General introduction and outline of this thesis 17 Outline Figure 1.1 displays the outline of this thesis, which navigates from a quantitative, to a semi-qualitative, and finally to an in-depth qualitative methodology. Figure 1.1 - How the studies built upon previous work: navigating between quantitative, semi-qualitative, and qualitative methodologies To portray an understanding of the international prevalence of UPs amongst women with psychiatric vulnerabilities, we started Part I of this thesis with a systematic review and meta-analysis (Chapter 2). Experiences with family planning and unintended pregnancies were collected in an explorative, nationwide patient questionnaire in Chapter 3. To fill the research gaps defined by the systematic review and meta-analysis, we investigated retrospective cohort data from a large, multiethnic, obstetric cohort with Development of interview guide Recruitment participants from explorative survey Validation of findings in two larger samples Inspiration interview guide based on surveys Validation of findings in Dutch hospital population Systematic review & meta-analysis MoMentUM cohort study Explorative survey MIND panel Focus groups Survey MHPs & second survey MIND panel In-depth interviews Quantitative work Semi-quantitative work Qualitative work Chapter 2 Psychiatric vulnerability and the risk for unintended pregnancies, a systematic review and meta-analysis Chapter 4 Pregnancy intention in relation to maternal and neonatal outcomes in women with versus without psychiatric diagnoses Chapter 3 Experiences with family planning amongst persons with mental health problems: a nationwide patient survey Chapter 6 Family planning decisionmaking in relation to psychiatric disorders in women: a qualitative focus group study Chapter 8 The conversation about family planning and desire for children in mental healthcare: patients’ perspective versus professionals’ perspective in a mixed methods study Chapter 7 Exploring narratives on unintended pregnancies amongst women with psychiatric disorders using interpretative phenomenological analysis Chapter 5 Neonatal admission after lithium use in pregnant women with bipolar disorders: a retrospective cohort study
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