Framework for the establishment of a feasible, tailored and effective perinatal education programme

BMC Pregnancy and Childbirth

Research Article

Isabel Artieta-Pinedo¹  Carmen Paz-Pascual²  Gonzalo Grandes³  Maite Espinosa³ 

[1] Primary Care Midwife Zuazo Health Centre, Barakaldo, (Bizkaia); and Associate Professor of the School of Nursing, University of the Basque Country, Leioa, Bizkaia, Spain;Primary Care Research Unit of Bizkaia, Centro de Salud de Deusto, 4ª planta, 48014, Bilbao, Bizkaia, Spain;Primary Care Midwife in Sestao Health Centre, Bizkaia; and Lecturer in the Midwifery Training Unit of the Basque Country, Bilbao, Bizkaia, Spain;Primary Care Research Unit of Bizkaia, Centro de Salud de Deusto, 4ª planta, 48014, Bilbao, Bizkaia, Spain;

关键词: Antenatal classes;    Birth preparation;    Perinatal education;    Woman care;    Prenatal care;    Health literacy;   

DOI  :  10.1186/s12884-017-1234-7

 received in 2015-10-20, accepted in 2017-01-21,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAntenatal education needs to be renewed and adapted to the needs of women. Objectives: to assess women needs, identify factors that influence the desired outcomes, and propose a framework for developing new perinatal education based on the guidance published by the UK Medical Research Council for the development and evaluation of complex interventions in primary care.MethodsFor this study: (a) four focus group sessions were held from October to November 2010 in Bizkaia (Spain) with 30 women exploring their needs during pregnancy and postpartum; (b) two literature reviews were conducted on women’s needs at these times and theoretical models of healthcare education; and (c) seven discussion and consensus sessions were run with a group of experts composed of midwifes, gynaecologists, paediatricians, and paediatric and postpartum nurses.ResultsVarious areas for improvement were identified: needs assessment of each woman/family, consideration of pregnancy and childbirth as normal physiological processes, participation of fathers, establishment of social networks, continuity of postpartum care, better access to and training for midwives, and more flexible format and contents for the programme. We propose a woman-focused framework that includes three exploratory interviews during pregnancy, personalized interventions coordinated between professionals, empowerment to choose the type of birth, and postpartum activities.ConclusionNew perinatal education should be on-going and focused on each woman. It is necessary to assess the feasibility of implementing this type of programme, depending on the context, professionals’ readiness for change and characteristics of the proposed interventions. Then, its effectiveness and sustainability must be assessed.

【 授权许可】

CC BY   
© The Author(s). 2017