Investigating Women’s Experiences of Asthma Care in Pregnancy: A Qualitative Study



Chervonne Chamberlain 1, Graham R Williamson*, 2, Beatrice Knight 1, Mark Daly 1, David M.G Halpin 1
1 Royal Devon and Exeter Hospital NHS Foundation Trust, Barrack Rd, Exeter, EX25DW, UK
2 School of Nursing and Midwifery, Plymouth University, Plymouth, PL48AA, UK


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© Chamberlain et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the School of Nursing and Midwifery, Plymouth University, Plymouth, PL48AA, UK; Tel: 01752587476; E-mail: gwilliamson@plymouth.ac.uk


Abstract

Background : Most asthmatic women have normal pregnancies and complications are infrequent when their asthma is well-controlled. Symptom control and medical treatment are concerning to pregnant asthma suffers, as is the impact that their illness and treatment might have on their unborn baby. The aim was to investigate in a qualitative study the thoughts and feelings of women’s experiences of asthma in pregnancy. Twenty-two women with asthma who had a pregnancy within two years were asked to participate. Seven women were interviewed when data saturation was achieved. Interviews were transcribed and analysed using the ‘Framework’ Method, independently analysed by two researchers and consensus reached concerning the construction of themes.

The key themes that emerged were Asthma and pregnancy; Pregnancy and post-natal experiences; and Health professionals.

These findings are globally interesting because of the prevalence of maternal asthma and they illustrate participants’ experiences concerning their asthma care and their views on its improvement. Pregnant asthmatic women have concerns about their care and treatment which might be alleviated by outreach, joint working between respiratory doctors and nurse specialists, midwives and General Practice nurses. Targeted educational activities could form a part of this care delivery.

Keywords: Asthma, interviews, midwife, nurse, pregnancy, qualitative research..