title: 'It's something you have to put up with'--service users' experiences of in utero transfer: a qualitative study.
abstract: OBJECTIVE
  The purpose of this study was to gain in-depth insight and enhance understanding of service users' experiences of the in utero transfer (IUT) process, in order to inform policy and improve the current service provision of maternal care.
  
  
  METHODS
  Qualitative descriptive study using semi-structured interviews.
  
  
  METHODS
  Participant's home or hospital in the Midlands, UK.
  
  
  METHODS
  Fifteen women transferred in utero to a tertiary level maternity hospital; five male partners and two grandmothers.
  
  
  METHODS
  Audio-recorded individual or paired semi-structured interviews transcribed verbatum and analysed thematically using nvivo 9.
  
  
  METHODS
  Facilitators and barriers of the IUT experience.
  
  
  RESULTS
  Findings suggest that IUT is an emotional experience that financially disadvantages patients and their families. Male partners were perceived to be most negatively affected by the experience. The quality of the IUT experience was influenced by a range of factors, including the lack of proximity to home and the lack of information. Patients had little knowledge or awareness of IUT, and most felt unprepared for displacement. Despite this, there was resigned acceptance that IUT was a necessary rather than adverse experience.
  
  
  CONCLUSIONS
  The experience of IUT for service users could be enhanced by ensuring that they are better informed about the process and the circumstances that necessitate displacement, that they are better informed about the hospital to which they are being transferred, and that they are transferred as close to home as possible. Efforts to minimise the emotional and socio-economic impact of IUT on women and their families also need to be considered.
authors.affiliation: Centre for Public Health, Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UK.
authors.forename: L
authors.initials: L
authors.lastname: Porcellato
authors.affiliation: Maternity Centre, Royal Stoke University Hospital, Stoke on Trent, UK.
authors.forename: G
authors.initials: G
authors.lastname: Masson
authors.affiliation: Maternity Centre, Royal Stoke University Hospital, Stoke on Trent, UK.
authors.forename: F
authors.initials: F
authors.lastname: O'Mahony
authors.affiliation: Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton, UK.
authors.forename: S
authors.initials: S
authors.lastname: Jenkinson
authors.affiliation: Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton, UK.
authors.forename: T
authors.initials: T
authors.lastname: Vanner
authors.affiliation: Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton, UK.
authors.forename: K
authors.initials: K
authors.lastname: Cheshire
authors.affiliation: Maternity Centre, Royal Stoke University Hospital, Stoke on Trent, UK.
authors.forename: E
authors.initials: E
authors.lastname: Perkins
mesh_terms: D000293:Adolescent; D000328:Adult; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D000068097:Maternal Health; D008427:Maternal Health Services; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D010360:Patient Transfer; D011247:Pregnancy; D036301:Qualitative Research; D055815:Young Adult
keywords: Experiences; families; in utero transfer; qualitative research