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Table 3 The categories and subcategories of the attributes, antecedents, and consequences of the concept of well-being in HRP

From: Well-being in high-risk pregnancy: an integrative review

Subcategories

Categories

Components

Well-being as an abstract concept; Well-being as a multidimensional concept; Well-being and health as intertwined concepts

Well-being as a multidimensional and complex concept

The attributes of well-being in HRP

Successful control of physiologic parameters; Successful control of physical health conditions

Controlled physical conditions

Anxiety; Depression; Stress; Satisfaction with the present conditions; Satisfaction with laboratory tests; No feeling of loneliness; Feeling guilty at adverse pregnancy outcomes; Feeling of vitality; and Feeling of hope

Controlled mood, emotions, and affections

Fear over adverse pregnancy outcomes; Uncertainty over pregnancy outcomes; Concern over adverse pregnancy outcomes; and perceiving danger

Perceived threat

Feeling of self-efficacy; Behavioral response to pregnancy; Damages to maternal roles

Self-efficacy and competence for multiple role performance

Maintaining positive social interactions; Maintaining positive relationships with spouse and others

Maintained social relationships

Spiritual components of well-being in HRP; Spiritual well-being and health as intertwined concepts

Meaning seeking and relationship with the Creator

Personal characteristics; Social position; Financial security

Personal and socioeconomic characteristics

The antecedents of well-being in HRP

Physical suffering as a predictor of well-being; Tension due to pregnancy-related physical symptoms; Hospitalization-related functional limitation

Physical tensions

Access to health services; Easy intake of health services; Appropriateness of health services; Free and informed choice of health services

Availability and perceived quality of health services

History of psychological disorders; History of negative life events; Personal competence; Pregnancy wantedness

Psychological context

Mental, emotional, and legal support; Informational support; Relationship with a successful peer model

Social support

Friendly relationships with spouse and others; Empathetic interactions with spouse; Empathetic interactions with nurses and midwives

Interpersonal relationships

Coping strategies to have good feelings; Health-promoting behaviors

Coping strategies

Spiritual beliefs; Engagement in religious rituals

Spirituality and religiosity

Well-being as a facilitator to the achievement of physical health; Mood improvement; Anxiety reduction; Mental health improvement

Maternal health

The consequences of well-being in HRP

Poor maternal well-being as a factor which negatively affects maternal image of the fetus as a real person; Mother-fetus emotional belongingness

Mother-fetus emotional attachment

Adverse pregnancy outcome in case of poor well-being; Premature delivery in case of poor well-being

Success in pregnancy

Fetus’s physical and behavioral responses; Fetus’s hormonal, nervous, and epigenetic changes; Fetal well-being as a reflection of maternal well-being

Fetal well-being

Neonatal physical outcomes; Hormonal and nervous changes during infancy and childhood; Neuromotor outcomes during infancy and childhood; Behavioral outcomes during infancy, childhood, and adolescence; Changes in growth and development

Outcomes related to child’s future