skip to main content
research-article
Public Access

Investigating Support Seeking from Peers for Pregnancy in Online Health Communities

Authors Info & Claims
Published:06 December 2017Publication History
Skip Abstract Section

Abstract

We report a study of peer support in online health communities for pregnancy care along three gestational stages (trimesters) to investigate how pregnant women seek and receive peer support during different stages of pregnancy. Using Babycenter.com as our research setting, we found that pregnant women sought peer support due to constrained access to healthcare providers, dissatisfaction with healthcare services/medical advice, limited offline social support, and unavailability of information in other venues. While the particular topics of concern typifying each trimester were distinct, pregnant women consistently sought advice, informal and formal knowledge, reassurance, and emotional support from peers during each stage of pregnancy. BabyCenter.com peers provided support by leveraging their own experiential knowledge and passing along clinical expertise acquired during the course of their own healthcare. We discuss design implications for health services and IT systems that meet pregnant women's temporal and multi-faceted needs during prenatal care.

References

  1. Teresa Almeida, Rob Comber, and Madeline Balaam. 2016. HCI and Intimate Care as an Agenda for Change in Women's Health. In Proc. of CHI 2016, 2599--2611. Google ScholarGoogle ScholarDigital LibraryDigital Library
  2. Babycenter.com. How pregnant am I? Pregnancy by weeks, months, and trimesters. Retrieved March 2, 2017 from https://www.babycenter.com/0_how-pregnant-am-i-pregnancy-by-weeks-months-and-trimesters_10326878.bcGoogle ScholarGoogle Scholar
  3. BabyCenter community team. Welcome to Mommy Mentors - First Trimester! Retrieved April 21, 2017 from https://community.babycenter.com/post/a41818240/welcome_to_mommy_mentors_-_first_trimesterGoogle ScholarGoogle Scholar
  4. Jordan Brigitte. 1997. Authoritative knowledge and its construction. In Childbirth and authoritative knowledge: Cross- cultural perspectives, Robbie E. Davis-Floyd and Carolyn Sargent (eds.). University of California Press, Berkeley, CA, 55--79.Google ScholarGoogle Scholar
  5. H A Cahill. 2001. Male appropriation and medicalization of childbirth: an historical analysis. J. Adv. Nurs. 33, 3 (February 2001), 334-- 42.Google ScholarGoogle ScholarCross RefCross Ref
  6. Josepa Canals, Griselda Esparó, and Joan D Fernández-Ballart. 2002. How anxiety levels during pregnancy are linked to personality dimensions and sociodemographic factors. Pers. Individ. Dif. 33, 2 (2002), 253--259.Google ScholarGoogle ScholarCross RefCross Ref
  7. Claudia Carissoli, Daniela Villani, and Giuseppe Riva. 2016. An Emerging Model of Pregnancy Care: The Introduction of New Technologies in Maternal Wellbeing. In Integrating T echnology in Positive Psychology Practice. IGI Global, 162--192.Google ScholarGoogle Scholar
  8. Martha Cook Carter, Maureen Corry, Suzanne Delbanco, Tina Clark-Samazan Foster, Robert Friedland, Robyn Gabel, Teresa Gipson, R. Rima Jolivet, Elliott Main, Carol Sakala, Penny Simkin, Kathleen Rice Simpson, and Kathleen Rice Simpson. 2010. 2020 Vision for A High-Quality, High-Value Maternity Care System. Women's Heal. Issues 20, 1 (January 2010), S7--S17.Google ScholarGoogle Scholar
  9. C S Carver, M F Scheier, and J K Weintraub. 1989. Assessing coping strategies: a theoretically based approach. J. Pers. Soc. Psychol. 56, 2 (February 1989), 267--83. Retrieved July 2, 2017 from http://www.ncbi.nlm.nih.gov/pubmed/2926629Google ScholarGoogle ScholarCross RefCross Ref
  10. C H Chen, H M Chen, and T H Huang. 1989. Stressors associated with pregnancy as perceived by pregnant women during three trimesters. Gaoxiong Yi Xue Ke Xue Za Zhi 5, 9 (September 1989), 505--9. Retrieved April 9, 2017 from http://www.ncbi.nlm.nih.gov/pubmed/2607562Google ScholarGoogle Scholar
  11. Munmun De Choudhury, Scott Counts, and Eric Horvitz. 2013. Predicting postpartum changes in emotion and behavior via social media. In Proc. of CHI 2013, 3267. Google ScholarGoogle ScholarDigital LibraryDigital Library
  12. Munmun De Choudhury, Scott Counts, Eric J. Horvitz, and Aaron Hoff. 2014. Characterizing and predicting postpartum depression from shared facebook data. In Proc. of CSCW 2014, 626--638. Google ScholarGoogle ScholarDigital LibraryDigital Library
  13. Juliet M. Corbin and Anselm L. Strauss. 2015. Basics of qualitative research : techniques and procedures for developing grounded theory (4th. ed.). SAGE Publications, Inc.Google ScholarGoogle Scholar
  14. Genevieve A Cowie, Sophie Hill, and Priscilla Robinson. 2011. Using an online service for breastfeeding support: what mothers want to discuss. Health Promot. J. Austr. 22, 2 (August 2011), 113--8. Retrieved July 3, 2017 from http://www.ncbi.nlm.nih.gov/pubmed/21819353Google ScholarGoogle ScholarCross RefCross Ref
  15. Robbie. Davis-Floyd. 2003. Birth as an American Rite of Passage. University of California Press.Google ScholarGoogle Scholar
  16. Eugene R Declercq, Carol Sakala, Maureen P Corry, and Sandra Applebaum. 2007. Listening to Mothers II: Report of the Second National U.S. Survey of Women's Childbearing Experiences: Conducted January-February 2006 for Childbirth Connection by Harris Interactive(R) in partnership with Lamaze International. J. Perinat. Educ. 16, 4 (2007), 9--14.Google ScholarGoogle Scholar
  17. Patricia Drentea and Jennifer L. Moren-Cross. 2005. Social capital and social support on the web: the case of an internet mother site. Sociol. Heal. Illn. 27, 7 (November 2005), 920--943.Google ScholarGoogle Scholar
  18. Henrik Enquist and Konrad Tollmar. 2008. The Memory Stone -- A Personal ICT Device in Health Care. In Proc. of NordiCHI 2008, 103--112. Google ScholarGoogle ScholarDigital LibraryDigital Library
  19. Daniel A. Epstein, Nicole B. Lee, Jennifer H. Kang, Elena Agapie, Jessica Schroeder, Laura R. Pina, James Fogarty, Julie A. Kientz, and Sean A. Munson. 2017. Examining Menstrual Tracking to Inform the Design of Personal Informatics Tools. In Proc. of CHI 2017, 6876--6888. Google ScholarGoogle ScholarDigital LibraryDigital Library
  20. Marilyn Evans, Lorie Donelle, and Laurie Hume-Loveland. 2012. Social support and online postpartum depression discussion groups: A content analysis. Patient Educ. Couns. 87, 3 (June 2012), 405--410.Google ScholarGoogle ScholarCross RefCross Ref
  21. Adam Fourney, Ryen W. White, and Eric Horvitz. 2015. Exploring Time-Dependent Concerns about Pregnancy and Childbirth from Search Logs. In Proc. of CHI 2015, 737--746. Google ScholarGoogle ScholarDigital LibraryDigital Library
  22. F. Maxwell Harper, Daphne Raban, Sheizaf Rafaeli, and Joseph A. Konstan. 2008. Predictors of Answer Quality in Online Q&A Sites. In Proc. of CHI 2008, 865--847. Google ScholarGoogle ScholarDigital LibraryDigital Library
  23. Andrea Hartzler and Wanda Pratt. 2011. Managing the Personal Side of Health: How Patient Expertise Differs from the Expertise of Clinicians. J. Med. Internet Res. 13, 3 (August 2011), e62.Google ScholarGoogle ScholarCross RefCross Ref
  24. Jonathan Heron, Thomas G O'Connor, Jonathan Evans, Jean Golding, and Vivette Glover. 2004. The course of anxiety and depression through pregnancy and the postpartum in a community sample. J. Affect. Disord. 80, 1 (2004), 65--73.Google ScholarGoogle ScholarCross RefCross Ref
  25. Bree Holtz, Andrew Smock, and David Reyes-Gastelum. 2015. Connected Motherhood: Social Support for Moms and Moms-to-Be on Facebook. Telemed. e-Health 21, 5 (May 2015), 415--421.Google ScholarGoogle Scholar
  26. Jina Huh and Mark S Ackerman. 2012. Collaborative Help in Chronic Disease Management: Supporting Individualized Problems. In Proc. of CSCW 2012, 853--862. Google ScholarGoogle ScholarDigital LibraryDigital Library
  27. Lisa M. Kopf, Simone Graetzer, and Jina Huh. 2015. Videos influence behavior change measures for voice and speech in individuals with Parkinson's disease. In Proc. of the conference on Wireless Health 2015, 1--7. Google ScholarGoogle ScholarDigital LibraryDigital Library
  28. Pirkko Kouri, Hannele Turunen, Kerttu Tossavainen, and Seppo Saarikoski. 2006. Pregnant Families' Discussions on the Net-From Virtual Connections Toward Real-Life Community. In Journal of Midwifery & Women's Health, 279--283.Google ScholarGoogle Scholar
  29. Klaus. Krippendorff. 2004. Content analysis : an introduction to its methodology (2nd ed.). SAGE Publications.Google ScholarGoogle Scholar
  30. Neha Kumar and Richard J. Anderson. 2015. Mobile Phones for Maternal Health in Rural India. In Proc. of CHI 2015, 427--436. Google ScholarGoogle ScholarDigital LibraryDigital Library
  31. Briege M. Lagan, Marlene Sinclair, and W. George Kernohan. 2011. What Is the Impact of the Internet on Decision-Making in Pregnancy? A Global Study. Birth 38, 4 (December 2011), 336--345.Google ScholarGoogle ScholarCross RefCross Ref
  32. Debra Langan. 2012. Mother in the Middle and Self-care: Just One More Thing to Do. In Mediating Moms: Mothers in Popular Culture, Elizabeth Podnieks (ed.). McGill-Queen's University Press, 268--283.Google ScholarGoogle Scholar
  33. Ellen S. Lazarus. 1994. What Do Women Want?: Issues of Choice, Control, and Class in Pregnancy and Childbirth. Med. Anthropol. Q. 8, 1 (March 1994), 25--46.Google ScholarGoogle ScholarCross RefCross Ref
  34. Antoinette M. Lee, Siu Keung Lam, Stephanie Marie Sze Mun Lau, Catherine Shiu Yin Chong, Hang Wai Chui, and Daniel Yee Tak Fong. 2007. Prevalence, Course, and Risk Factors for Antenatal Anxiety and Depression. Obstet. Gynecol. 110, 5 (November 2007), 1102--1112.Google ScholarGoogle Scholar
  35. Tzu-I Lee, Yih-Harn Chiang, Jiayi Guo, Mu-Tsz Chen, and Yue Chen. 2016. Dot-it: Managing Nausea and Vomiting for A Peaceful Pregnancy with Personal Pattern Exploration. In Proc. of CHI Extended Abstracts 2016, 20--25. Google ScholarGoogle ScholarDigital LibraryDigital Library
  36. Thurmon E. Lockhart, Adam T. Barth, Xiaoyue Zhang, Rahul Songra, Emaad Abdel-Rahman, and John Lach. 2010. Portable, non-invasive fall risk assessment in end stage renal disease patients on hemodialysis. In Proc. of the conference on Wireless Health 2010, 84. Google ScholarGoogle ScholarDigital LibraryDigital Library
  37. John Logie, Joseph Weinberg, F. Maxwell Harper, and Joseph A. Konstan. 2011. Asked and answered: On qualities and quantities of answers in online Q&A sites. In Proc. of the 2011 ICWSM Workshop on the Social Media Web, 24--31. Retrieved July 5, 2017 from https://www.semanticscholar.org/paper/Asked-and-Answered-On-Qualities-and-Quantities-of-Logie- Weinberg/5cd8ce4b86a37c632d5bc788590b3a9484b3df35Google ScholarGoogle Scholar
  38. Deborah Lupton. 1999. Risk and the ontology of pregnant embodiment. In Risk and sociocultural theory: New directions and perspectives, Deborah Lupton (ed.). Cambridge University Press, Cambridge, 59--85.Google ScholarGoogle Scholar
  39. Deborah Lupton. 2012. "Precious cargo": foetal subjects, risk and reproductive citizenship. Crit. Public Health 22, 3 (September 2012), 329--340.Google ScholarGoogle ScholarCross RefCross Ref
  40. Anne Drapkin Lyerly, Lisa M Mitchell, Elizabeth Mitchell Armstrong, Lisa H Harris, Rebecca Kukla, Miriam Kuppermann, and Margaret Olivia Little. Risk and the pregnant body. Hastings Cent. Rep. 39, 6, 34--42.Google ScholarGoogle Scholar
  41. Clare Madge and Henrietta O'Connor. 2006. Parenting gone wired: empowerment of new mothers on the internet? Soc. Cult. Geogr. 7, 2 (April 2006), 199--220.Google ScholarGoogle ScholarCross RefCross Ref
  42. Lena Mamykina, Drashko Nakikj, and Noemie Elhadad. 2015. Collective Sensemaking in Online Health Forums. In Proc. of CHI 2015, 3217--3226. Google ScholarGoogle ScholarDigital LibraryDigital Library
  43. Lena Mamykina, Thomas N. Smyth, Jill P. Dimond, and Krzysztof Z. Gajos. 2016. Learning From the Crowd : Observational Learning in Crowdsourcing Communities. In Proc. of CHI 2016, 2635--2644. Google ScholarGoogle ScholarDigital LibraryDigital Library
  44. Nina Martin and Renee Montagne. 2017. Round Ligament Pain During Pregnancy: Causes, Symptoms, and Treatment. NPR NEWS INVESTIGATIONS. Retrieved July 4, 2017 from http://www.webmd.com/baby/guide/pregnancy-round-ligament-pain#1Google ScholarGoogle Scholar
  45. Zohar Massey, Sharon Schindler Rising, and Jeannette Ickovics. 2006. CenteringPregnancy Group Prenatal Care: Promoting Relationship-Centered Care. J. Obstet. Gynecol. Neonatal Nurs. 35, 2 (March 2006), 286--294.Google ScholarGoogle ScholarCross RefCross Ref
  46. Abby McCormack and Neil S. Coulson. 2007. Individuals with eating disorders and the use of online support groups as a form of social support. Cyberpsychology J. Psychosoc. Res. Cybersp. 3, 2 (2007), article 5.Google ScholarGoogle Scholar
  47. Jenny McLeish and Maggie Redshaw. 2015. Peer support during pregnancy and early parenthood: a qualitative study of models and perceptions. BMC Pregnancy Childbirth 15, 1 (December 2015), 257.Google ScholarGoogle ScholarCross RefCross Ref
  48. D K Midmer. Does family-centered maternity care empower women? The development of the woman-centered childbirth model. Fam. Med. 24, 3, 216--21.Google ScholarGoogle Scholar
  49. Rinchen Pelzang. 2010. Time to learn: understanding patient-centred care. Br. J. Nurs. 19, 14 (July 2010), 912--917.Google ScholarGoogle Scholar
  50. Trevor Perrier, Nicola Dell, Brian DeRenzi, Richard Anderson, John Kinuthia, Jennifer Unger, and Grace John-Stewart. 2015. Engaging Pregnant Women in Kenya with a Hybrid Computer-Human SMS Communication System. In Proc. of CHI 2015, 1429-- 1438. Google ScholarGoogle ScholarDigital LibraryDigital Library
  51. Tamara Peyton, Erika Poole, Madhu Reddy, Jennifer Kraschnewski, and Cynthia Chuang. 2014. "Every pregnancy is different": Designing mHealth interventions for the pregnancy ecology. In Proc. of DIS 2014, 577--586. Google ScholarGoogle ScholarDigital LibraryDigital Library
  52. Kathleen Pine. 2016. The Work of Reuse: Birth Certificate Data and Healthcare Accountability Measurements. In Proc. of iConference 2016.Google ScholarGoogle ScholarCross RefCross Ref
  53. Kathleen H Pine. 2012. Fragmentation and Choreography: Caring for a Patient and a Chart during Childbirth. In Proc. of CSCW 2012, 887--896. Google ScholarGoogle ScholarDigital LibraryDigital Library
  54. Kathleen H. Pine and Melissa Mazmanian. 2014. Institutional Logics of the EMR and the Problem of "Perfect" but Inaccurate Accounts. In Proc. of CSCW 2014, 283--294. Google ScholarGoogle ScholarDigital LibraryDigital Library
  55. Emily Jane Ross. 2015. "I think it's self-preservation": risk perception and secrecy in early pregnancy. Health. Risk Soc. 17, 5--6 (August 2015), 329--348.Google ScholarGoogle ScholarCross RefCross Ref
  56. Barbara Katz Rothman. 1988. Tentative Pregnancy: Prenatal Diagnosis and the Future of Motherhood. Pandora Press, London.Google ScholarGoogle Scholar
  57. Anne H. Salonen, Marja Kaunonen, Päivi Åstedt-Kurki, Anna-Liisa Järvenpää, Hannu Isoaho, and Marja-Terttu Tarkka. 2011. Effectiveness of an internet-based intervention enhancing Finnish parents' parenting satisfaction and parenting self-efficacy during the postpartum period. Midwifery 27, 6 (December 2011), 832--841.Google ScholarGoogle ScholarCross RefCross Ref
  58. Yla R. Tausczik and James W. Pennebaker. 2010. The Psychological Meaning of Words: LIWC and Computerized Text Analysis Methods. J. Lang. Soc. Psychol. 29, 1 (March 2010), 24--54.Google ScholarGoogle ScholarCross RefCross Ref
  59. César Teixeira, Bárbara Figueiredo, Ana Conde, Alexandra Pacheco, and Raquel Costa. 2009. Anxiety and depression during pregnancy in women and men. J. Affect. Disord. 119, 1 (2009), 142--148.Google ScholarGoogle ScholarCross RefCross Ref
  60. The American College of Obstericians and Gynecologists. Ob-Gyns Redefine Meaning of "Term Pregnancy." Retrieved April 1, 2017 from http://www.acog.org/About-ACOG/News-Room/News-Releases/2013/Ob-Gyns-Redefine-Meaning-of-Term-PregnancyGoogle ScholarGoogle Scholar
  61. The Office on Women's Health at the U.S. Department of Health and Human Services. Stages of pregnancy. Retrieved March 1, 2017 from https://www.womenshealth.gov/pregnancy/youre-pregnant-now-what/stages-pregnancyGoogle ScholarGoogle Scholar
  62. C. F. van Uden-Kraan, C. H. C. Drossaert, E. Taal, B. R. Shaw, E. R. Seydel, and M. A. F. J. van de Laar. 2008. Empowering Processes and Outcomes of Participation in Online Support Groups for Patients With Breast Cancer, Arthritis, or Fibromyalgia. Qual. Health Res. 18, 3 (March 2008), 405--417.Google ScholarGoogle ScholarCross RefCross Ref
  63. Joseph B. Walther and Shawn Boyd. 2002. Attraction to computer-mediated social support. In Communication technology and society: Audience adoption and uses, Carolyn A. Lin and David J. Atkin (eds.). Hampton Press, Cresskill, NJ, 153--188.Google ScholarGoogle Scholar
  64. Richard W. Wertz and Dorothy C. Wertz. 1989. Lying-in : A History of Childbirth in America. Yale University Press.Google ScholarGoogle Scholar
  65. Chieh-Lin Wu, Bing-Hsun Wu, Yun-Ting Lin, Pengfei Wang, and Yining Zhou. 2016. Moments A Wearable Device for Early Stage AD Patients to Maintain Their Autonomy. In Proc. of CHI Extended Abstracts 2016, 74--79. Google ScholarGoogle ScholarDigital LibraryDigital Library
  66. Sue Ziebland and Sally Wyke. 2012. Health and Illness in a Connected World: How Might Sharing Experiences on the Internet Affect People's Health? Milbank Q. 90, 2 (June 2012), 219--249. Received April 2017; revised July 2017; accepted August 2017Google ScholarGoogle ScholarCross RefCross Ref

Index Terms

  1. Investigating Support Seeking from Peers for Pregnancy in Online Health Communities

    Recommendations

    Comments

    Login options

    Check if you have access through your login credentials or your institution to get full access on this article.

    Sign in

    Full Access

    PDF Format

    View or Download as a PDF file.

    PDF

    eReader

    View online with eReader.

    eReader