Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions.

摘要: Women with chronic medical conditions are at increased risk for pregnancy-related complications, yet little research has addressed how women diabetes, hypertension, and obesity perceive their pregnancy-associated risks or make reproductive health decisions. Focus groups were conducted 72 non-pregnant stratified by condition (diabetes, obesity) previous live birth. Participants discussed intention future pregnancy, preconception optimization, perceived of adverse pregnancy outcomes, contraceptive beliefs. Four major themes identified, some variation across parity: (1) Knowledge about related to was limited; (2) Pregnancy intentions affected diabetes (3) optimizing (4) Lack control over ability avoid unintended including limited knowledge might affect choices. but not obesity, generally aware often expressed less as a result. However, diabetic hypertensive had the specific complications they for, even among those who previously experienced complications. Neither nor ensured intent engage in promotion. We observed deficits well lack promotion planning. These findings have important implications development care conditions.