量身定制的干预措施可以支持HG期间妇女的身心健康，并有可能预防或改善负面心理后果。结论对女性HG患者的心理支持存在一定的缺口。量身定制的干预措施有望减轻这种情况的负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.