Women's experience of severe early onset preeclampsia : a hermeneutic analysis : this thesis is submitted to Auckland University of Technology in partial fulfillment of the degree of Master of Health Science (Midwifery), 2005 / Joyce Cowan ; supervisors: Liz Smythe, Marion Hunter.

Preeclampsia is a complex, baffling and unpredictable syndrome. The condition affects the lives of approximately one in every twenty pregnant women. Most cases are mild but some are serious enough to threaten the life of mother and baby. Medical research has yet to identify a cause, and the search f...

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Bibliographic Details
Main Author: Cowan, Joyce (Author)
Corporate Author: Auckland University of Technology. Faculty of Health Studies
Format: Ethesis
Language:English
Subjects:
Online Access:Click here to access this resource online

MARC

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008 150305s2005 nz omb 000 0 eng d
035 |a (OCoLC)244294302 
040 |a ATU  |b eng  |c ATU  |e rda 
082 0 4 |a 618.36132  |2 22 
100 1 |a Cowan, Joyce,  |e author. 
245 1 0 |a Women's experience of severe early onset preeclampsia :  |b a hermeneutic analysis : this thesis is submitted to Auckland University of Technology in partial fulfillment of the degree of Master of Health Science (Midwifery), 2005 /  |c Joyce Cowan ; supervisors: Liz Smythe, Marion Hunter. 
264 0 |c [2005] 
300 |a 1 online resource 
336 |a text  |b txt  |2 rdacontent 
337 |a computer  |b c  |2 rdamedia 
338 |a online resource  |b cr  |2 rdacarrier 
347 |a PDF  |c 1.456 Mb  |3 Thesis 
502 |a Thesis  |b MHSc  |c Auckland University of Technology  |d 2005. 
504 |a Includes bibliographical references. 
516 |a Text (PDF file (155 pages, 1.456 Mb)) 
520 3 |a Preeclampsia is a complex, baffling and unpredictable syndrome. The condition affects the lives of approximately one in every twenty pregnant women. Most cases are mild but some are serious enough to threaten the life of mother and baby. Medical research has yet to identify a cause, and the search for a cure continues. Delivery remains the only method of resolving this dangerous complication of pregnancy and may need to be effected before the foetus has become mature enough to avoid the risks associated with preterm birth. Women's experience of preeclampsia has received little attention in midwifery and obstetric literature. This hermeneutic phenomenological study has been designed to answer the question "What is women's experience with preeclampsia before 34 weeks of gestation?" Eight women who had experienced severe preeclampsia were interviewed. Their narratives are analyzed to uncover the meaning of the lived experience of preeclampsia from diagnosis to postpartum recovery. Three data chapters reveal some of the ways that preeclampsia reveals itself as the disease progresses. The findings of this study indicate that there are many atypical presentations of preeclampsia and that sometimes early "showing" goes unrecognized. The woman may in fact feel better as the disease progresses. Late diagnosis leaves the woman and her family shocked and may compromise foetal and maternal safety. Having preeclampsia changes the reality of pregnancy and early parenting for a woman. Emotional consequences are significant and include an increased risk of post-traumatic stress disorder. The unpredictable manner in which preeclampsia first "shows itself" is analyzed in the first data chapter and the following two chapters explore the way in which a woman's life may be thrown out of control by diagnosis and management of the disease. Paradoxically, women with severe preeclampsia often lose continuity of care with their midwife at a time when they most need the support of a familiar and trusted professional. Provision of continuity creates a challenge for the midwife when the woman's care is taken over by secondary services. Innovative ideas to enhance the safety and holistic quality of care for women with preeclampsia are discussed. 
520 8 |a Author supplied keywords: Preeclampsia; Midwifery; Nursing. 
530 |a Also held in print (ix, 146 leaves, 30 cm) (T 618.36132 COW) in off-campus storage, box 28 
650 0 |a Preeclampsia.  |9 327661 
650 0 |a Midwifery.  |9 328593 
700 1 |a Smythe, Liz,  |e degree supervisor. 
700 1 |a Hunter, Marion,  |e degree supervisor.  |9 1052058 
710 2 |a Auckland University of Technology.  |b Faculty of Health Studies.  |9 243821 
710 2 |a Auckland University of Technology,  |e degree granting institution.  |9 331914 
856 4 0 |u http://hdl.handle.net/10292/260  |z Click here to access this resource online 
907 |a .b27844274  |b 20-08-20  |c 27-02-20 
942 |c ET 
998 |a none  |b 27-02-20  |c m  |d s   |e -  |f eng  |g nz   |h 0 
999 |c 1543253  |d 1543253 
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