Midwives' experiences of using the Mindfetalness method when talking with pregnant women about fetal movements.


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:
Sep 2021
Historique:
received: 08 05 2020
revised: 09 10 2020
accepted: 09 10 2020
pubmed: 15 12 2020
medline: 25 8 2021
entrez: 14 12 2020
Statut: ppublish

Résumé

Information given to pregnant women about fetal movements is important in maternity care and decreased fetal movements is associated with fetal growth restriction and stillbirth. The fetal movement pattern is different for every fetus and women perceive different types of movements. Mindfetalness is a self-assessment method for a woman to use to become familiar with her unborn baby's fetal movement pattern. We aimed to explore midwives' perceptions about informing pregnant women about fetal movements and their experiences of working with Mindfetalness in their daily work. A web-questionnaire was distributed to midwives who participated in a randomized controlled trial evaluating Mindfetalness, a method for the observation of fetal movements. In total, 67 maternity clinics in Stockholm, Sweden, were randomized to Mindfetalness or routine care. Of the 144 midwives working in maternity clinics randomized to Mindfetalness, 80% answered the questionnaire. The midwives thought that the leaflet about Mindfetalness was supportive in their work when informing women about fetal movements and the majority wanted to continue to distribute the leaflet when the trial ended. The midwives also expressed that the study increased their own knowledge about fetal movements. Women embraced the information about Mindfetalness positively and appreciated the written material. The midwives thought that talking about fetal movements in maternity care is an important but challenging task. Mindfetalness is a useful tool to use in maternity clinics when informing pregnant women about fetal movements. The written information was appreciated by both pregnant women and midwives.

Sections du résumé

BACKGROUND BACKGROUND
Information given to pregnant women about fetal movements is important in maternity care and decreased fetal movements is associated with fetal growth restriction and stillbirth. The fetal movement pattern is different for every fetus and women perceive different types of movements. Mindfetalness is a self-assessment method for a woman to use to become familiar with her unborn baby's fetal movement pattern.
AIM OBJECTIVE
We aimed to explore midwives' perceptions about informing pregnant women about fetal movements and their experiences of working with Mindfetalness in their daily work.
METHODS METHODS
A web-questionnaire was distributed to midwives who participated in a randomized controlled trial evaluating Mindfetalness, a method for the observation of fetal movements. In total, 67 maternity clinics in Stockholm, Sweden, were randomized to Mindfetalness or routine care. Of the 144 midwives working in maternity clinics randomized to Mindfetalness, 80% answered the questionnaire.
FINDINGS RESULTS
The midwives thought that the leaflet about Mindfetalness was supportive in their work when informing women about fetal movements and the majority wanted to continue to distribute the leaflet when the trial ended. The midwives also expressed that the study increased their own knowledge about fetal movements. Women embraced the information about Mindfetalness positively and appreciated the written material. The midwives thought that talking about fetal movements in maternity care is an important but challenging task.
CONCLUSION CONCLUSIONS
Mindfetalness is a useful tool to use in maternity clinics when informing pregnant women about fetal movements. The written information was appreciated by both pregnant women and midwives.

Identifiants

pubmed: 33309478
pii: S1871-5192(20)30364-4
doi: 10.1016/j.wombi.2020.10.007
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Pagination

e498-e504

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Ingela Rådestad (I)

Sophiahemmet University, Stockholm, Sweden. Electronic address: ingela.radestad@shh.se.

Sandra Doveson (S)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden. Electronic address: sandra.doveson@shh.se.

Helena Lindgren (H)

Department of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden. Electronic address: helena.lindgren@ki.se.

Susanne Georgsson (S)

The Swedish Red Cross University College, Stockholm, Sweden; Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. Electronic address: susanne.georgsson@rkh.se.

Anna Akselsson (A)

Sophiahemmet University, Stockholm, Sweden; Department of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden. Electronic address: anna.akselsson@shh.se.

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