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Concealed pregnancy: a concept analysis.

Sylvia Murphy Tighe1, Joan G Lalor1

  • 1School of Nursing & Midwifery, Trinity College Dublin, Ireland.

Journal of Advanced Nursing
|September 16, 2015
PubMed
Summary
This summary is machine-generated.

Concealed pregnancy involves secrecy and avoidance, potentially leading to severe maternal and neonatal health risks. Understanding its attributes is key for identifying at-risk women in maternity care.

Keywords:
concealed pregnancyconcept analysisdenied pregnancymidwivesneonaticidenurses

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Area of Science:

  • Maternal Health
  • Obstetrics
  • Nursing Research

Background:

  • Concealed pregnancy poses significant risks of maternal and neonatal morbidity and mortality.
  • Existing literature often views concealed pregnancy through a biomedical lens, leading to definitional confusion with denied pregnancy.
  • A clear understanding of concealed pregnancy is crucial for effective maternity care.

Purpose of the Study:

  • To perform a concept analysis of concealed pregnancy using Walker and Avant's framework.
  • To examine the attributes, characteristics, and uses of concealed pregnancy within maternity care.
  • To clarify the concept of concealed pregnancy and its implications.

Main Methods:

  • Systematic literature search across five bibliographic databases (1960-2014).
  • Application of Walker and Avant's concept analysis framework.
  • Thematic analysis to identify critical characteristics of concealed pregnancy.

Main Results:

  • Concealed pregnancy is conceptualized as a process characterized by secrecy, hiding, and avoidance.
  • Critical attributes include 'daytime story,' 'staying away,' and 'avoidance.'
  • Failure to access healthcare due to concealment can result in adverse maternal and neonatal outcomes; antecedents, attributes, and consequences were identified.

Conclusions:

  • Understanding the concept, antecedents, attributes, and consequences of concealed pregnancy aids in identifying at-risk women.
  • Further research is needed on coping styles and psychosocial processes in women who conceal or reveal pregnancies.
  • This analysis highlights the need for improved risk identification strategies in maternity services.