SynthesisPloS one2021
Perceptions of risk in pregnancy with chronic disease: A systematic review and thematic synthesis.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Pregnancy planning health information and service needs of women with chronic non-communicable conditions: a systematic review and narrative synthesis.BMC pregnancy and childbirth · 2022Pooled it
- The effect of individual education and care provided in living spaces to pregnant women in the earthquake region on prenatal distress, risk perception, and labour anxiety.BMC pregnancy and childbirth · 2025Trial
- Knowledge, attitudes, and needs concerning fertility and preconceptional health in Germany-insights from a pilot survey.Wiener medizinische Wochenschrift (1946) · 2026Article
- Vegetable intake is associated with lower psychological stress via increased anti-inflammatory responses in pregnant women with chronic diseases.Brain, behavior, & immunity - health · 2025Article
- Regression model of fear of childbirth in pregnant women.BMC public health · 2025Article
- Significant kidney disease in pregnancy: Feasibility and outcomes of a national population-based study using the Australasian Maternity Outcomes Surveillance System.The Australian & New Zealand journal of obstetrics & gynaecology · 2025Article
- Kidney disease and reproductive health.Nature reviews. Nephrology · 2025Review
- First Balkan Brief Illness Perception Questionnaire (IPQ-B) among high-risk pregnancies.PloS one · 2025Article
- Late pregnancy in women with renal transplants: A multidisciplinary guide.Obstetric medicine · 2024Review
- Perceptions of diabetes distress during pregnancy in women with type 1 and type 2 diabetes: a qualitative interpretive description study.BMC pregnancy and childbirth · 2024Article
- Associations between Prepartum and Postpartum Maternal Symptoms of Depression, Anxiety and Stress Related to COVID-19 Pandemic and Childhood Sensory Avoidance: Results from Conception Study.Children (Basel, Switzerland) · 2024Article
- Freedom for some, but not for Mum: the reproductive injustice associated with pandemic 'Freedom Day' for perinatal women in the United Kingdom.Frontiers in public health · 2024Article
- Sociodemographic and clinical predictors for COVID-19 preventive measures compliance among pregnant women in Saudi Arabia: a multicenter study.BMC infectious diseases · 2023Article
- Supporting reproductive health among birthing persons with chronic conditions in the United States: A qualitative multilevel study using systems thinking to inform action.Health services research · 2023Article
- A blueprint for a new model of sexual and reproductive health care in subspecialty medicine.Health services research · 2023Article
- Parenthood With Kidney Failure: Answering Questions Patients Ask About Pregnancy.Kidney international reports · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWomen with chronic disease are at increased risk of adverse pregnancy outcomes. Pregnancies which pose higher risk, often require increased medical supervision and intervention. How women perceive their pregnancy risk and its impact on health behaviour is poorly understood. The aim of this systematic review of qualitative literature is to evaluate risk perceptions of pregnancy in women with chronic disease.
methodsEleven electronic databases including grey literature were systematically searched for qualitative studies published in English which reported on pregnancy, risk perception and chronic disease. Full texts were reviewed by two researchers, independently. Quality was assessed using the Critical Appraisal Skills Programme Qualitative checklist and data were synthesised using a thematic synthesis approach. The analysis used all text under the findings or results section from each included paper as data. The protocol was registered with PROSPERO.
resultsEight studies were included in the review. Three themes with sub-themes were constructed from the analysis including: Information Synthesis (Sub-themes: Risk to Self and Risk to Baby), Psychosocial Factors (Sub-themes: Emotional Response, Self-efficacy, Healthcare Relationship), and Impact on Behaviour (Sub-themes: Perceived Risk and Objective Risk). Themes fitted within an overarching concept of Balancing Act. The themes together inter-relate to understand how women with chronic disease perceive their risk in pregnancy.
conclusionsWomen's pregnancy-related behaviour and engagement with healthcare services appear to be influenced by their perception of pregnancy risk. Women with chronic disease have risk perceptions which are highly individualised. Assessment and communication of women's pregnancy risk should consider their own understanding and perception of risk. Different chronic diseases introduce diverse pregnancy risks and further research is needed to understand women's risk perceptions in specific chronic diseases.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.