Gaps of pregnancy risk perceptions between pregnancies with advanced maternal age and professional nurses: A focused ethnographic research
Keywords:
perception of pregnancy risks, focused ethnographic research, Northeastern Thai context, professional nurses, pregnancy with advanced maternal ageAbstract
This focused ethnographical research aimed to describe perceptions of pregnancy risk and care for pregnant women with advanced maternal age in a province of the northeastern region, Thailand. Fifty Informants consisted of 17 pregnancies with advanced maternal age, 17 family members, and 16 professional nurses. Observational participation, field notes, and in-depth interviews were brought into the data collection. Content analysis and thematic emersion were the methods of data analysis. Triangulation was the method of credibility. Data collecting process was conducted between May 2021 and June 2022.
The results found that the pregnancy risk perception between pregnancies and professional nurses was different. From the perspective of professionals, pregnancies with advanced maternal age were at high risk and needed to be cared for by appropriate medical personnel. While pregnancies with advanced maternal age and their families perceived pregnancy risks in two ways: 1) ready to take the risks, regardless of the pregnancy outcomes and 2) there were risks in exchange for family happiness; the happiness of having children fulfilled the family, happiness from feeling valuable, and happiness that couple relationship had developed in a positive way. The number of pregnancies with advanced maternal age is rising, this study findings can be the information to establish recommendations for caring for pregnancies with advanced maternal age in the healthcare sectors to promote quality of pregnancy and birth for specific pregnancy groups.
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