Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Surgery A survey of patients' perceptions and experiences of intervention for gallstone disease during pregnancy

Hedström, Jonas LU and Andersson, Bodil LU orcid (2022) In Heliyon 8(11).
Abstract

Background: Gallstones intervention during pregnancy might be a stressful event for both mother and fetus and stress might affect outcome. The aim of this study was to identify factors that might improve the care of pregnant patients in need of intervention for gallstone disease. Methods: By crossmatching the Swedish Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Medical Birth Registry, we identified patients with gallstone intervention during pregnancy. A questionnaire covering patient experience before, during and after surgery and the Beck Depression Inventory II (BDI-II) were distributed. Results: In total, 275 patients subjected to cholecystectomy, endoscopic retrograde... (More)

Background: Gallstones intervention during pregnancy might be a stressful event for both mother and fetus and stress might affect outcome. The aim of this study was to identify factors that might improve the care of pregnant patients in need of intervention for gallstone disease. Methods: By crossmatching the Swedish Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Medical Birth Registry, we identified patients with gallstone intervention during pregnancy. A questionnaire covering patient experience before, during and after surgery and the Beck Depression Inventory II (BDI-II) were distributed. Results: In total, 275 patients subjected to cholecystectomy, endoscopic retrograde cholangiopancreatography (ERCP) or both were identified, and 146 (54%) patients responded. Surgery was in median performed in pregnancy week 16 (12–20), and 62 (42%) patients had symptoms of gallstone disease before pregnancy, with 17 of these patients scheduled for surgery before pregnancy. Thirty-four (24%) patients felt that the information regarding the upcoming surgery was inadequate, with differences comparing patients with overall favorable versus overall non-favorable experiences (103 (89%) vs. 8 (27%) p < 0.001) and similar differences regarding information on disease/symptoms (95 (84%) vs. 12 (43%), p < 0.001). A majority (57%) were very worried about their expected child, and 51% thought that no measures were taken to relieve their worries. Recurring as suggested improvements was more information about the disease and the surgical procedure. Conclusion: Intervention due to gallstone disease during pregnancy is a stressful event that impacts many patients negatively, both before and after surgery. Patient education might positively affect patient experience.

(Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Beck's depression Index-II, Cholecystectomy, Endoscopic retrograde cholangiopancreatography, Experiences, Perceptions, Pregnancy, Questionnaire
in
Heliyon
volume
8
issue
11
article number
e11184
publisher
Elsevier
external identifiers
  • scopus:85141824051
  • pmid:36339762
ISSN
2405-8440
DOI
10.1016/j.heliyon.2022.e11184
language
English
LU publication?
yes
id
3ae1693c-f8d0-4ccb-ab14-d31f6d85a8d7
date added to LUP
2022-12-27 14:09:20
date last changed
2024-05-30 21:19:47
@article{3ae1693c-f8d0-4ccb-ab14-d31f6d85a8d7,
  abstract     = {{<p>Background: Gallstones intervention during pregnancy might be a stressful event for both mother and fetus and stress might affect outcome. The aim of this study was to identify factors that might improve the care of pregnant patients in need of intervention for gallstone disease. Methods: By crossmatching the Swedish Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Medical Birth Registry, we identified patients with gallstone intervention during pregnancy. A questionnaire covering patient experience before, during and after surgery and the Beck Depression Inventory II (BDI-II) were distributed. Results: In total, 275 patients subjected to cholecystectomy, endoscopic retrograde cholangiopancreatography (ERCP) or both were identified, and 146 (54%) patients responded. Surgery was in median performed in pregnancy week 16 (12–20), and 62 (42%) patients had symptoms of gallstone disease before pregnancy, with 17 of these patients scheduled for surgery before pregnancy. Thirty-four (24%) patients felt that the information regarding the upcoming surgery was inadequate, with differences comparing patients with overall favorable versus overall non-favorable experiences (103 (89%) vs. 8 (27%) p &lt; 0.001) and similar differences regarding information on disease/symptoms (95 (84%) vs. 12 (43%), p &lt; 0.001). A majority (57%) were very worried about their expected child, and 51% thought that no measures were taken to relieve their worries. Recurring as suggested improvements was more information about the disease and the surgical procedure. Conclusion: Intervention due to gallstone disease during pregnancy is a stressful event that impacts many patients negatively, both before and after surgery. Patient education might positively affect patient experience.</p>}},
  author       = {{Hedström, Jonas and Andersson, Bodil}},
  issn         = {{2405-8440}},
  keywords     = {{Beck's depression Index-II; Cholecystectomy; Endoscopic retrograde cholangiopancreatography; Experiences; Perceptions; Pregnancy; Questionnaire}},
  language     = {{eng}},
  number       = {{11}},
  publisher    = {{Elsevier}},
  series       = {{Heliyon}},
  title        = {{Surgery A survey of patients' perceptions and experiences of intervention for gallstone disease during pregnancy}},
  url          = {{http://dx.doi.org/10.1016/j.heliyon.2022.e11184}},
  doi          = {{10.1016/j.heliyon.2022.e11184}},
  volume       = {{8}},
  year         = {{2022}},
}