Factors influencing decision-making around pregnancy among women with severe mental illness (SMI): A qualitative study.
In: The International journal of social psychiatry, Jg. 66 (2020-12-01), Heft 8, S. 792-798
Online
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Zugriff:
Background: Decision-making around pregnancy is challenging for women with severe mental illness (SMI), and several clinical and socio-cultural factors might influence this process.
Aim: The main objective of this study was to determine factors that influence decision-making regarding pregnancy for women with SMI.
Methods: Using a qualitative design, 42 women with SMI who were pregnant or planning pregnancy were assessed using a semi-structured interview by an independent researcher not involved in their clinical care. Areas of inquiry included knowledge about their illness, treatment; family and societal beliefs on mental illness and motherhood; illness management; and attitude towards medical advice.
Results: Among the 42 women, majority of the women (88%) reported reduced autonomy in decision-making related to pregnancy. Stigma was one of the major contributory factors in decision-making. Over 80% reported not using contraception despite medical advice due to lack of control over the decisions related to the use of contraception. Over 50% of the women in the study believed that taking psychotropic medications during pregnancy would definitely harm the baby. A similar number believed that their illness would not recur if medications were to be stopped during pregnancy.
Conclusion: Women with SMI who plan to become pregnant, especially from low-income settings in India, are disadvantaged by stigma and societal expectations, affecting their ability to make optimum decisions during this crucial period. Decision-making around pregnancy in women with SMI is complex and appears to be influenced by several socio-cultural factors and needs to be dealt with sensitively.
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Factors influencing decision-making around pregnancy among women with severe mental illness (SMI): A qualitative study.
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Autor/in / Beteiligte Person: | Bagadia, A ; Nanjundaswamy, MH ; Ganjekar, S ; Thippeswamy, H ; Desai, G ; Chandra, PS |
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Zeitschrift: | The International journal of social psychiatry, Jg. 66 (2020-12-01), Heft 8, S. 792-798 |
Veröffentlichung: | <2002->: London : Sage Publications ; <i>Original Publication</i>: London Avenue Publishing Co, 2020 |
Medientyp: | academicJournal |
ISSN: | 1741-2854 (electronic) |
DOI: | 10.1177/0020764020925104 |
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