Barriers and facilitators of experiencing pregnancy and motherhood with congenital heart disease: A secondary qualitative analysis

Aims: To explore arid describe perceived factors that favour or hinder the challenges faced by mothers with congenital heart disease during pregnancy and motherhood. Design: A secondary qualitative analysis, according to the interpretative phenomenological analysis approach. Methods: A previous study by Flocco et al., 2020 led us to identify that this population share risks, fear, worries and challenges related to pregnancy. To better understand two a priori themes, barriers and facilitators, we adopted The Standards for Reporting Qualitative Research guidelines, and the processes of credibility, transferability and dependability guaranteed the rigour. Results: The perceived barriers that were identified from the twelve semi-structured interviews were mainly identified in clinical and psychological risks, uncertainty about the future. The main facilitators were identified in positive mental attitude, selfmotivation, trust in support by clinicians and nurses. Conclusion: The study results confirmed two main a priori themes, revealing that CHD women perceive considerable obstacles and figure out facilitators to face the difficulties encountered in their path to become mothers.