Volume 21 Issue 5
May  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 821-824
KE Yanyan, LIU Ni, ZHANG Xiaofeng, PU Ping. Psychological experiences during pregnancy in women of childbearing age with epilepsy: A qualitative study[J]. Chinese Journal of General Practice, 2023, 21(5): 821-824. doi: 10.16766/j.cnki.issn.1674-4152.002992
Citation: KE Yanyan, LIU Ni, ZHANG Xiaofeng, PU Ping. Psychological experiences during pregnancy in women of childbearing age with epilepsy: A qualitative study[J]. Chinese Journal of General Practice, 2023, 21(5): 821-824. doi: 10.16766/j.cnki.issn.1674-4152.002992
shu

Psychological experiences during pregnancy in women of childbearing age with epilepsy: A qualitative study

doi: 10.16766/j.cnki.issn.1674-4152.002992

  • Department of Neurosurgery, Second Affiliated Hospital of Army Medical University, Chongqing 400037, China

Funds:

 2019MSXM099

  • Received Date: 2022-09-09
    Abstract
  •   Objective  To understand the actual psychological experiences during pregnancy in women of childbearing age with epilepsy, and to clarify the psychological states during pregnancy in this group of women, to provide a basis for the implementation of physical and mental health management, and to undertake targeted interventions to reduce psychological burdens of pregnancy in this population.  Methods  Female patients with epilepsy who were fertile, had offspring ≤24 months of age and were undergoing long-term follow-up treatment in Department of Neurosurgery, Second Affiliated Hospital of Army Medical University from May to December 2021 were selected for the study. Eight patients were selected by purposive sampling method, semi-structured in-depth interviews were conducted using a phenomenological approach, and Colaizzi ' s seven-step method was applied for data analysis.  Results  Four themes were obtained from the analysis: (1) Having a child due to reproductive stress caused by social and family related factors, such as deep-rooted beliefs about procreation and carrying on the family name, and the beliefs that a family without a child after marriage is an incomplete family, and choosing to have a child due to family and social pressure; (2) Stress caused by lack of knowledge about epilepsy, including antiepileptic drugs, and the impact of epilepsy on their own health and their offspring, which may be associated with an unplanned pregnancy; (3) Stress caused by the impact of pregnancy on the health of their offspring, namely the fear of passing epilepsy to their offspring, and the impact of antiepileptic drugs use on the health of their offspring; (4) Stress caused by the impact of pregnancy on their own health, namely the fear of pregnancy-related exacerbation of epileptic seizures.  Conclusion  Compared with their healthy counterparts, this group of women faces greater psychological stress during pregnancy. To ensure their safety during pregnancy, medical staffs should take steps to provide pregnancy-related health education for epilepsy patients and their families, improve social and family support for the patients, and provide antenatal care to patients according to the causes of their psychological stress during pregnancy.

     

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