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Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study

Denitza Williams Orcid Logo, Bethan Pell, Aimee Grant Orcid Logo, Julia Sanders, Ann Taylor, Adrian Edwards, Ernest Choy, Rhiannon Phillips

PLOS ONE, Volume: 17, Issue: 11, Start page: e0263910

Swansea University Author: Aimee Grant Orcid Logo

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DOI (Published version): 10.1371/journal.pone.0263910

Abstract

ObjectiveWomen of reproductive age who have autoimmune rheumatic diseases [ARDs] have expressed a need to be better supported with making decisions about pregnancy. Women with ARDs want their motherhood identities and associated preferences to be taken into account in decisions about their healthcar...

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Published in: PLOS ONE
ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62104
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last_indexed 2023-01-13T19:23:20Z
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The aim of this study was to explore the interplay between illness and motherhood identities of women with ARDs during preconception decision making.MethodsTimeline-facilitated qualitative interviews with women diagnosed with an ARD [18&#x2013;49 years old]. Participants were purposively sampled based on the following three criteria: thinking about getting pregnant, currently pregnant, or had young children. Interviews were thematically analysed.ResultsTwenty-two women were interviewed face-to-face [N = 6] or over the telephone [N = 16]. Interview length ranged from 20 minutes to 70 minutes, with a mean length of 48 minutes. Three main themes were identified: prioritisation, discrepancy, and trade-off. Difficulties in balancing multiple identities in healthcare encounters were reported. Women used &#x2018;self-guides&#x2019; as a reference for priority setting in a dynamic process that shifted as their level of disease activity altered and as their motherhood identity became more or less of a focus at a given point in time. Women&#x2019;s illness and motherhood identities did not present in isolation but were intertwined.ConclusionsFindings highlight the need for holistic person-centred care that supports women with the complex and emotive decisions relating to preconception decision-making. In practice, health professionals need to consider women&#x2019;s multiple and sometimes conflicting identities, and include both their condition and family associated goals and values within healthcare communication.</abstract><type>Journal Article</type><journal>PLOS ONE</journal><volume>17</volume><journalNumber>11</journalNumber><paginationStart>e0263910</paginationStart><paginationEnd/><publisher>Public Library of Science (PLoS)</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1932-6203</issnElectronic><keywords/><publishedDay>4</publishedDay><publishedMonth>11</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-11-04</publishedDate><doi>10.1371/journal.pone.0263910</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>Wellcome Trust</funders><projectreference/><lastEdited>2023-01-09T17:34:15.3100329</lastEdited><Created>2022-12-01T17:57:42.1914193</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>Denitza</firstname><surname>Williams</surname><orcid>0000-0002-2874-9270</orcid><order>1</order></author><author><firstname>Bethan</firstname><surname>Pell</surname><order>2</order></author><author><firstname>Aimee</firstname><surname>Grant</surname><orcid>0000-0001-7205-5869</orcid><order>3</order></author><author><firstname>Julia</firstname><surname>Sanders</surname><order>4</order></author><author><firstname>Ann</firstname><surname>Taylor</surname><order>5</order></author><author><firstname>Adrian</firstname><surname>Edwards</surname><order>6</order></author><author><firstname>Ernest</firstname><surname>Choy</surname><order>7</order></author><author><firstname>Rhiannon</firstname><surname>Phillips</surname><order>8</order></author></authors><documents><document><filename>62104__25982__2c57176003974a36b761663fbde7ad2a.pdf</filename><originalFilename>journal.pone.0263910.pdf</originalFilename><uploaded>2022-12-01T18:02:50.3737849</uploaded><type>Output</type><contentLength>488676</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2022 Williams et al. 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spelling 2023-01-09T17:34:15.3100329 v2 62104 2022-12-01 Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study 6a1ce3bc54c692c804e858b70d2e4bd2 0000-0001-7205-5869 Aimee Grant Aimee Grant true false 2022-12-01 HSOC ObjectiveWomen of reproductive age who have autoimmune rheumatic diseases [ARDs] have expressed a need to be better supported with making decisions about pregnancy. Women with ARDs want their motherhood identities and associated preferences to be taken into account in decisions about their healthcare. The aim of this study was to explore the interplay between illness and motherhood identities of women with ARDs during preconception decision making.MethodsTimeline-facilitated qualitative interviews with women diagnosed with an ARD [18–49 years old]. Participants were purposively sampled based on the following three criteria: thinking about getting pregnant, currently pregnant, or had young children. Interviews were thematically analysed.ResultsTwenty-two women were interviewed face-to-face [N = 6] or over the telephone [N = 16]. Interview length ranged from 20 minutes to 70 minutes, with a mean length of 48 minutes. Three main themes were identified: prioritisation, discrepancy, and trade-off. Difficulties in balancing multiple identities in healthcare encounters were reported. Women used ‘self-guides’ as a reference for priority setting in a dynamic process that shifted as their level of disease activity altered and as their motherhood identity became more or less of a focus at a given point in time. Women’s illness and motherhood identities did not present in isolation but were intertwined.ConclusionsFindings highlight the need for holistic person-centred care that supports women with the complex and emotive decisions relating to preconception decision-making. In practice, health professionals need to consider women’s multiple and sometimes conflicting identities, and include both their condition and family associated goals and values within healthcare communication. Journal Article PLOS ONE 17 11 e0263910 Public Library of Science (PLoS) 1932-6203 4 11 2022 2022-11-04 10.1371/journal.pone.0263910 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee Wellcome Trust 2023-01-09T17:34:15.3100329 2022-12-01T17:57:42.1914193 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Denitza Williams 0000-0002-2874-9270 1 Bethan Pell 2 Aimee Grant 0000-0001-7205-5869 3 Julia Sanders 4 Ann Taylor 5 Adrian Edwards 6 Ernest Choy 7 Rhiannon Phillips 8 62104__25982__2c57176003974a36b761663fbde7ad2a.pdf journal.pone.0263910.pdf 2022-12-01T18:02:50.3737849 Output 488676 application/pdf Version of Record true © 2022 Williams et al. This is an open access article distributed under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
spellingShingle Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
Aimee Grant
title_short Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
title_full Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
title_fullStr Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
title_full_unstemmed Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
title_sort Identities of women who have an autoimmune rheumatic disease [ARD] during pregnancy planning, pregnancy and early parenting: A qualitative study
author_id_str_mv 6a1ce3bc54c692c804e858b70d2e4bd2
author_id_fullname_str_mv 6a1ce3bc54c692c804e858b70d2e4bd2_***_Aimee Grant
author Aimee Grant
author2 Denitza Williams
Bethan Pell
Aimee Grant
Julia Sanders
Ann Taylor
Adrian Edwards
Ernest Choy
Rhiannon Phillips
format Journal article
container_title PLOS ONE
container_volume 17
container_issue 11
container_start_page e0263910
publishDate 2022
institution Swansea University
issn 1932-6203
doi_str_mv 10.1371/journal.pone.0263910
publisher Public Library of Science (PLoS)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
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description ObjectiveWomen of reproductive age who have autoimmune rheumatic diseases [ARDs] have expressed a need to be better supported with making decisions about pregnancy. Women with ARDs want their motherhood identities and associated preferences to be taken into account in decisions about their healthcare. The aim of this study was to explore the interplay between illness and motherhood identities of women with ARDs during preconception decision making.MethodsTimeline-facilitated qualitative interviews with women diagnosed with an ARD [18–49 years old]. Participants were purposively sampled based on the following three criteria: thinking about getting pregnant, currently pregnant, or had young children. Interviews were thematically analysed.ResultsTwenty-two women were interviewed face-to-face [N = 6] or over the telephone [N = 16]. Interview length ranged from 20 minutes to 70 minutes, with a mean length of 48 minutes. Three main themes were identified: prioritisation, discrepancy, and trade-off. Difficulties in balancing multiple identities in healthcare encounters were reported. Women used ‘self-guides’ as a reference for priority setting in a dynamic process that shifted as their level of disease activity altered and as their motherhood identity became more or less of a focus at a given point in time. Women’s illness and motherhood identities did not present in isolation but were intertwined.ConclusionsFindings highlight the need for holistic person-centred care that supports women with the complex and emotive decisions relating to preconception decision-making. In practice, health professionals need to consider women’s multiple and sometimes conflicting identities, and include both their condition and family associated goals and values within healthcare communication.
published_date 2022-11-04T14:21:03Z
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