Abstract
BackgroundA prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in HRP, there is no clear definition for it. This study aimed to explore the concept of well-being in HRP.MethodsThis integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance to well-being in HRP. The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute. Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in HRP.ResultsThirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. The four unique dimensions of well-being in HRP are physical, mental-emotional, social, and spiritual well-being. These dimensions differentiate well-being in HRP from well-being in low-risk pregnancy and in non-pregnancy conditions.ConclusionAs a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components.
Highlights
A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable
The main questions of the present study were: “How can the concept of well-being in HRP be clearly defined?” “How is the concept of well-being in HRP defined in different disciplines and communities?” and “What are the uses of the concept of well-being in HRP in the literature?”
The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute (JBI)
Summary
A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Pregnancy is a critical period in women’s lives because pregnant women experience different physical, mental, and social changes. Ineffective coping with such changes cause them serious problems [1]. A qualitative study showed that besides medical problems, women with HRP experience behavioral, affective, and emotional problems as well as problems in personal and familial role performance. They are at risk for sociocultural and financial strains and uncontrollable feelings such as uncertainty, concern, and insecurity [4]. HRP threatens women’s well-being [4, 6]
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