Nausea in pregnancy: attitudes among pregnant women and general practitioners on treatment and pregnancy care
| Autor: | Lone Holst, Hans Christian Svendsen, Kristine Heitmann, Ingvild H. Sporsheim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
General Practice morning sickness Alternative medicine 0302 clinical medicine immune system diseases Pregnancy Morning sickness therapeutics 030212 general & internal medicine Research Articles 030219 obstetrics & reproductive medicine Norway lcsh:Public aspects of medicine virus diseases Nausea Prenatal Care Middle Aged nausea Distress Patient Satisfaction Sick leave language Vomiting Female Sick Leave medicine.symptom General practice Attitude to Health Adult medicine.medical_specialty Attitude of Health Personnel education Norwegian Young Adult 03 medical and health sciences Nursing General Practitioners Medisinske Fag: 700 [VDP] medicine Humans Physician-Patient Relations business.industry Public Health Environmental and Occupational Health lcsh:RA1-1270 medicine.disease language.human_language Pregnancy Complications Family medicine Pregnant Women business |
| Zdroj: | Scandinavian Journal of Primary Health Care Scandinavian Journal of Primary Health Care, Vol 34, Iss 1, Pp 13-20 (2016) |
| Popis: | Objective: Nausea and vomiting during pregnancy (NVP) is very common, and may have great impact on a woman’s life. The aim of this study was to explore thoughts and attitudes among Norwegian pregnant women and GPs on treatment of NVP and pregnancy care. Design: Focus-group study. Setting and subjects: Separate focus-group discussions were conducted with pregnant women and GPs. Results: Two focus-group discussions were conducted with pregnant women and two with GPs. The GPs thought it was important to normalize NVP symptoms. However, the women felt their distress due to NVP was trivialized by the GPs. The women were sceptical towards the use of medicines while pregnant, and avoidance was sought despite being ill. The GPs appeared uncertain with respect to medical treatment of NVP, which was stated to be considered only after progression to quite severe symptoms. Sick leave seemed to be an important part of the treatment regime applied by the GPs. The women had good experiences with graded sick leave. Conclusion: This Norwegian study identifies attitudes among GPs and pregnant women that may act as obstacles to appropriate care for women with NVP. The pregnant women and the GPs seemed to talk at cross-purposes; GPs’ normalization of the symptoms made the women feel that their distress due to NVP was trivialized by the GPs. Our results indicate that pregnant women with NVP requiring medical treatment probably need comprehensive and reassuring information about treatment options before considering using any medicines.Key points Nausea and vomiting during pregnancy (NVP) is very common, and considered to be of clinical significance for 35% of women.While the GPs agreed on the importance of normalizing the symptoms, the women felt their distress was trivialized, and missed being properly evaluated. Both the GPs and the women showed a reluctant attitude to medical treatment of NVP. The GPs gave the impression of considering medical treatment only after progression of symptoms to becoming quite severe. |
| Databáze: | OpenAIRE |
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