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"It's something you have to put up with' - service users' experiences of in utero transfer: a qualitative study

Porcellato, LA, Masson, G, O'Mahony, F, Jenkinson, S, Vanner, T, Cheshire, K and Perkins, E (2015) "It's something you have to put up with' - service users' experiences of in utero transfer: a qualitative study. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 122 (13). pp. 1825-1832. ISSN 1470-0328

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Abstract

Objective
The purpose of this study was to gain in-depth insight and enhance understanding of service users’ experiences of the in utero transfer (IUT) process, in order to inform policy and improve the current service provision of maternal care.

Design
Qualitative descriptive study using semi-structured interviews.

Setting
Participant's home or hospital in the Midlands, UK.

Population
Fifteen women transferred in utero to a tertiary level maternity hospital; five male partners and two grandmothers.

Methods
Audio-recorded individual or paired semi-structured interviews transcribed verbatum and analysed thematically using nvivo 9.

Main outcome measures
Facilitators and barriers of the IUT experience.

Results
Findings suggest that IUT is an emotional experience that financially disadvantages patients and their families. Male partners were perceived to be most negatively affected by the experience. The quality of the IUT experience was influenced by a range of factors, including the lack of proximity to home and the lack of information. Patients had little knowledge or awareness of IUT, and most felt unprepared for displacement. Despite this, there was resigned acceptance that IUT was a necessary rather than adverse experience.

Conclusions
The experience of IUT for service users could be enhanced by ensuring that they are better informed about the process and the circumstances that necessitate displacement, that they are better informed about the hospital to which they are being transferred, and that they are transferred as close to home as possible. Efforts to minimise the emotional and socio-economic impact of IUT on women and their families also need to be considered.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Porcellato L, Masson G, O'Mahony F, Jenkinson S, Vanner T, Cheshire K, Perkins E. ‘It's something you have to put up with’—service users’ experiences of in utero transfer: a qualitative study. BJOG 2015;122:1825–1832., which has been published in final form at http://dx.doi.org/10.1111/1471-0528.13235. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
Uncontrolled Keywords: 11 Medical And Health Sciences
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RG Gynecology and obstetrics
Divisions: Public Health Institute
Publisher: WILEY-BLACKWELL
Related URLs:
Date Deposited: 14 Mar 2018 16:24
Last Modified: 14 Mar 2018 16:24
DOI or Identification number: 10.1111/1471-0528.13235
URI: http://researchonline.ljmu.ac.uk/id/eprint/8299

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