Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model

A crisis in early pregnancy can be due to an unplanned pregnancy or a suspected abnormality. Pregnant people have the right to unbiased and comprehensive advice of all options from healthcare providers. Using story completion models (SCM), the aim of this qualitative study was to explore the attitud...

Full description

Saved in:
Bibliographic Details
Main Authors: Mary Higgins, Sharon Cooley, Deirdre Hayes-Ryan, Brendan Dempsey
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Sexual and Reproductive Health Matters
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/26410397.2024.2419150
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841557804643516416
author Mary Higgins
Sharon Cooley
Deirdre Hayes-Ryan
Brendan Dempsey
author_facet Mary Higgins
Sharon Cooley
Deirdre Hayes-Ryan
Brendan Dempsey
author_sort Mary Higgins
collection DOAJ
description A crisis in early pregnancy can be due to an unplanned pregnancy or a suspected abnormality. Pregnant people have the right to unbiased and comprehensive advice of all options from healthcare providers. Using story completion models (SCM), the aim of this qualitative study was to explore the attitudes of medical students and doctors in training towards crisis pregnancy, specifically two scenarios: early unplanned pregnancy and fatal fetal abnormality (anencephaly). Participants were invited from medical students attending University College Dublin (UCD) and trainees in Obstetrics and Gynaecology at the Royal College of Physicians of Ireland (RCPI) from July to December 2022. SCM involves giving the consenting participant an introduction to a hypothetical situation that acts as the beginning of a story and asking them to complete it. Stories were compiled and analysed using thematic analysis. Research Ethics Committee approval was given by both UCD and the RCPI. The standards for reporting qualitative research guidelines were followed. Eight doctors in training and six medical students consented to participate in the study; all but two medical students completed both stories to the required word count, giving 25 stories for analysis. For both situations, stories described a variety of approaches, all of which were based on the person's, or couple's, wishes, from continuing in pregnancy to deciding to end the pregnancy. SCM allowed detailed analysis of potentially sensitive subjects such as pregnancy options. This study showed that participating medical students and doctors in training recognise that pregnant people have the right to all choices in crisis pregnancy.
format Article
id doaj-art-41b2b068ad5648b6a560057cef4799e3
institution Kabale University
issn 2641-0397
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Sexual and Reproductive Health Matters
spelling doaj-art-41b2b068ad5648b6a560057cef4799e32025-01-06T10:08:08ZengTaylor & Francis GroupSexual and Reproductive Health Matters2641-03972024-12-0132110.1080/26410397.2024.2419150Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion modelMary Higgins0Sharon Cooley1Deirdre Hayes-Ryan2Brendan Dempsey3Consultant Obstetrician, National Maternity Hospital Dublin, Dublin, Ireland; Associate Professor, University College Dublin (UCD) Perinatal Research Centre, Dublin, IrelandConsultant Obstetrician, University College Dublin (UCD) Obstetrics and Gynaecology, UCD Perinatal Research Centre, Dublin, IrelandConsultant Obstetrician, Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, IrelandResearcher, University College Dublin (UCD) Obstetrics and Gynaecology, UCD Perinatal Research Centre, Dublin, IrelandA crisis in early pregnancy can be due to an unplanned pregnancy or a suspected abnormality. Pregnant people have the right to unbiased and comprehensive advice of all options from healthcare providers. Using story completion models (SCM), the aim of this qualitative study was to explore the attitudes of medical students and doctors in training towards crisis pregnancy, specifically two scenarios: early unplanned pregnancy and fatal fetal abnormality (anencephaly). Participants were invited from medical students attending University College Dublin (UCD) and trainees in Obstetrics and Gynaecology at the Royal College of Physicians of Ireland (RCPI) from July to December 2022. SCM involves giving the consenting participant an introduction to a hypothetical situation that acts as the beginning of a story and asking them to complete it. Stories were compiled and analysed using thematic analysis. Research Ethics Committee approval was given by both UCD and the RCPI. The standards for reporting qualitative research guidelines were followed. Eight doctors in training and six medical students consented to participate in the study; all but two medical students completed both stories to the required word count, giving 25 stories for analysis. For both situations, stories described a variety of approaches, all of which were based on the person's, or couple's, wishes, from continuing in pregnancy to deciding to end the pregnancy. SCM allowed detailed analysis of potentially sensitive subjects such as pregnancy options. This study showed that participating medical students and doctors in training recognise that pregnant people have the right to all choices in crisis pregnancy.https://www.tandfonline.com/doi/10.1080/26410397.2024.2419150story completionabortion caremedical studentsdoctors in specialist training
spellingShingle Mary Higgins
Sharon Cooley
Deirdre Hayes-Ryan
Brendan Dempsey
Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model
Sexual and Reproductive Health Matters
story completion
abortion care
medical students
doctors in specialist training
title Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model
title_full Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model
title_fullStr Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model
title_full_unstemmed Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model
title_short Approaches to a crisis in early pregnancy: an explorative qualitative study of medical students and doctors in training in Ireland, using a story completion model
title_sort approaches to a crisis in early pregnancy an explorative qualitative study of medical students and doctors in training in ireland using a story completion model
topic story completion
abortion care
medical students
doctors in specialist training
url https://www.tandfonline.com/doi/10.1080/26410397.2024.2419150
work_keys_str_mv AT maryhiggins approachestoacrisisinearlypregnancyanexplorativequalitativestudyofmedicalstudentsanddoctorsintraininginirelandusingastorycompletionmodel
AT sharoncooley approachestoacrisisinearlypregnancyanexplorativequalitativestudyofmedicalstudentsanddoctorsintraininginirelandusingastorycompletionmodel
AT deirdrehayesryan approachestoacrisisinearlypregnancyanexplorativequalitativestudyofmedicalstudentsanddoctorsintraininginirelandusingastorycompletionmodel
AT brendandempsey approachestoacrisisinearlypregnancyanexplorativequalitativestudyofmedicalstudentsanddoctorsintraininginirelandusingastorycompletionmodel