Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review

Objective This systematic review examines the qualitative literature on women’s experiences of self-managing chronic conditions in pregnancy.Design Systematic review of qualitative literature. Searches were performed in PubMed and CINAHL from inception to February 2021. Critical interpretive synthes...

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Main Authors: Nia Roberts, Richard J McManus, Lisa Hinton, Katherine Louise Tucker, Bethany Ellen Jakubowski, Jaspreet Khaira
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/3/e051962.full
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author Nia Roberts
Richard J McManus
Lisa Hinton
Katherine Louise Tucker
Bethany Ellen Jakubowski
Jaspreet Khaira
author_facet Nia Roberts
Richard J McManus
Lisa Hinton
Katherine Louise Tucker
Bethany Ellen Jakubowski
Jaspreet Khaira
author_sort Nia Roberts
collection DOAJ
description Objective This systematic review examines the qualitative literature on women’s experiences of self-managing chronic conditions in pregnancy.Design Systematic review of qualitative literature. Searches were performed in PubMed and CINAHL from inception to February 2021. Critical interpretive synthesis informed the coding framework and the analysis of the data. The Burden of Treatment theory emerged during the initial analysis as having the most synergy with the included literature, themes were refined to consider key concepts from this theory.Participants Pregnant women who are self-managing a chronic condition.Results A total of 2695 articles were screened and 25 were reviewed in detail. All 16 included studies concerned diabetes self-management in pregnancy. Common themes coalesced around motivations for, and barriers to, self-management. Women self-managed primarily for the health of their baby. Barriers identified were anxiety, lack of understanding and a lack of support from families and healthcare professionals.Conclusions Pregnant women have different motivating factors for self-management than the general population and further research on a range of self-management of chronic conditions in pregnancy is needed.PROSPERO registration number CRD42019136681.
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spelling doaj-art-f4e83a840130448d9aa082d7ea7dab832025-08-20T01:48:02ZengBMJ Publishing GroupBMJ Open2044-60552022-03-0112310.1136/bmjopen-2021-051962Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic reviewNia Roberts0Richard J McManus1Lisa Hinton2Katherine Louise Tucker3Bethany Ellen Jakubowski4Jaspreet Khaira5Bodleian Health Care Libraries, University of Oxford, Oxford, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKNuffield Department of Primary Healthcare Sciences, University of Oxford, Oxford, UKNuffield Department of Primary Healthcare Sciences, University of Oxford, Oxford, UKOxford University Hospitals NHS Trust, Oxford, UKObjective This systematic review examines the qualitative literature on women’s experiences of self-managing chronic conditions in pregnancy.Design Systematic review of qualitative literature. Searches were performed in PubMed and CINAHL from inception to February 2021. Critical interpretive synthesis informed the coding framework and the analysis of the data. The Burden of Treatment theory emerged during the initial analysis as having the most synergy with the included literature, themes were refined to consider key concepts from this theory.Participants Pregnant women who are self-managing a chronic condition.Results A total of 2695 articles were screened and 25 were reviewed in detail. All 16 included studies concerned diabetes self-management in pregnancy. Common themes coalesced around motivations for, and barriers to, self-management. Women self-managed primarily for the health of their baby. Barriers identified were anxiety, lack of understanding and a lack of support from families and healthcare professionals.Conclusions Pregnant women have different motivating factors for self-management than the general population and further research on a range of self-management of chronic conditions in pregnancy is needed.PROSPERO registration number CRD42019136681.https://bmjopen.bmj.com/content/12/3/e051962.full
spellingShingle Nia Roberts
Richard J McManus
Lisa Hinton
Katherine Louise Tucker
Bethany Ellen Jakubowski
Jaspreet Khaira
Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review
BMJ Open
title Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review
title_full Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review
title_fullStr Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review
title_full_unstemmed Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review
title_short Is self-management a burden? What are the experiences of women self-managing chronic conditions during pregnancy? A systematic review
title_sort is self management a burden what are the experiences of women self managing chronic conditions during pregnancy a systematic review
url https://bmjopen.bmj.com/content/12/3/e051962.full
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