Évolution et enjeux actuels de la préparation à la naissance et à la parentalité

Abstract

Childbirth and parenting education is a key component of health education in perinatal care. It has its origins in the notion of painless childbirth derived from the Lamaze method, based on an educational model, a behavioral model and a biomedical model. In 2005, the French Health Authority (Haute Autorité de Santé) made a number of recommendations for the clinical practice of childbirth and parenting education. By redefining its objectives and changing its name, and drawing on the principles of both the Ottawa Charter and the concept of health promotion, the French Health Authority has promoted the development of new practices in this area. These changes imply new theoretical models (both educational and health-related), which could potentially lead to a new form of empowerment for women, but also for midwives, who play a key role in childbirth and parenting education.

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

“…For example, in Spain, new initiatives have been developed exploiting information and communication technologies and increasing the amount of time dedicated to gym exercises, and breathing and relaxation techniques [ 47 ]. In France, it has been proposed that AE should take into account the couple/family and encourage lifestyle changes [ 1 , 44 ], while many publications from the United Kingdom advocate for a new type of woman-centred AE [ 10 , 20 , 48 ], facilitating the use of women’s preferred strategies [ 15 ]. In line with this, in lower income countries, broad educational activities have been recommended, focusing on the woman and with participation of the community, not only of health professionals [ 49 , 50 ].…”

“…Research on antenatal education (AE) consistently indicates the need for adapting programmes to the needs of today’s women and making them more effective [ 1 – 3 ]. AE has remained relatively unchanged for the last 40 years while both childbirth and maternity have changed significantly.…”