Symptoms of preterm labor and self-diagnostic confusion

Nurs Res. 1992 Nov-Dec;41(6):367-72.

Abstract

The purpose of this study was to learn how women experiencing preterm labor come to know a health deviation exists, and what they do when faced with such a problem. Grounded theory methodology was used as the research approach. Extensive interviews were conducted with 28 women about their care-seeking experiences with preterm labor. Ambiguous symptoms, absence of a meaningful label to attach to symptoms, and the context of pregnancy with its expected discomforts come together to create a situation of diagnostic confusion. Appropriate action to take in response to the diagnostic confusion is not self-evident. Deliberate and protracted efforts to make sense of and deal with symptoms of preterm labor are attempted. Making sense consists of three subprocesses: comparing, gathering data, and seeking information. Strategies used to deal with the symptoms include self-treating, ignoring, positive thinking, and waiting. Recourse to a professional is used as the strategy of last resort when symptoms can no longer be contained.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Hospitals, Private / statistics & numerical data
  • Hospitals, University / statistics & numerical data
  • Humans
  • Interviews as Topic
  • Obstetric Labor, Premature / diagnosis*
  • Obstetric Labor, Premature / epidemiology
  • Obstetric Labor, Premature / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Pregnancy
  • Psychology, Social
  • Sampling Studies
  • Self Care* / psychology
  • Self Care* / statistics & numerical data
  • Time Factors