Informational needs related to aspirin prophylactic therapy amongst
pregnant women at risk of preeclampsia -- a qualitative study.
Introduction Despite being key to reducing the occurrence of
pre-eclampsia in high risk women, adherence to aspirin prophylaxis is
low, reflecting multifactorial challenges faced by pregnant women. It is
therefore important to understand the barriers and facilitators of
aspirin adherence in pregnancy. This sub-analysis of a qualitative study
conducted to better understand barriers and facilitators of aspirin
adherence describes informational needs related to aspirin use in
pregnancy. Methods Fourteen postnatal women from North-East of England,
who declared various levels of non-adherence to aspirin (0–5/7
prescribed) were interviewed using The Theoretical Domains Framework as
a guide. A thematic framework analysis of semi-structured interviews was
used. Results Several sub-themes were identified within the
“Knowledge” domain: a) Active vs passive approach, b) Partners seeking
knowledge, c) Sources of information, d) Preferred format of
information. Not all women actively seek information; some choose not to
pursue it as they find thinking of hypothetical risks disturbing.
Although partners seek information about risks and risk reduction
strategies, they are often not included in conversations with health
care professionals. When information is accessed women use a wide range
of informational resources from scientific articles and national
services (e.g. NHS) website to social media sources and word-of-mouth.
Women admit that reading leaflets can be difficult, preferring to
receive information in interactive ways. Conclusion New interactive and
accessible informational resources are needed to engage pregnant women
and their partners in aspirin prophylactic therapy.