Exploring health education with midwives,as perceived by pregnant women in primary care: A qualitative study in the Netherlands |
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| Institution: | 1. Department of Midwifery Science, Midwifery Academy Amsterdam Groningen (AVAG) and the EMGO Institute for Health and Care Research, VU University Medical Centre, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands;2. Department of Obstetrics and Gynecology, McMaster University, 1280 Main Street West, MDCL 2210, Hamilton, ON, Canada L8S 4K1;3. Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Centre, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands;4. Department of Methodology and Statistics, Institute of Health Sciences, Faculty of Earth and Life Sciences, VU University, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands;1. Collaboration for Oral Health Outcomes, Research, Translation and Evaluation (COHORTE) Research Group, Western Sydney University/South Western Sydney Local Health District/University of Sydney/Centre for Applied Nursing Research/Ingham Institute Applied Medical Research, Liverpool 1871, Australia;2. Healthy Families, Healthy Smiles, Dental Health Services Victoria, Melbourne 3053, Australia;3. Faculty of Health Sciences, Australian Catholic University, Sydney 2060, Australia;4. Dental Health Services Victoria, and Melbourne Dental School, University of Melbourne, 3053, Australia;5. Sydney Local Health District Oral Health Services/Sydney Dental Hospital/University of Sydney, 2010, Australia;6. Faculty of Dentistry, University of Sydney, Sydney 2006, Australia;7. School of Nursing & Midwifery, Western Sydney University/Ingham Institute Applied Medical Research, Parramatta 2150, Australia;8. Camden and Campbelltown Hospitals, South Western Sydney Local Health District, 2170, Australia;9. Centre for Applied Nursing Research, Western Sydney University, Liverpool 1871, Australia;10. Centre for Applied Nursing Research, Western Sydney University/South Western Sydney Local Health District/Ingham Institute Applied Medical Research, Liverpool 1871, Australia;11. Dental Health Services Victoria and The Jack Brockhoff Child Health and Wellbeing Program, Melbourne 3053, Australia;12. Centre for Applied Oral Health Research, Dental Health Services Victoria, Melbourne 3053, Australia;1. School of Nursing and Midwifery, Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia;2. Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia;1. Department of Health and Life Sciences, Oxford Brookes University, Oxford, UK;2. National Perinatal Epidemiology Unit (NPEU), Nuffield Department of Population Health, University of Oxford, Oxford, UK;1. Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands;2. Midwifery Academy Amsterdam Groningen, The Netherlands;3. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;4. Faculty of Health Sciences, McMaster University, Hamilton, Canada;1. Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota;2. Department of Exercise Science, University of South Carolina, Columbia, South Carolina;3. Prevention Research Center, University of South Carolina, Columbia, South Carolina;4. Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina |
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| Abstract: | Objectiveto explore the experiences, wishes and needs of pregnant women with respect to health education in primary care with midwives.Designqualitative semi-structured interview study, using thematic analysis and constant comparison.Setting and participantstwenty-two pregnant women in midwife-led primary care, varying in socio-demographic characteristics, weeks of pregnancy and region of residence in the Netherlands, were interviewed between April and December 2013.Findingswomen considered midwives to be the designated health caregivers for providing antenatal health education, and generally appreciated the information they had received from their midwives. Some women, however, believed the amount of verbal health information was insufficient; others that there was too much written information. Many women still had questions and expressed uncertainties regarding various health issues, such as weight gain, alcohol, and physical activity. They perceived their health education to be individualised according to their midwives' assessments of the extent of their knowledge, as well as by the questions they asked themselves. A few were concerned that midwives may make incorrect assumptions about the extent of their knowledge. Women also varied in how comfortable they felt about contacting their midwives for questions between antenatal visits. Women felt that important qualities for midwives underlying health education, were making them feel at ease and building a relationship of trust with them.Key conclusions and implications for practicehealth education was highly appreciated by women in general, suggesting that midwives should err on the side of providing too much verbal information, as opposed to too little. A more pro-active approach with information provision may be of value not only to those with a clear desire for more information, but also to those who are unsure of what information they may be missing. As midwives are the principal health care providers throughout pregnancy,they should ideally emphasise their availability for questions between antenatal visits. |
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| Keywords: | Antenatal health education Public health Midwifery |
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