Journal List > Korean J Women Health Nurs > v.24(2) > 1100174

Korean J Women Health Nurs. 2018 Jun;24(2):196-208. Korean.
Published online June 20, 2018.
© 2018 Korean Society of Women Health Nursing
Health-care Needs of High-risk Pregnant Women Hospitalized in Maternal-Fetal Intensive Care Units: A Mixed-methods Design
Hyunjin Kim,1 and Horan Park2
1Samsung Medical Center, Seoul, Korea.
2College of Nursing, The Catholic University of Korea, Seoul, Korea.

Corresponding author: Park, Horan. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea. Tel: +82-2-2258-7406, Fax: +82-2-2258-7772, Email:
Received April 23, 2018; Revised May 27, 2018; Accepted June 03, 2018.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU).


mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing.


The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes.


Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

Keywords: Needs assessment; Healthcare; Pregnancy; High risk; Prenatal care


Table 1
Differences in Pregnancy and Childbirth Health Care Needs according to General and Obstetric Characteristics of High-risk Pregnant Women in Maternal-Fetal Intensive Care Unit (N=78)
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Table 2
Pregnancy and Childbirth Health Care Needs of Hospitalized High-Risk Pregnant Women in Maternal-Fetal Intensive Care Unit (N=78)
Click for larger imageClick for full tableDownload as Excel file

Table 3
General Characteristics of Interviewees (N=10)
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Summary Statement

▪ What is already known about this topic?

High-risk pregnant women require education to address problems arising from the lack of prenatal care.

▪ What this paper adds?

This paper provides basic data about the use of health-education content and development of programs for high-risk pregnant women.

▪ Implications for practice, education and/or policy

The study highlights the necessity for stress management and personalized health education for hospitalized high-risk pregnant women. Educational efforts should prioritize pre-admission health care and dealing with neonatal emergencies.

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Hyunjin Kim

Horan Park

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