{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:52:21Z","timestamp":1772232741282,"version":"3.50.1"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. esc. enferm. USP"],"abstract":"<jats:p>ABSTRACT  Objective: To construct a substantive theory about the meanings attributed to the experience of pregnancy by women with Systemic Lupus Erythematosus.  Methods: Qualitative study using Symbolic Interactionism as a theoretical framework, and Grounded Theory, a constructivist approach, as a methodological framework. Data collection took place between January and August 2022 through in-depth interviews, which were video and audio-recorded and carried out remotely. The theoretical sample consisted of 27 participants, distributed into four sample groups.  Results: From constant comparative analysis the central phenomenon was constructed: Understanding reproductive planning as the key to the gestational process in Systemic Lupus Erythematosus, consisting of two categories, which show divergent experiences and meanings based on whether or not the pregnancy was planned.  Conclusion: Personal interaction with the phenomenon, based or not on the \u201cpillars\u201d of reproductive planning, and social interaction with the multidisciplinary health team reflect on the way the woman perceives, behaves, and gives meaning to pregnancy. Thus, it is reiterated that reproductive planning is considered the key to gestational outcome in SLE.<\/jats:p>","DOI":"10.1590\/1980-220x-reeusp-2024-0413en","type":"journal-article","created":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T14:02:19Z","timestamp":1751983339000},"source":"Crossref","is-referenced-by-count":0,"title":["Meanings attributed to pregnancy by women with Systemic Lupus Erythematosus: a grounded theory"],"prefix":"10.1590","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6501-3249","authenticated-orcid":false,"given":"Rebeca Rosa de","family":"Souza","sequence":"first","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2290-8418","authenticated-orcid":false,"given":"Mayckel da Silva","family":"Barreto","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6835-0574","authenticated-orcid":false,"given":"Elen Ferraz","family":"Teston","sequence":"additional","affiliation":[{"name":"Universidade Federal do Mato Grosso do Sul,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1194-3261","authenticated-orcid":false,"given":"Monika","family":"Wernet","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Carlos,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8540-1369","authenticated-orcid":false,"given":"Maria Eduarda Pascoaloto da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-6684","authenticated-orcid":false,"given":"Alexandrina Maria Ramos","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6607-362X","authenticated-orcid":false,"given":"Sonia Silva","family":"Marcon","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Paran\u00e1,  Brazil"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s12955-019-1132-y","article-title":"Living with systemic lupus erythematosus in South Africa: a bitter pill to swallow","volume":"17","author":"Phuti A","year":"2019","journal-title":"Health Qual Life Outcomes"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"102715","DOI":"10.1016\/j.midw.2020.102715","article-title":"Perceptions of women with systemic lupus erythematosus undergoing high-risk prenatal care: a qualitative study","volume":"87","author":"Rodrigues L","year":"2020","journal-title":"Midwifery"},{"issue":"1","key":"ref3","first-page":"120","article-title":"Experiences of Iranian female patients with systemic lupus erythematosus: a qualitative study","volume":"36","author":"Moghadam ZB","year":"2021","journal-title":"Arch Rheumatol"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1055\/s-0038-1625951","article-title":"A critical review on obstetric follow-up of women affected by systemic Lupus Erythematosus","volume":"40","author":"Pastore DEA","year":"2018","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1177\/0961203319877247","article-title":"Systemic lupus erythematosus and pregnancy : the challenge of improving antenatal care and outcomes","volume":"28","author":"Pastore DEA","year":"2019","journal-title":"Lupus"},{"issue":"4","key":"ref6","first-page":"843","article-title":"Marcadores S\u00e9ricos para Trombofilia em Gestantes com L\u00fapus Eritematoso Sist\u00eamico","volume":"17","author":"Oliveira VM","year":"2017","journal-title":"Rev Bras Sa\u00fade Matern Infant"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1007\/s13224-019-01212-8","article-title":"Systemic Lupus Erythematosus and Pregnancy: a brief review","volume":"69","author":"Dalal DS","year":"2019","journal-title":"J Obstet Gynaecol India"},{"issue":"22","key":"ref8","doi-asserted-by":"crossref","first-page":"3800","DOI":"10.12998\/wjcc.v7.i22.3800","article-title":"Pre-eclampsia with new-onset systemic lupus erythematosus during pregnancy: a case report","volume":"7","author":"Huang PZ","year":"2019","journal-title":"World J Clin Cases"},{"issue":"2","key":"ref9","first-page":"237","article-title":"A import\u00e2ncia do pr\u00e9-natal de gestante com L\u00fapus Eritematoso Sist\u00eamico","volume":"4","author":"Joaquim ADS","year":"2020","journal-title":"Fac Sant\u201dAna em Revista"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"e20200210","DOI":"10.1590\/1980-265x-tce-2020-0210","article-title":"Duality of living with systemic lupus erythematosus: fluctuating between \u201cgood days\u201d and \u201cbad days\u201d","volume":"30","author":"Souza RR","year":"2021","journal-title":"Texto Contexto Enferm"},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1136\/annrheumdis-2017-212535","article-title":"Effect of pregnancy on disease flares in patients with systemic lupus erythematosus","volume":"77","author":"Eudy AM","year":"2018","journal-title":"Ann Rheum Dis"},{"issue":"10","key":"ref12","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1055\/s-0038-1672136","article-title":"Systemic Lupus Erythematosus and Pregnancy: a single-center observational study of 69 pregnancies","volume":"40","author":"Naseri EP","year":"2018","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s41927-018-0029-4","article-title":"Identifying the unmet information and support needs of women with autoimmune rheumatic diseases during pregnancy planning, pregnancy and early parenting: mixed-methods study","volume":"2","author":"Phillips R","year":"2018","journal-title":"BMC Rheumatol"},{"key":"ref14","series-title":"A natureza do Interacionismo Simb\u00f3lico","first-page":"16","volume-title":"Teoria da comunica\u00e7\u00e3o: textos b\u00e1sicos","author":"Blumer H","year":"1980"},{"key":"ref15","series-title":"On social psychology","author":"Mead GH","year":"1977"},{"key":"ref16","series-title":"Constru\u00e7\u00e3o da teoria fundamentada: guia pr\u00e1tico para an\u00e1lise qualitativa","author":"Charmaz KA","year":"2009"},{"issue":"6","key":"ref17","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong A","year":"2007","journal-title":"Int J Qual Health Care"},{"key":"ref18","first-page":"2413637","article-title":"Fetal and Maternal Outcomes of Planned Pregnancy in Patients with Systemic Lupus Erythematosus: a retrospective multicenter study","volume":"1","author":"Chen D","year":"2018","journal-title":"J Immunol Res"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"e000400","DOI":"10.1136\/lupus-2020-000400","article-title":"Outcomes of pregnancy and associated factors in sub-Saharan African women with systemic lupus erythematosus: a scoping review","volume":"7","author":"Essouma M","year":"2020","journal-title":"Lupus Sci Med"},{"issue":"4","key":"ref20","first-page":"3131","article-title":"Case report: patient with antiphospholipid syndrome secondary to rheumatic fever and systemic lupus erythematosus and the role of primary health care in palliative care in rare diseases","volume":"2","author":"Amarante MV","year":"2019","journal-title":"Braz J Hea Rev"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"e59895","DOI":"10.4025\/ciencuidsaude.v21i0.59895","article-title":"Perfil de gestantes institucionalizadas da regi\u00e3o noroeste do Paran\u00e1","volume":"21","author":"Tonon MM","year":"2022","journal-title":"Cien Cuid Saude"},{"issue":"15","key":"ref22","doi-asserted-by":"crossref","first-page":"e509101522922","DOI":"10.33448\/rsd-v10i15.22922","article-title":"Os fatotes condicionantes ao pr\u00e9-natal de alto risco: revis\u00e3o integrativa","volume":"10","author":"Silva EM","year":"2021","journal-title":"Res Soc Dev"}],"container-title":["Revista da Escola de Enfermagem da USP"],"original-title":["Significados atribu\u00eddos \u00e0 gesta\u00e7\u00e3o por mulheres com L\u00fapus Eritematoso Sist\u00eamico: uma teoria fundamentada nos dados"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0080-62342025000100442&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T14:02:23Z","timestamp":1751983343000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0080-62342025000100442&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":22,"alternative-id":["S0080-62342025000100442"],"URL":"https:\/\/doi.org\/10.1590\/1980-220x-reeusp-2024-0413en","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-220x-reeusp-2024-0413pt","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-220x-reeusp-2024-0413es","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-220x-reeusp-2024-0413pt","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1980-220x-reeusp-2024-0413es","asserted-by":"object"}]},"ISSN":["1980-220X","0080-6234"],"issn-type":[{"value":"1980-220X","type":"electronic"},{"value":"0080-6234","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20240413"}}