Individual or group antenatal education for childbirth or parenthood, or both

Gagnon, Anita J.; Sandall, Jane

doi:10.1002/14651858.cd002869.pub2

Cited by 295 publications

(313 citation statements)

References 87 publications

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“…Van der Gucht and Lewis (2015) identify how the acceptance of labour pain is a crucial coping strategy for women. All authors suggest more research is needed in this area (see also Gagnon and Sandall, 2007), and our findings support this.…”

Section: Women's Views On Pharmacological Pain Relief For Laboursupporting

confidence: 83%

“…Foucault (1991, p. 75) identifies that power can be observed in 'regimes of practice'; daily interactions and occurrences are where dominant discourses are recreated. What this means is that at every interaction, individuals have the potential to contribute to or disrupt systems of power (Foucault, 2008). For example, in line with the need to provide information about alternative options within the informed consent framework, when discussing epidural analgesia it would fit well within their professional remit for midwives to not only inform women of the risks and benefits, but also mention that use of water in labour significantly reduces the need for epidural analgesia (Cluett and Burns, 2009) or that women who use epidural analgesia are more likely to remember the pain of labour prior to its insertion than women who use no pain relief due to its effect on oxytocin levels (Uvnäs Moberg, 2016).…”

Section: Discussionmentioning

confidence: 99%

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‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography

2017

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Objective: to investigate the personal, social, cultural and institutional influences on women making decisions about using epidural analgesia in labour. In this article we discuss the findings that describe practices around the gaining of consent for an epidural in labour, which we juxtapose with similar processes relating to use of water for labour and/or birth.Design: ethnography.Setting: tertiary hospital in Australian city. Participants: sequential interviews were conducted with 16 women; hospital staff (primarily midwives and doctors) participated during six months of participatory observation fieldwork.Findings: women were not given full disclosure of either practice and midwives tailored the information they gave according to the institutional policies rather than evidence.Key conclusions: informed consent is an oft-cited human right in health care, yet in maternity care the micropolitics of how informed consent is gained is difficult to ascertain, leading to a situation whereby the concept of informed consent is more robust than the reality of practice; an illusion of informed consent exists, yet information is often biased towards medicalised birth practices.Implications for practice: as primary maternity care-givers, midwives have a role in providing unbiased information to women; however it appears that hospital culture and policy affect the way that this information is presented. It is arguable whether women in such instances are giving true informed consent, and for this reason, the ethics of these hidden practices are questioned.

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Section: Women's Views On Pharmacological Pain Relief For Laboursupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography

2017

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“…15 Studies from Zimbabwe, Nepal and Tanzania, report that less than three minutes are spent on individual counseling per consultation in antenatal clinics. 13,16,17 With the simulation of focus antenatal care (FANC) in Ghana by the Ghana health Service it looks like not much has changed yet from the findings in this study.…”

Section: Discussionmentioning

confidence: 99%

Assessment of knowledge and practice towards birth preparedness and complication readiness among women in Northern Ghana: a cross-sectional study

Affipunguh¹,

Laar²

2016

Int J Sci Rep

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Background: The principle and practice of birth preparedness and complication readiness (BP&CR) in resource-poor settings have the potential of reducing maternal and neonatal morbidity and mortality rates. The purpose of this study was to assess BP and CR among pregnant women and women who gave birth in the12 months preceding the study and the socio-demographic factors affecting BP and CR.Methods: The study was a health facility-based cross-sectional survey using pre-tested and structured questionnaires to gather data among 422 currently pregnant women and women who gave birth in the 12 months preceding the study and attending antenatal or postnatal care in health facilities in the Kassena-Nankana Districts in Northern Ghana. Data were analysed using State version 10.Results: For the 422 respondents, 50% were rural and 50% urban residents. Having at least a primary education and living in a rural area were significantly associated with birth preparedness plan (BPP) (P = 0.044) and (P = 0.007). There was no association between age group, occupation, marital status and religion to BPP (P=0.907), (P=0.397), (P=0.573) and (P=0.564) respectively. The study also revealed that identification of a potential blood donor and a skilled birth attendant were not considered crucial by the respondents.Conclusions: The study identified poor knowledge and practices of identification of a potential blood donor and skilled birth attendant preparation for birth preparedness and its complication in the study area. Antenatal care education should place emphasis on birth preparedness and complication readiness to improve access to skilled and emergency obstetric care.

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“…The design of the program may vary, from smaller groups to bigger classes. Although education programs for childbirth and/or parenthood are abundant and attended by a large percentage of pregnant women worldwide, their effects on knowledge, anxiety, sense of control, labor and birth support, pain, breastfeeding, infant-care abilities, and psychological and social adjustment still remain largely unknown (Gagnon & Sandall, 2008). In a Swedish cohort study, researchers found that participation in PEC during pregnancy did not seem to affect first-time mothers' experience of childbirth and assessment of parental skills (Fabian, Rådestad, & Waldenström, 2005).…”

Section: Introductionmentioning

confidence: 99%

Parenthood Education in Swedish Antenatal Care: Perceptions of Midwives and Obstetricians in Charge

Ahldén

Göransson²,

Josefsson³

et al. 2008

jpe

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The aim of this study was to describe perceptions of parenthood education among midwives and obstetricians in charge of antenatal care in Sweden. Focus group interviews of 25 obstetricians and midwives were conducted. Data were analyzed with a phenomenographic approach. Five main categories emerged: aim of the parenthood education, content and expectations, implementation, support to group leaders, and strategies for the future. There is a strong belief in parenthood education, and the overall aim was considered to be support in the transition to parenthood. Contents should focus on awareness of the expected child, confidence in the biological processes, and the changes of roles. Pedagogies training, cost effectiveness, development, and the need to reach target groups were emphasized.

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Individual or group antenatal education for childbirth or parenthood, or both

Abstract: Analysis 4.1. Comparison 4 Expanded childbirth education classes versus traditional childbirth education classes, Outcome 1

Cited by 295 publications

References 87 publications

‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography

‘It's your body, but…’ Mixed messages in childbirth education: Findings from a hospital ethnography

Assessment of knowledge and practice towards birth preparedness and complication readiness among women in Northern Ghana: a cross-sectional study

Parenthood Education in Swedish Antenatal Care: Perceptions of Midwives and Obstetricians in Charge

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