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Termination of wanted pregnancy and suicidal ideation in hyperemesis gravidarum: A mixed methods study

2021; SAGE Publishing; Volume: 15; Issue: 3 Linguagem: Inglês

10.1177/1753495x211040926

1753-4968

Melanie Nana, Florence Tydeman, Georgie Bevan, Harriet Boulding, Kimberley Kavanagh, Caitlin Dean, Catherine Williamson,

Pharmacological Effects and Toxicity Studies

Background Difficulty accessing medication and poor patient experience have been implicated as risk factors for termination of pregnancy and suicidal ideation in women with hyperemesis gravidarum. We aimed to gain further insight into these factors in order to further inform and improve patient care. Methods We performed a sub-analysis on quantitative data generated through a UK-wide survey of 5071 participants. A qualitative analysis of free text comments was performed using an inductive thematic approach. Results 41.2% % of women taking prescribed medications had to actively request them. ‘Extremely poor’ or ‘poor’ experiences were described in 39.4% and 30.0% of participants in primary and secondary care respectively. Protective factors for termination of pregnancy and suicidal ideation include holistic support from family, friends and healthcare providers. Conclusion Optimal care in hyperemesis gravidarum should incorporate timely access to pharmacotherapy, assessment of mental health, consideration of referral to specialist services and care being delivered in a compassionate manner.