To be taken seriously and receive rapid and adequate care - Womens' requests when they consult health care for reduced fetal movements

Midwifery. 2016 Sep;40:102-8. doi: 10.1016/j.midw.2016.06.006. Epub 2016 Jun 11.

Abstract

Background: decreased fetal movement is a reason for women to seek health care in late pregnancy.

Objective: to examine what pregnant women who present with decreased fetal movements want to communicate to health care professionals and to other women in the same situation.

Design: a qualitative descriptive study.

Setting and participants: questionnaires were distributed in all seven labour wards in Stockholm from 1 January to 31 December 2014 to women who consulted care due to decreased fetal movements. In total, 3555 questionnaires were completed of which 1 000 were included in this study. The women's responses to the open ended question: "Is there something you want to communicate to health care professionals who take care of women with decreased fetal movement or to women who experience decreased fetal movements?", were analysed with manifest content analysis.

Finding: three categories were revealed about requests to health care professionals: Pay attention to the woman and take her seriously, Rapid and adequate care and Improved information on fetal movements. Regarding what the women want to communicate to other pregnant women, four categories were revealed: Contact health care for check-up, Pay attention to fetal movement, Recommended source of information and Practical advice.

Conclusion: pregnant women who consult health care due to decreased fetal movements want to be taken seriously and receive rapid and adequate care with the health of the infant as the primary priority. The women requested uniform information about decreased fetal movements. They wished to convey to others in the same situation the importance of consulting care once too often rather than one time too few.

Keywords: Care; Communicate; Decreased fetal movements; Information; Pregnant women.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Female
  • Fetal Movement*
  • Humans
  • Pregnancy
  • Pregnancy Complications / therapy*
  • Pregnant Women / psychology*
  • Prenatal Care / psychology
  • Prenatal Care / standards*
  • Qualitative Research
  • Surveys and Questionnaires