Towards understanding the concept of risk for pregnant women: some nursing and midwifery implications.

Abstract:

AIMS AND OBJECTIVES:This paper aims to explore the concept of risk in pregnancy. BACKGROUND:Notions of risk and 'not knowing' have always surrounded pregnant women, although in the last two decades trends of increased consumer confidence and midwifery activism have together promoted a greater appreciation of pregnancy as a normal life event. At the same time, advances in pregnancy-related technologies have contributed new levels of concern related to an increasing ability to detect minor abnormalities by ultrasound. This, in turn, causes a concordant rise in the number of women referred to high-risk pregnancy care to monitor suspect findings. Overall, it seems likely that this increasing emphasis on abnormality detection and risk may have serious implications for women. DESIGN:Concept analysis. METHOD:In this paper, I undertake an exploration of the concept of risk as understood by health professionals and pregnant women. Then, using Deborah Lupton's understanding of a 'discourse of risk', I discuss the ways pregnant women both contribute to and are enmeshed in, this discourse. In the final section, I consider how nurses act informally to shield vulnerable women. CONCLUSIONS:Health professionals and pregnant women understand risk differently. Women employ a subjective appraisal of risk, measuring it against their personal values and prior experience, while health professionals evaluate risk in an objective manner. RELEVANCE TO CLINICAL PRACTICE:As increasing numbers of women are referred to 'at risk' care, it is important that health professionals understand and respond to maternal understandings of risk. Nurses and midwives particularly, have a role to play in assisting women to make sense of risk calculations. In this way, they can act to ameliorate the growing concept of risk for pregnant women.

journal_name

J Clin Nurs

authors

Carolan MC

doi

10.1111/j.1365-2702.2008.02480.x

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

652-8

issue

5

eissn

0962-1067

issn

1365-2702

pii

JCN2480

journal_volume

18

pub_type

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