Core Outcome Measures in Effectiveness Trials

Patient Preferences and Experiences in Hyperemesis Gravidarum Treatment: A Qualitative Study

General Information

Abstract:
Introduction: Hyperemesis gravidarum (HG) medical therapies are currently of limited effect, which creates a larger role for patient preferences in the way HG care is arranged. This is the first study using in-depth interviews to investigate patients' preferences and experiences of HG treatment. Materials and Methods: We conducted individual in-depth interviews among women who had been hospitalized for HG in North Holland at least once in the past 4 years. We asked them about their experiences, preferences, and suggestions for improvement regarding the HG treatment they received. The sample size was determined by reaching data saturation. Themes were identified from analysis of the interview transcripts. Results and Discussion: 13 women were interviewed. Interviewees emphasized the importance of early recognition of the severity of HG, increasing caregivers' knowledge on HG, early medical intervention, and nasogastric tube feeding. They valued a single room in hospital, discussion of treatment options, more possibilities of home-treatment, psychological support during HG and after childbirth, and more uniform information and policies regarding HG treatment. Conclusion: Further research is needed to establish whether the suggestions can lead to more (cost) effective care and improve the course of HG and outcomes for HG patients and their children.

Authors:
van Vliet, R. Bink, M. Polman, J. Suntharan, A. Grooten, I. Zwolsman, S. E. Roseboom, T. J. Painter, R. C.

Publication

Journal:
J Pregnancy
Volume:
2018
Issue:
Pages:
5378502 -
Year:
2018
DOI:
Further Study Information

Date:
Funding source(s):

Health Area

Disease Category
Pregnancy & childbirth

Disease Name
Hyperemesis gravidarum

Target Population

Age Range
-

Sex
Female


Nature / type of Intervention
Unknown

Method(s)

Interview

Stakeholders Involved

Service users

Study Type

Patient perspectives

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