PMID- 28775187
OWN - NLM
STAT- MEDLINE
DCOM- 20180503
LR  - 20190202
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 7
IP  - 8
DP  - 2017 Aug 3
TI  - A qualitative study of pregnancy-related anxiety among women in Tanzania.
PG  - e016072
LID - 10.1136/bmjopen-2017-016072 [doi]
LID - e016072
AB  - OBJECTIVES: To explore and understand the experiences and priorities of pregnant 
      women living with fears and worries related to fetal/infant and maternal health, 
      the birthing process and ability to parent the infant (ie, pregnancy-related 
      anxiety (PRA)) in Mwanza, Tanzania. DESIGN: Descriptive phenomenological 
      approach. SETTING: Two clinics in the Ilemela and Nyamagana districts of Mwanza. 
      PARTICIPANTS: Pregnant and postpartum women who obtained high scores on a PRA 
      scale during pregnancy in a larger quantitative study were contacted to 
      participate in an interview (10 women, aged 18-34 years; 3 HIV positive). 
      MEASURES: Semi-structured interviews were undertaken, with guiding questions 
      related to the women's experience during pregnancy. The Colaizzi method was used 
      with transcripts that had been translated and back translated from Swahili to 
      English and then hand-coded by the interviewer, with independent review by 
      another researcher to verify the analysis. RESULTS: PRA, as experienced by women 
      in Mwanza, was a state of worry and concern, often causing physical symptoms, and 
      disrupting personal sense of peace. While some themes in the women's experiences 
      reflected the domains examined in the PRA scale used to identify potential 
      participants, others such as lack of knowledge, partner relationship, 
      interactions with the healthcare system, spirituality and fear of HIV/AIDS were 
      otherwise missing. Their prominence in the participants' stories broadens our 
      understanding of PRA. CONCLUSIONS: The realities and viewpoints of women in 
      low-income and middle-income countries (LMIC) experiencing PRA are still 
      relatively unknown. The findings from this study provided much-needed insight 
      into the perspectives and priorities of women in Mwanza who have experienced PRA 
      and further support the need to explore this phenomenon in other LMIC. The 
      additional domains identified reinforce the need for a PRA tool that accurately 
      and adequately capture the complexities of PRA for women in this region.
CI  - (c) Article author(s) (or their employer(s) unless otherwise stated in the text of 
      the article) 2017. All rights reserved. No commercial use is permitted unless 
      otherwise expressly granted.
FAU - Rosario, Melanie King
AU  - Rosario MK
AD  - Faculty of Nursing, University of Calgary, Calgary, Canada.
FAU - Premji, Shahirose Sadrudin
AU  - Premji SS
AUID- ORCID: 0000-0003-0323-8009
AD  - Faculty of Nursing, University of Calgary, Calgary, Canada.
AD  - Community Health Sciences, Cumming School of Medicine, University of Calgary, 
      Calgary, Canada.
FAU - Nyanza, Elias Charles
AU  - Nyanza EC
AD  - Community Health Sciences, Cumming School of Medicine, University of Calgary, 
      Calgary, Canada.
AD  - School of Public Health, Catholic University of Health and Allied Sciences, 
      Mwanza, Tanzania.
FAU - Bouchal, Shelley Raffin
AU  - Bouchal SR
AD  - Faculty of Nursing, University of Calgary, Calgary, Canada.
FAU - Este, David
AU  - Este D
AD  - Faculty of Social Work, University of Calgary, Calgary, Canada.
LA  - eng
PT  - Journal Article
DEP - 20170803
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Anxiety
MH  - Anxiety Disorders/*complications
MH  - Developing Countries
MH  - *Fear
MH  - Female
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Postpartum Period
MH  - Pregnancy
MH  - Pregnancy Complications/*psychology
MH  - Pregnant Women/*psychology
MH  - Professional-Patient Relations
MH  - Qualitative Research
MH  - Sexual Partners
MH  - Spirituality
MH  - Surveys and Questionnaires
MH  - Tanzania
MH  - Young Adult
PMC - PMC5629724
OTO - NOTNLM
OT  - anxiety
OT  - global health
OT  - pregnancy
OT  - pregnancy-related anxiety
OT  - women's health
COIS- Competing interests: None declared.
EDAT- 2017/08/05 06:00
MHDA- 2018/05/04 06:00
PMCR- 2017/08/03
CRDT- 2017/08/05 06:00
PHST- 2017/08/05 06:00 [entrez]
PHST- 2017/08/05 06:00 [pubmed]
PHST- 2018/05/04 06:00 [medline]
PHST- 2017/08/03 00:00 [pmc-release]
AID - bmjopen-2017-016072 [pii]
AID - 10.1136/bmjopen-2017-016072 [doi]
PST - epublish
SO  - BMJ Open. 2017 Aug 3;7(8):e016072. doi: 10.1136/bmjopen-2017-016072.