An analysis of online pregnancy message boards: Mother-to-mother advice on medication use

Lisa K Denton; Catherine E Creeley; Brianna Stavola; Kara Hall; Brad D Foltz

doi:10.1016/j.wombi.2018.12.003

An analysis of online pregnancy message boards: Mother-to-mother advice on medication use

Women Birth. 2020 Feb;33(1):e48-e58. doi: 10.1016/j.wombi.2018.12.003. Epub 2018 Dec 10.

Authors

Lisa K Denton¹, Catherine E Creeley², Brianna Stavola³, Kara Hall², Brad D Foltz⁴

Affiliations

¹ Department of Psychology, State University of New York at Fredonia, W357 Thompson Hall, Fredonia NY 14063, United States. Electronic address: lisa.denton@fredonia.edu.
² Department of Psychology, State University of New York at Fredonia, W357 Thompson Hall, Fredonia NY 14063, United States.
³ Department of Sociocultural and Justice Sciences, State University of New York at Fredonia, W363 Thompson Hall, Fredonia NY 14063, United States.
⁴ Department of Athletics, Georgetown University, 37th Street Northwest, Washington, DC 20007, United States.

PMID: 30545755
DOI: 10.1016/j.wombi.2018.12.003

Abstract

Problem and background: Psychotropic medication use is increasingly common among pregnant women. Many women solicit information from other mothers about the safety of these medications for use during pregnancy, yet little is known about the specific advice they receive.

Aim: The purpose of the current study was to examine the type of feedback women receive on a popular internet message board about psychotropic medication use during pregnancy.

Methods: A modified Consensual Qualitative Research approach was used to analyze 1728 comments posted by Babycenter.com users about the safety of the use of six common psychotropic medications during pregnancy. Researchers analyzed the comments for overall themes and core ideas.

Findings: Results found that comments were comprised of six themes: (1) Personal Anecdotes, (2) Suggesting Alternative Solutions, (3) Directives, (4) Judgement, (5) Social Support, (6) Skepticism & Mistrust, and (7) Risks vs. Benefits. While many comments conveyed emotional support, or encouraged women to seek professional advice, others contained inaccurate and/or contradictory information, or harsh criticism.

Conclusion: Given that the decision about the use of medication during pregnancy has implications for the health of the mother and fetus, it is important for care providers to be aware of what feedback women may receive from this source. Providers should address questions and concerns that women have about safety of these medications and recognize how the social context of the internet impacts the emotional health of pregnant women faced with these decisions.

Keywords: Internet; Pregnancy; Psychotropic drugs; Qualitative research; Women.

MeSH terms

Female
Humans
Internet*
Maternal Health
Pregnancy
Pregnant Women / psychology*
Social Learning
Social Media*
Social Support*