“Wrapping myself in cotton wool“: Australian women's experience of being diagnosed with vasa praevia

Javid, Nasrin, Sullivan, Elizabeth A., Halliday, Lesley E., Duncombe, Greg and Homer, Caroline S. E. (2014) “Wrapping myself in cotton wool“: Australian women's experience of being diagnosed with vasa praevia. BMC Pregnancy and Childbirth, 14 . doi:10.1186/1471-2393-14-318

Author Javid, Nasrin
Sullivan, Elizabeth A.
Halliday, Lesley E.
Duncombe, Greg
Homer, Caroline S. E.
Title “Wrapping myself in cotton wool“: Australian women's experience of being diagnosed with vasa praevia
Journal name BMC Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2014-09-10
Year available 2014
Sub-type Article (original research)
DOI 10.1186/1471-2393-14-318
Open Access Status DOI
Volume 14
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2015
Language eng
Formatted abstract
Vasa praevia (VP) is an obstetric condition that is associated with significant perinatal mortality and morbidity. Although the incidence of VP is low, it is one of the few causes of perinatal death that can be potentially prevented through detection and appropriate care. The experience of women diagnosed with or suspected to have VP is largely unknown. The aim of this study was to explore the experiences and impact that a diagnosis or suspected diagnosis of VP had on a group of Australian women.

A qualitative study using a descriptive exploratory design was conducted and Australian women diagnosed with VP were recruited via online methods in 2012. An inductive approach was undertaken and interviews were analysed using the stages of thematic analysis.

Of the 14 women interviewed, 11 were diagnosed with VP during pregnancy with 5 subsequently found not to have VP (non-confirmed diagnosis). Three women were diagnosed during childbirth with one neonatal death. Five major themes were identified: feeling like a ticking time bomb; getting diagnosis right; being taken seriously; coping with inconsistent information; and, just a massive relief when it was all over.

This is the first study to describe women’s experience of being diagnosed with or suspected to have VP. The findings from this research reveal the dilemmas these women face even if their baby is ultimately born healthy. Their need for clear and consistent information, sensitive care, support and continuity is evident. Clinicians can use these findings in developing information, counselling and models of care for these women.
Keyword Vasa previa
Vasa praevia
Qualitative research
Caesarean section
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article ID: 14:318

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
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