"I would never be able to forgive myself if it ended up having consequences for the child": A qualitative study of perceptions of stress and worries among healthy first-time pregnant Danish women

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  • Monica Ladekarl
  • Mie Gaardskjær de Wolff
  • Ellen Aagaard Nøhr
  • Nanna Julie Olsen
  • Ina Olmer Specht
  • Heitmann, Berit
  • Anne Brødsgaard

Background: Becoming a mother is one of the most transitional experiences in life. It requires psychological, physical, and social adjustment and adaptation in various areas and can be conceived as both a stressful and joyful experience by many women. Especially, first-time pregnancies are recognised as a period of emotional sensitivity. Moreover, stress is a well-established risk factor for premature birth and low birth weight and might affect the health of the offspring. Thus, this study explores the perception of stress and worries in healthy Danish pregnant nulliparous women. Methods: We used a qualitative, inductive, exploratory design. Three focus group interviews were conducted with 16 healthy pregnant nulliparous women. Data from the focus group interviews were analysed using content analysis according to Graneheim and Lundman. Findings: Three main categories contributed to the core theme “Identity Limbo”. The categories were: (1) The great responsibility, (2) Imagining picture-perfect, and (3) Two-in-one body. The participants expressed that holding on to their current identity was extremely important. They simultaneously tried to incorporate their new identity as mothers, which imposed sadness about saying goodbye to their old life, leaving them in an identity limbo. These women did not experience classic stressors such as bereavement, poverty, or trauma. Still, the great responsibility for the child's future, changes to their work and career, and saying goodbye to their pre-pregnancy identity were all essential contributors to feelings of stress in the women's current pregnancy and life. Conclusion: Our findings suggest that the identity limbo triggered by pregnancy can make the transition to motherhood stressful for some women. Therefore, with the potentially severe consequences of stress in mind, developing tools that can help women and midwives focus on the mental transition of pregnancy is needed.

OriginalsprogEngelsk
Artikelnummer103421
TidsskriftMidwifery
Vol/bind112
Antal sider9
ISSN0266-6138
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
The research in this article was funded by the Danish foundations TrygFonden, the Aase & Ejnar Danielsen Foundation, the Dagmar Marshall Foundation. The Danish Association of Midwives, Copenhagen University Hospital (Amager Hvidovre Hospital), and the Parker Institute (funded by a core grant from the Oak foundation) also contributed to the funding. However, the foundations did not have any role in the study's design or the writing of the manuscript for publication.

Funding Information:
The research in this article was funded by the Danish foundations TrygFonden, the Aase & Ejnar Danielsen Foundation, the Dagmar Marshall Foundation. The Danish Association of Midwives, Copenhagen University Hospital (Amager Hvidovre Hospital), and the Parker Institute (funded by a core grant from the Oak foundation) also contributed to the funding. However, the foundations did not have any role in the study's design or the writing of the manuscript for publication. The authors thank all the women who participated in this research and kindly and honestly shared their feelings and thoughts. We also thank Birgitta Lind Vilhjalmsdottir, Tilde Priess, and Johanne Gutting for transcribing the FGI.

Publisher Copyright:
© 2022 The Author(s)

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