Engagement: an indicator of difference in the perceptions of antenatal care for pregnant women from diverse socioeconomic backgrounds

Docherty, Angie; Bugge, Carol; Watterson, Andrew

doi:10.1111/j.1369-7625.2011.00684.x

Cited by 21 publications

(54 citation statements)

References 23 publications

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“…(Armstrong 2005, Australia). In contrast, women recognised when health professionals provided genuine care and appreciated the individualised nature of inquiries, "She just explained the whole process and she offered me the options of the CMU [community midwifery unit] or the Consultant led unit and explained them in detail and again we just talked through any of my anxieties" (Docherty 2011, UK). Both women and providers in a variety of HICs recognised that the 'continuity of carer' model was probably the best way of providing the type of individualised care that women wanted.…”

Section: Resultsmentioning

confidence: 99%

“…It is all very...... I know they must do it all the time" (Docherty 2011, UK). In some contexts it was not so much the manner in which informational needs were met (or unmet), but was more about the medium used to deliver information.…”

Section: Resultsmentioning

confidence: 99%

“…o Abrahams 2001 (South Africa); Armstrong 2005 (Australia); Chapman 2003 (Mozambique); Docherty 2011 (UK);Haddrill 2014 (UK); Maputle 2013 (South Africa); McDonald 2014 (Australia); Sword 2003 (Canada); Sword 2012 (Canada).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…e Armstrong 2005 (Australia); Bessett 2010 (USA); Cabral 2013 (Brazil); Docherty 2011 (UK); Earle 2000 (UK); Heberlein 2016 (USA); Kraschnewski 2014 (USA); Larsson 2017 (Sweden); Walburg 2014 (France).…”

Section: Summary Of Findingsmentioning

confidence: 99%

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Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Downe

Finlayson²,

Tunçalp

et al. 2019

Cochrane Database of Systematic Reviews

109

110

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Background Antenatal care (ANC) is a core component of maternity care. However, both quality of care provision and rates of attendance vary widely between and within countries. Qualitative research can assess factors underlying variation, including acceptability, feasibility, and the values and beliefs that frame provision and uptake of ANC programmes.  This synthesis links to the Cochrane Reviews of the effectiveness of different antenatal models of care. It was designed to inform the World Health Organization guidelines for a positive pregnancy experience and to provide insights for the design and implementation of improved antenatal care in the future. Objectives To identify, appraise, and synthesise qualitative studies exploring: · Women’s views and experiences of attending ANC; and factors influencing the uptake of ANC arising from women’s accounts; · Healthcare providers’ views and experiences of providing ANC; and factors influencing the provision of ANC arising from the accounts of healthcare providers. Search methods To find primary studies we searched MEDLINE, Ovid; Embase, Ovid; CINAHL, EbscoHost; PsycINFO, EbscoHost; AMED, EbscoHost; LILACS, VHL; and African Journals Online (AJOL) from January 2000 to February 2019. We handsearched reference lists of included papers and checked the contents pages of 50 relevant journals through Zetoc alerts received during the searching phase. Selection criteria We included studies that used qualitative methodology and that met our quality threshold; that explored the views and experiences of routine ANC among healthy, pregnant and postnatal women or among healthcare providers offering this care, including doctors, midwives, nurses, lay health workers and traditional birth attendants; and that took place in any setting where ANC was provided.  We excluded studies of ANC programmes designed for women with specific complications. We also excluded studies of programmes that focused solely on antenatal education. Data collection and analysis Two authors undertook data extraction, logged study characteristics, and assessed study quality. We used meta‐ethnographic and Framework techniques to code and categorise study data. We developed findings from the data and presented these in a 'Summary of Qualitative Findings' (SoQF) table. We assessed confidence in each finding using GRADE‐CERQual. We used these findings to generate higher‐level explanatory thematic domains. We then developed two lines of argument syntheses, one from service user data, and one from healthcare provider data. In addition, we mapped the findings to relevant Cochrane effectiveness reviews to assess how far review authors had taken account of behavioural and organisational factors in the design and implementation of the interventions they tested. We also translated the findings into logic models to explain full, partial and no up...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Downe

Finlayson²,

Tunçalp

et al. 2019

Cochrane Database of Systematic Reviews

109

110

View full text Add to dashboard Cite

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“…“ Sometimes there is quite a lot of jargon and when I go to my appointments you know when I'm being measured and stuff like that and they're checking for the foetal position and stuff they're not really telling back to me, I've got to come back and check my notes .”…”

Section: Resultsmentioning

confidence: 99%

How do women with social risk factors experience United Kingdom maternity care? A realist synthesis

Rayment-Jones

Harris

Harden

et al. 2019

Birth

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Background Echoing international trends, the most recent United Kingdom reports of infant and maternal mortality found that pregnancies to women with social risk factors are over 50% more likely to end in stillbirth or neonatal death and carry an increased risk of premature birth and maternal death. The aim of this realist synthesis was to uncover the mechanisms that affect women's experiences of maternity care. Methods Using realist methodology, 22 papers exploring how women with a wide range of social risk factors experience maternity care in the United Kingdom were included. The data extraction process identified contexts (C), mechanisms (M), and outcomes (0). Results Three themes, Resources, Relationships, and Candidacy, overarched eight CMO configurations. Access to services, appropriate education, interpreters, practical support, and continuity of care were particularly relevant for women who are unfamiliar with the United Kingdom system and those living chaotic lives. For women with experience of trauma, or those who lack a sense of control, a trusting relationship with a health care professional was key to regaining trust. Many women who have social care involvement during their pregnancy perceive health care services as a system of surveillance rather than support, impacting on their engagement. This, as well as experiences of paternalistic care and discrimination, could be mitigated through the ability to develop trusting relationships. Conclusions The findings provide underlying theory and practical guidance on how to develop safe services that aim to reduce inequalities in women's experiences and birth outcomes.

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Socioeconomic deprivation and inpatient complication rates following mastectomy and breast reconstruction surgery

Jeevan

Browne

Pereira

et al. 2015

British Journal of Surgery

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Engagement: an indicator of difference in the perceptions of antenatal care for pregnant women from diverse socioeconomic backgrounds

Abstract: Background Socioeconomically deprived women are at greater risk of adverse pregnancy outcomes. Research tends to focus on access of services. Yet access may not equate with the equity of services for women from different socioeconomic backgrounds.

Cited by 21 publications

References 23 publications

Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Provision and uptake of routine antenatal services: a qualitative evidence synthesis

How do women with social risk factors experience United Kingdom maternity care? A realist synthesis

Socioeconomic deprivation and inpatient complication rates following mastectomy and breast reconstruction surgery

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