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Challenges and ways of coping of parturient women with chronic hepatitis B in Ghana during COVID-19 pandemic: a qualitative inquiry.
Lanyo, Theresa Norpeli; Ani-Amponsah, Mary; Adjei, Charles Ampong.
  • Lanyo TN; Women and Children, University of Ghana Medical Centre, Accra, Ghana.
  • Ani-Amponsah M; Department of Maternal and Child Health, University of Ghana School of Nursing, Accra, Ghana.
  • Adjei CA; Department of Public Health Nursing, University of Ghana School of Nursing, Accra, Ghana chadjei@ug.edu.gh.
BMJ Open ; 12(10): e062557, 2022 10 25.
Article in English | MEDLINE | ID: covidwho-2088811
ABSTRACT

OBJECTIVE:

To explore the psychosocial concerns and ways of coping of pregnant women with chronic hepatitis B infection in Ghana.

SETTING:

Participants were selected from public health facilities in the Tema Metropolis.

DESIGN:

Exploratory descriptive qualitative design was employed.

PARTICIPANTS:

Fourteen pregnant women were purposively selected to participate in face-to-face interviews. The data were analysed using the content analysis procedure.

RESULTS:

The participants' psychosocial concerns and coping strategies were diverse. A significant number of the participants were concerned about the impact their hepatitis B seropositivity would have on their relationships, finances, and general well-being. Specifically, they feared that their social network, especially their spouses, would perceive them as having led a promiscuous lifestyle in the past to acquire hepatitis B infection. Also, fear of transmitting the infection to their infants and the effects of the infection on their infants later in life were identified as major concerns by nearly all participants. The participants further reported feelings of distress and diminished self-esteem. These psychosocial afflictions reported were attributed to lack of pre-test counselling during the antenatal care period. However, the participants coped using different strategies, including avoidance/denial, spirituality, and alternative treatment use.

CONCLUSION:

To achieve optimal psychological and social well-being of pregnant women with chronic hepatitis B, it is important that their unique challenges are considered in their care and treatment cascade. Explicitly, protocols for supportive care addressing the specific needs of pregnant women with chronic hepatitis B should be implemented in the study setting.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Hepatitis B, Chronic / COVID-19 / Hepatitis B Type of study: Observational study / Qualitative research Limits: Female / Humans / Pregnancy Country/Region as subject: Africa Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2022-062557

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Hepatitis B, Chronic / COVID-19 / Hepatitis B Type of study: Observational study / Qualitative research Limits: Female / Humans / Pregnancy Country/Region as subject: Africa Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2022-062557