Exploring uncertainty in first pregnancy

Abstract

A qualitative study was conducted to explore the phenomenon of uncertainty in women experiencing a first uncomplicated pregnancy. Ten subjects, three from each of the first two pregnancy trimesters and four from the third pregnancy trimester, comprised the sample. Subjects ranged in age from 19 years to 30 years and lived in a southwestern city. Interviews were conducted in the subjects' homes or in the researcher's office over a four month period. Constant comparative analysis of data permitted the researcher to elicit specific uncertainties by trimester and the meaning of uncertainty to women involved in a normal change process. Implications for nursing highlight the need to provide continuity of care from office to hospital and within the hospital environment itself. Providing support by functioning as a mediator between the physician and the patient, nurses could contribute to the pregnant woman's positive perception of her experience. In addition to traditional third trimester childbirth education, classes for first and second trimester women are recommended.