Japanese Midwives’ Perceptions of Goal Setting with Hospitalized Women with Pregnancy Complications: A Qualitative Descriptive Study

Abstract

Background: Midwives aid hospitalized women with pregnancy complications in setting pregnancy duration goals for maternal and fetal well-being. However, there is little research regarding midwives’ views on goal setting among inpatients with pregnancy complications. Objective: This study examined how Japanese midwives perceive the significance of goal setting among women hospitalized for pregnancy complications. Methods: This qualitative descriptive study was conducted at five tertiary perinatal centers in Mie Prefecture, Japan, from January 2019 to June 2020. Data were collected through purposive sampling using semi-structured, one-on-one interviews with Japanese midwives experienced in antenatal care for high-risk pregnant women. Qualitative content analysis was used to analyze the data. Results: Thirteen midwives participated in this study. According to the data analysis, goal setting is significant in four ways: (a) relieving psychological distress among pregnant women, (b) helping pregnant women think positively about their efforts to continue the pregnancy, (c) promoting the transition to motherhood, and (d) contributing to the effective care of pregnant women. Conclusion: This study indicates midwives’ recognition that goal setting positively contributes to the psychosocial status of hospitalized pregnant women and the care provided to them. These results suggest that midwives support pregnant women in goal setting by considering their current situation and future mother–child relationships.