Building capacity and wellbeing in vulnerable/marginalised mothers: A qualitative study

Balaam, Marie‐Clare; Thomson, Gill

doi:10.1016/j.wombi.2017.12.010

Cited by 20 publications

(17 citation statements)

References 14 publications

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“…Our study findings are corroborated by previous research that professionals’ approach is key to making vulnerable parents feel safe and supported throughout pregnancy and the postpartum period (Balaam & Thomson, 2018; Harvey et al, 2015; Jack et al, 2005; Jakobsen & Overgaard, 2018; Kirkpatrick, 2007; McLeish & Redshaw, 2019; Paton et al, 2013; Rayment‐Jones et al, 2019; Rollans et al, 2013). McLeish and Redshaw have shown the importance of positive care experiences to women's sense of being met with respect, empathy and understanding (McLeish & Redshaw, 2019).…”

Section: Discussionsupporting

confidence: 88%

“…It has been argued by Rayment‐Jones et al that establishing a trusting parent–professional relationship is central for vulnerable women to experience positive and supportive care as well as to engage with services (Rayment‐Jones et al, 2019). Other studies have also shown that trusting relationships are important as they enable women to feel safe to be honest about their issues and seek advice from professionals (Balaam & Thomson, 2018; Jack et al, 2005; Jakobsen & Overgaard, 2018; Kirkpatrick, 2007; McLeish & Redshaw, 2019; Paton et al, 2013; Tantawi‐Basra & Pezaro, 2020). From a professional perspective, establishing good relationships is viewed as key to effectively helping families in need of additional support (Browne et al, 2010; King, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Supportive encounters during pregnancy and the postnatal period: An ethnographic study of care experiences of parents in a vulnerable position

Frederiksen

Schmied

Overgaard

2021

Journal of Clinical Nursing

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Background Pregnant women and partners with psychological and/or social challenges are exposed to adverse health outcomes. It is therefore recommended that they receive targeted maternity care services. The relationship between parents and professionals is key to help parents engage with services and experience them as supportive. However, more knowledge is needed on parents’ care experiences during encounters with professionals to further understand when and how these are experienced as supportive. Objectives This study aimed at identifying the key elements of supportive care practices by exploring how parents in vulnerable positions experience their relationship and encounters with the professionals involved in their pregnancy and postnatal care. Design Ethnographic fieldwork was conducted in a Danish municipality, including 50 semi‐structured interviews with parents and 51 field visits during parent‐professional encounters, including informal interviews and participant observation. Using a purposive recruitment strategy, 26 women and 13 men were recruited, who varied in age, socioeconomic background and vulnerability factors. COREQ reporting guidelines were used. Results The analysis identified five themes: (a) Having a voice: Feeling listened to, (b) Being met with empathy: Feeling understood, (c) Worthy of attention: Feeling taken seriously, (d) On equal terms: Feeling like a normal family and (e) Moving in the right direction: Feeling reassured. Conclusion Positive care experiences facilitate engagement with services and professionals as this contribute to parents feeling included, respected and safe. Conversely, negative care experiences leave parents feeling excluded, judged and anxious, potentially reinforcing and adding to existing feelings of anxiety and stigma. This requires that professionals have good communication skills and are able to approach parents in an open and non‐judgmental way. Relevance to clinical practice Understanding the significance of supportive care practices is paramount for health visitors, midwives and other professionals involved in providing for parents in vulnerable positions during pregnancy and the postnatal period.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Supportive encounters during pregnancy and the postnatal period: An ethnographic study of care experiences of parents in a vulnerable position

Frederiksen

Schmied

Overgaard

2021

Journal of Clinical Nursing

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“…Access to a known healthcare professional can be decisive for the pregnant women to establish a close and trustful relationship to the healthcare professional (Balaam and Thomson, 2018;Williams et al, 2010). In this review, the intensity of the interventions and the healthcare professional facilitating the interventions appeared as significant themes.…”

Section: Discussionmentioning

confidence: 90%

Interventions to reduce preterm birth in pregnant women with psychosocial vulnerability factors–A systematic review

et al. 2021

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“…In addition, conditions for economic and socially equal access to healthy toxin-free foods, such as organic foods, should be promoted, given that socioeconomic difficulties are important obstacles to pregnant and breastfeeding women changing their diets. As observed above, the modification of nutritional knowledge does not necessarily imply a modification of dietary practices, as a person or group may follow or disregard recommended dietary guidelines depending on their social circumstances [54]. Therefore, information alone does not guarantee a change in eating behavior.…”

Section: Discussionmentioning

confidence: 99%

Motivating Pregnant and Breastfeeding Women in Spain to Avoid Persistent Toxic Substances in Their Diet

Fontalba-Navas

Aparici

Gaspar

et al. 2020

IJERPH

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The objective of this study was to explore what motivates pregnant and breastfeeding women to make changes in their diet, specifically to examine how their perceptions regarding diet facilitate or act as obstacles to introducing healthy eating habits. For the optimal development of the mother, the fetus, or breastfeeding baby, it is important to avoid foods containing substances, such as persistent toxic substances (PTSs), that are harmful to health during pregnancy and after the baby’s birth. This study used a qualitative research methodology, based on semi-structured individual interviews, food diaries, free lists, and focus groups with 111 pregnant and breastfeeding women in Spain. This approach was followed by a systematic and exhaustive exploitation of the qualitative data obtained, following the methodological principles of grounded theory. From the study results, we conclude that the motivation for a change in diet to avoid PTSs is based on the desire to promote good health, beliefs about the importance of having a varied diet, and the avoidance of potential risks. The main obstacles to change can be attributed to inadequate information, contradictory discourses, and socioeconomic difficulties.

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Building capacity and wellbeing in vulnerable/marginalised mothers: A qualitative study

Abstract: The collaborative, multiagency, targeted intervention provides a useful model for further research and development. It offers a creative, salutogenic and health promoting approach to provide support for the most vulnerable/marginalised women as they make the journey into parenthood.

Cited by 20 publications

References 14 publications

Supportive encounters during pregnancy and the postnatal period: An ethnographic study of care experiences of parents in a vulnerable position

Supportive encounters during pregnancy and the postnatal period: An ethnographic study of care experiences of parents in a vulnerable position

Interventions to reduce preterm birth in pregnant women with psychosocial vulnerability factors–A systematic review

Motivating Pregnant and Breastfeeding Women in Spain to Avoid Persistent Toxic Substances in Their Diet

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