Better together: A qualitative exploration of women's perceptions and experiences of group antenatal care.
Antenatal care
Group care
Models of care
Pregnancy
Women’s experiences
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
01
03
2018
revised:
09
09
2018
accepted:
09
09
2018
pubmed:
27
9
2018
medline:
5
11
2019
entrez:
27
9
2018
Statut:
ppublish
Résumé
Childbearing women from socio-economically disadvantaged communities and minority ethnic groups are less likely to access antenatal care and experience more adverse pregnancy outcomes. Group antenatal care aims to facilitate information sharing and social support. It is associated with higher rates of attendance and improved health outcomes. To assess the acceptability of a bespoke model of group antenatal care (Pregnancy Circles) in an inner city community in England, understand how the model affects women's experiences of pregnancy and antenatal care, and inform further development and testing of the model. A two-stage qualitative study comprising focus groups with twenty six local women, followed by the implementation of four Pregnancy Circles attended by twenty four women, which were evaluated using observations, focus groups and semi-structured interviews with participants. Data were analysed thematically. Pregnancy Circles offered an appealing alternative to standard antenatal care and functioned as an instrument of empowerment, mediated through increased learning and knowledge sharing, active participation in care and peer and professional relationship building. Multiparous women and women from diverse cultures sharing their experiences during Circle sessions was particularly valued. Participants had mixed views about including partners in the sessions. Group antenatal care, in the form of Pregnancy Circles, is acceptable to women and appears to enhance their experiences of pregnancy. Further work needs to be done both to test the findings in larger, quantitative studies and to find a model of care that is acceptable to women and their partners.
Sections du résumé
PROBLEM
OBJECTIVE
Childbearing women from socio-economically disadvantaged communities and minority ethnic groups are less likely to access antenatal care and experience more adverse pregnancy outcomes.
BACKGROUND
BACKGROUND
Group antenatal care aims to facilitate information sharing and social support. It is associated with higher rates of attendance and improved health outcomes.
AIMS
OBJECTIVE
To assess the acceptability of a bespoke model of group antenatal care (Pregnancy Circles) in an inner city community in England, understand how the model affects women's experiences of pregnancy and antenatal care, and inform further development and testing of the model.
METHODS
METHODS
A two-stage qualitative study comprising focus groups with twenty six local women, followed by the implementation of four Pregnancy Circles attended by twenty four women, which were evaluated using observations, focus groups and semi-structured interviews with participants. Data were analysed thematically.
FINDINGS
RESULTS
Pregnancy Circles offered an appealing alternative to standard antenatal care and functioned as an instrument of empowerment, mediated through increased learning and knowledge sharing, active participation in care and peer and professional relationship building. Multiparous women and women from diverse cultures sharing their experiences during Circle sessions was particularly valued. Participants had mixed views about including partners in the sessions.
CONCLUSIONS
CONCLUSIONS
Group antenatal care, in the form of Pregnancy Circles, is acceptable to women and appears to enhance their experiences of pregnancy. Further work needs to be done both to test the findings in larger, quantitative studies and to find a model of care that is acceptable to women and their partners.
Identifiants
pubmed: 30253938
pii: S1871-5192(18)30119-7
doi: 10.1016/j.wombi.2018.09.001
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
336-345Subventions
Organisme : Department of Health
ID : RP-PG-1211-20015
Pays : United Kingdom
Informations de copyright
Copyright © 2018 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.