The experience of pregnant women with a diagnosis of fetal lower urinary tract obstruction (LUTO)

Denny, E. and Quinlan-Jones, E. and Bibila, S. and Kilby, M. (2014) The experience of pregnant women with a diagnosis of fetal lower urinary tract obstruction (LUTO). Midwifery, 30 (6). pp. 636-642. ISSN 02666138 (ISSN)

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Abstract

Objective: to gain insight into the experiences and perspectives of pregnant women diagnosed antenatally with fetal lower urinary tract obstruction (LUTO) participating in an interventional fetal medicine randomised controlled trial (RCT). Design: a qualitative study using semi-structured interviews. Interviews were analysed using Riessman's narrative analysis. Setting: fetal medicine clinics within the United Kingdom National Health Service (NHS). Participants: five pregnant women who were recruited as part of an RCT and two additional women who were recruited after the trial was terminated before completion. Findings: three themes were identified and form the basis of this article: the use of technology in pregnancy, the loss of a normal pregnancy, and decision making in uncertainty. Implications and conclusions: undertaking qualitative research within an RCT can illuminate the experience of the condition being studied. Women's experience of a pregnancy where LUTO was diagnosed in the fetus entailed an emotional journey following the visualisation of the abnormality through the use of routine ultrasound screening. Women tried to make sense of the diagnosis in order to make the best, albeit less than ideal, decisions for themselves, their baby, and their family. Midwives are in a good position to support women through the emotional distress of diagnosis and to help them negotiate the uncertain terrain in which they make decisions. © 2013 Elsevier Ltd.

Item Type:	Article
Identification Number:	10.1016/j.midw.2013.10.023
Dates:	Date Event June 2014 Published
Uncontrolled Keywords:	Antenatal diagnosis, Decision making, Ultrasound scanning, Women's experiences
Subjects:	CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions:	Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) Faculty of Health, Education and Life Sciences > College of Nursing and Midwifery
Depositing User:	Yasser Nawaz
Date Deposited:	09 Jan 2017 10:08
Last Modified:	03 Mar 2022 17:15
URI:	https://www.open-access.bcu.ac.uk/id/eprint/1987

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