The stories of women who are transferred due to threat of preterm birth

Woodhart, L; Goldstone, J; Hartz, D

The stories of women who are transferred due to threat of preterm birth

Woodhart, L Goldstone, J Hartz, D

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Publication Type:: Journal Article
Citation:: Women and Birth, 2018, 31 (4), pp. 307 - 312
Issue Date:: 2018-08-01

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Field	Value	Language
dc.contributor.author	Woodhart, L	en_US
dc.contributor.author	Goldstone, J	en_US
dc.contributor.author	Hartz, D	en_US
dc.date.available	2017-10-31	en_US
dc.date.issued	2018-08-01	en_US
dc.identifier.citation	Women and Birth, 2018, 31 (4), pp. 307 - 312	en_US
dc.identifier.issn	1871-5192	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124462
dc.description.abstract	© 2017 Australian College of Midwives Background: Women at risk of preterm birth before 32 weeks gestation are routinely transferred to facilitate birth at a hospital that has Neonatal Intensive Care. The clinical outcomes of being ‘in-born” improves newborn and neonatal outcomes is well documented. However little is known about the women's experiences when such a complication occurs. Method: Using the NSW Agency for Clinical Innovation Patient and Carer stories method, 10 women were purposively invited and consented to tell their stories. Semi-structured interviews were undertaken during their inpatient stay and then again, by telephone in the months following their baby's due date. Themes were identified, illustrated by exemplars. Results: All women were multiparous. Without exception, the women said that having the support of their family was the most important factor in coping with their unexpected hospitalisation and the anxiety of having to deal with the uncertainty of their pregnancy outcome. The most difficult aspect of their experience was the distress of being separated from their children and families and undue stress and distress from their partners. Other issues they identified were: physical difficulties during transfer; information overload as they sought to understand their changing circumstances; accommodation issues; and financial stress resulting from their relocation. Conclusions: All women perceived their midwifery, obstetric and neonatal care to be exceptional and their neonatal outcomes were positive. Improvements may be made by facilitating family contact allowing flexible visiting, assisting with partner/family accommodation, providing women with their basic needs during transport and providing assistance to relieve financial strain.	en_US
dc.relation.ispartof	Women and Birth	en_US
dc.relation.isbasedon	10.1016/j.wombi.2017.10.015	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Premature Birth	en_US
dc.subject.mesh	Pregnancy Outcome	en_US
dc.subject.mesh	Patient Transfer	en_US
dc.subject.mesh	Obstetrics	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Gestational Age	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Parturition	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	The stories of women who are transferred due to threat of preterm birth	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	31	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Teaching and Learning)
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	31	en_US

Abstract:

© 2017 Australian College of Midwives Background: Women at risk of preterm birth before 32 weeks gestation are routinely transferred to facilitate birth at a hospital that has Neonatal Intensive Care. The clinical outcomes of being ‘in-born” improves newborn and neonatal outcomes is well documented. However little is known about the women's experiences when such a complication occurs. Method: Using the NSW Agency for Clinical Innovation Patient and Carer stories method, 10 women were purposively invited and consented to tell their stories. Semi-structured interviews were undertaken during their inpatient stay and then again, by telephone in the months following their baby's due date. Themes were identified, illustrated by exemplars. Results: All women were multiparous. Without exception, the women said that having the support of their family was the most important factor in coping with their unexpected hospitalisation and the anxiety of having to deal with the uncertainty of their pregnancy outcome. The most difficult aspect of their experience was the distress of being separated from their children and families and undue stress and distress from their partners. Other issues they identified were: physical difficulties during transfer; information overload as they sought to understand their changing circumstances; accommodation issues; and financial stress resulting from their relocation. Conclusions: All women perceived their midwifery, obstetric and neonatal care to be exceptional and their neonatal outcomes were positive. Improvements may be made by facilitating family contact allowing flexible visiting, assisting with partner/family accommodation, providing women with their basic needs during transport and providing assistance to relieve financial strain.

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http://hdl.handle.net/10453/124462