Women’s experiences of high-risk pregnancy care in resource constrained Cape Town communities

Abstract

Background: The ‘high-risk’ classification during pregnancy leads to constant monitoring and frequent interactions with healthcare professionals, making it crucial for healthcare providers to show compassion.

Aim: The study aimed to describe how women diagnosed with a high-risk pregnancy experienced their pregnancies as well as their interactions with the government healthcare system in Cape Town.

Setting: The study was carried out using the Zoom digital platform and telephone. Participants lived in Cape Town neighbourhoods that are traditionally referred to as townships.

Methods: A qualitative exploratory research design was used in the study. Nine women over 18 years old, diagnosed as having had a high-risk pregnancy and had given birth within 2 years were purposively selected. Open-ended questions were utilised, and data were interpreted using a thematic analysis.

Results: Four main themes with 10 sub-themes emerged. The main themes included: ‘Being labelled as high-risk’, ‘locus of control’, ‘fear’ and ‘hospitalisation’.

Conclusion: The study revealed that the psychological requirements of women diagnosed with high-risk pregnancy are not always met by the healthcare system. Fear experienced by women emerged from the high-risk label itself, and the amplification of the risk status by clinicians.

Contribution: Through the lens of expectant mothers utilising government healthcare services in Cape Town, the study gives insight into pregnant women’s experiences. This insight provides opportunities for healthcare providers to re-consider and incorporate some interventions that could assist women.