p regnancy experiences and perceived social support among pregnant women in poor rural romania
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PREGNANCY EXPERIENCES AND PERCEIVED SOCIAL SUPPORT AMONG PREGNANT WOMEN IN POOR RURAL ROMANIA
A Photovoice Pilot Study
VU University Amsterdam:
Marijn Voorhaar
Center for Health Policy and Public Health, Babeş-Bolyai University, Cluj-Napoca, Romania:
Dumitrela NegurăAlexandra BrînzaniucEmanuela Marton-VasarhelyiIoana Cazan
In this presentation:
Introduction Methods:
Photovoice Focus groups
Results Discussion Conclusion Acknowledgements Questions
Introduction
Life changes and psychological adjustments1
1Da Costa et al., 1999
Transition to motherhood2
2Modh et al., 2011
Hormonal swings3
3Glazier et al., 2004
Stress and anxiety4
4Da Costa et al.., 1999
Worries and concerns about pregnancy4
Relationship difficulties4
Postpartum depression2
Introduction
Possible consequences of anxiety anddepression during pregnancy4:
Complications during pregnancy and/or birth Low birth weight Poor neonatal status Prematurity
4Da Costa et al.., 1999
Introduction
By taking the pregnant women’s experiences seriously, a postpartum depression might be prevented5
Importance of sharing experiences of pregnancy with other pregnant women6
Connectedness with other future mothers and sharing the feeling of both joy and suffering is considered meaningful7
5Lundgren, 2002 6Bondas & Eriksson, 2001 7Callister, 2004
Introduction
It is hypothesized that social support has a positive effect on psychological and emotional well-being of pregnant women by buffering the impact of life stress.
Little research has been done to examine social support during pregnancy and the pregnancy experiences of women in poor rural communities.
Introduction: Romania
67% of the total poor population in Romania lives in rural settings.
Need for qualitative research: explore and conceptualize pregnancy experiences and role of social support.
This study is the first study that aims to provide insights into pregnancy experiences and perceived social support among pregnant women in poor rural communities in Romania.
Photovoice method
Introduction: Research question
How do pregnant women in poor rural Romania
experience their pregnancy and how do they perceive
social support?
Methods: the participants
N = 8
N = 9
Methods: Photovoice
Photovoice (Wang & Burris, 1994)
High value on the power of visual images Everyday realities Own interpretation Participants are experts
Methods: Data collection
METHODS: DATA COLLECTION
MEETING I: PHOTOVOICE ASSIGNMENT
Pregnancy experiences: Positive Negative Feelings about pregnancy
Social support: Perceived social support Forms Sources
Written informed consent Instructions disposable camera
Meeting I Aghireşu
Meeting I Aghireşu: portraits
Methods: Data collection
Meeting II
Collection of cameras
Methods: Data collection
Meeting III: Focus group
“First round”
Exchange photographs
Pile sorting exercise
SHOWED: What do you See here? What is really Happening here? How does this relate to Our lives? Why do these issues exist? How can we become Empowered by our new social understandings? What can we Do about it?
Meeting III: Pile sorting exercise
Meeting III: SHOWED
Meeting III: Evaluation
Methods: Data analysis
Content analysis: photographs
Thematic analysis: group interviews
Concept mapping: represent identified themes
Results (preliminary)
Pregnancy positive experience
Main sources social support: Children (group Cojocna) Husband (group Aghireşu)
Need for support groups
Evaluation Photovoice project “We were glad we could communicate with other pregnant women.” “Here we were able to share our troubles.”
Discussion
Differences between Cojocna and Aghireşu groups:
Ethnicity: Roma & Romanian
Interaction during sessions
Sharing experiences
However: both groups would participate again
Conclusion
Photovoice encouraged the participants to share their pregnancy experiences and to describe their social support networks.
Sharing experiences and worries with other pregnant women could be an important form of social support during pregnancy.
Support groups for poor pregnant women living in rural areas could contribute to a better insight in the needs of these women.
Acknowledgements
Participants, family physicians, mediator
Research Team:
Dumitrela Negură, MA
Alexandra Brînzaniuc, MA
Emanuela Marton-Vasarhelyi, MA
Ioana Cazan, BA
Supervisors:
Răzvan Cherecheş, MD PhD, executive director CHPPH
Anne Belonje, MD PhD, lecturer International Public Health, Athena Institute
Advisor:
Vincent O'Brien, Professor of International Health and Visual
Ethnography, The University of Cumbria
Questions
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