Cross Sectional Survey of Antenatal Educators' Views About Current Antenatal Education Provision.

Antenatal care Antenatal education Health services research Maternity services

Journal

Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672

Informations de publication

Date de publication:
31 May 2024
Historique:
accepted: 13 05 2024
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 30 5 2024
Statut: aheadofprint

Résumé

Antenatal education (ANE) is part of National Health Service (NHS) care and is recommended by The National Institute for Health and Care Excellence (NICE) to increase birth preparedness and help pregnant women/birthing people develop coping strategies for labour and birth. We aimed to understand antenatal educator views about how current ANE supports preparedness for childbirth, including coping strategy development with the aim of identifying targets for improvement. A United Kingdom wide, cross-sectional online survey was conducted between October 2019 and May 2020. Antenatal educators including NHS midwives and private providers were purposively sampled. Counts and percentages were calculated for closed responses and thematic analysis used for open text responses. Ninety-nine participants responded, 62% of these did not believe that ANE prepared women for labour and birth. They identified practical barriers to accessing ANE, particularly for marginalised groups, including financial and language barriers. Educators believe class content is medically focused, and teaching is of variable quality with some midwives being ill-prepared to deliver antenatal education. 55% of antenatal educators believe the opportunity to develop coping strategies varies between location and educators and only those women who can pay for non-NHS classes are able to access all the coping strategies that can support them with labour and birth. Antenatal educators believe current NHS ANE does not adequately prepare women for labour and birth, leading to disparities in birth preparedness for those who cannot access non-NHS classes. To reduce this healthcare inequality, NHS classes need to be standardised, with training for midwives in delivering ANE enhanced.

Identifiants

DOI: 10.1007/s10995-024-03932-4 PMID: 38816601
pubmed: 38816601
doi: 10.1007/s10995-024-03932-4
pii: 10.1007/s10995-024-03932-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Health Foundation Innovating for Improvement award and the Elizabeth Blackwell Institute, University of Bristol, and funded in whole, or in part, by the Wellcome Trust
ID : 204813/Z/16/Z

Informations de copyright

© 2024. The Author(s).

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Auteurs

Tamarind Russell-Webster (T)

Academic Women's Health Unit, Bristol Medical School, Second Floor, Learning and Research Building, North Bristol NHS Trust, Westbury-on-Trym, BS10 5NB, UK.

Anna Davies (A)

Centre for Academic Child Health, University of Bristol, 1-5 Whiteladies Road, Bristol, BS8 1NU, UK.
Academic Women's Health Unit, Level 2, Learning and Research Building, North Bristol NHS Trust, Bristol, UK.
ORCID: 0000-0003-0743-6547

Miriam Toolan (M)

North Bristol NHS trust, Bristol, BS10 5NB, UK.

Mary Lynch (M)

North Bristol NHS trust, Bristol, BS10 5NB, UK.

Rachel Plachcinski (R)

NCT, 30 Euston Square, London, UK.
ORCID: 0000-0001-9908-0773

Michael Larkin (M)

Department of Psychology, Aston University, Birmingham, B4 7ET, UK.
ORCID: 0000-0003-3304-7000

Abigail Fraser (A)

Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Bristol, BS8 2BN, UK.

Sonia Barnfield (S)

Department of Women's and Children's Health, North Bristol NHS Trust, Bristol, BS10 5NB, UK.

Margaret Smith (M)

Department of Women's and Children's Health, North Bristol NHS Trust, Bristol, BS10 5NB, UK.

Christy Burden (C)

Academic Women's Health Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Level 2, Learning and Research Building, North Bristol NHS Trust, Bristol, BS10 5NB, UK.

Abi Merriel (A)

North Bristol NHS trust, Bristol, BS10 5NB, UK. abi.merriel@liverpool.ac.uk.
Centre for Women's Health Research, Institute of Life Course and Medical Sciences, Faculty of Health & Life Sciences, University of Liverpool, Liverpool Women's Hospital, Crown Street, Liverpool, L8 7SS, UK. abi.merriel@liverpool.ac.uk.
ORCID: 0000-0003-0352-2106

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