Abstract

Antepartum bed rest and hospitalization is frequently prescribed for high-risk women experiencing pregnancy complications. Bed rest may result in problems for the high-risk mother including isolation, boredom, anxiety, depression, and separation from their families. The aim of this study is to analyze the coping behaviors of high-risk pregnant women hospitalized and prescribed bed rest. Also, to describe the lived experience of high-risk pregnant women hospitalized and prescribed bed rest. A convergent parallel mixed method design was used to analyze the coping behaviors of 40 high-risk pregnant women. A secondary analysis of data from the Brief Cope Scale (Carver, 1997) was used for the quantitative portion. Transcripts from the same 40 highrisk mothers were reviewed as a secondary analysis using a Step-by-Step Simple Thematic Analysis (Nowell, Norris, White, & Moules, 2017). The most frequently identified maternal coping behaviors were emotional support, positive reframing, religion, acceptance, instrumental support and planning. The less frequently used coping behaviors were self-distraction, humor, substance use, self-blame, denial, and behavioral disengagement. The overreaching theme from the qualitative analysis was Coping inHigh-Risk Pregnancy. Seven themes were identified from the transcripts: Family Burdens, Fearfully Waiting, Leaning on Faith, Hope, Acceptance, Knowledge Seeking, and Support Enhances Maternal Coping. Quantitative and qualitative data were triangulated to identify those behaviors that were convergent or divergent in this mixed method design. By identifying adaptive coping behaviors of high-risk hospitalized mothers antepartum care may be improved.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28398815; ProQuest document ID: 2515156528. The author still retains copyright.

Author Details

Ellen Boyd, PhD, FNP

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Mixed/Multi Method Research

Keywords:

Antepartum Bed Rest, Pregnancy Complications, Maternal Coping Behaviors, Hospitalization

Advisor

Wyonna Freysteinson

Second Advisor

Sandra Cessario

Third Advisor

Carol Wiggs

Degree

PhD

Degree Grantor

Texas Woman's University

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-02-28

Full Text of Presentation

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