Perceptions of barriers, facilitators and motivators related to use of prenatal care: A qualitative descriptive study of inner-city women in Winnipeg, Canada

Heaman, Maureen; Sword, Wendy; Elliott, Lawrence; Moffatt, Michael; Helewa, Michael; Morris, Heather; Tjaden, Lynda; Gregory, Patricia; Cook, Catherine

doi:10.1177/2050312115621314

Cited by 22 publications

(45 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…c Chimezie 2013 (Nigeria); Heaman 2015 (Canada); Hunter 2017 (Ireland); Miteniece 2018 (Georgia); Mugo 2018 (South Sudan);…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…m Alderson 2004 (UK); Andrew 2014 (PNG); Baffour‐Awuah 2015 (Ghana); Franngard 2006 (Uganda); Heaman 2015 (Canada); Hunter 2017 (Ireland); Larsen 2004 (PNG); Leal 2018 (Brazil); Mathole 2005 (Zimbabwe); McDonald 2014 (Canada); Miteniece 2018 (Georgia); Saftner 2017 (USA); Wright 2018 (Australia).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…p Ayiasi 2013 (Uganda); Baffour‐Awuah 2015 (Ghana); Biondi 2018 (Brazil); Conrad 2012 (Uganda); Heaman 2015 (Canada); Gheibizadeh 2016 (Iran); Leal 2018 (Brazil); Mathole 2005 (Zimbabwe).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…x Alderson 2004 (UK); Ayiasi 2013 (Uganda); Conrad 2012 (Uganda); Gross 2011 (Tanzania); Heaman 2015 (Canada); Hunter 2017 (Ireland); Leal 2018 (Brazil); Mathole 2005 (Zimbabwe); Saftner 2017 (USA); Wright 2018 (Australia).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…c Baffour‐Awuah 2015 (Ghana); Heaman 2015 (Canada); Heberlein 2016 (USA); LeMasters 2018 (Romania); McDonald 2014 (Canada); Novick 2013 (USA); Teate 2013 (Australia);…”

Section: Summary Of Findingsmentioning

confidence: 99%

See 4 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

110

View full text Add to dashboard Cite

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...

show abstract

“…c Chimezie 2013 (Nigeria); Heaman 2015 (Canada); Hunter 2017 (Ireland); Miteniece 2018 (Georgia); Mugo 2018 (South Sudan);…”

Section: Summary Of Findingsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

“…c Baffour‐Awuah 2015 (Ghana); Heaman 2015 (Canada); Heberlein 2016 (USA); LeMasters 2018 (Romania); McDonald 2014 (Canada); Novick 2013 (USA); Teate 2013 (Australia);…”

Section: Summary Of Findingsmentioning

confidence: 99%

See 3 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

110

View full text Add to dashboard Cite

show abstract

Vulnerable Women’s Perceptions of Individual Versus Group Prenatal Care: Results of a Cross-Sectional Survey

Hetherington

Tough

McNeil

et al. 2018

Matern Child Health J

View full text Add to dashboard Cite

Introduction Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Methods Women participating in CP at a community-based health centre in urban Alberta were eligible to participate. A convenience sample of women who received individual care at a low-risk maternity clinic served as comparison. Women were asked a series of questions on their prenatal care experience. Demographic and patient responses were compared using Chi square, fisher's exact and t tests. Results Forty-five women accessing CP and 92 women accessing individual care participated. Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy (92 vs. 66%, p = 0.002), breastfeeding (95 vs. 70%, p = 0.002) and baby care (95 vs. 67%, p = 0.001). Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life (100 vs. 93%, p ≤ 0.001). Discussion Group prenatal care provides a positive experience and improved information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care.

show abstract

Best Practices for the Design, Implementation and Evaluation of Prenatal Health Programs

Chedid

Phillips

2018

Matern Child Health J

View full text Add to dashboard Cite

Introduction Prenatal health programs provide health education, reproductive care and related services to women. Programs may be administered individually or collaboratively by agencies including public health units, hospitals, health clinics, community and non-governmental organizations. Prenatal health disparities among populations at-risk may be reduced through the provision of accessible health education, services and resources to help women mitigate modifiable risks to pregnancy. Although standardized guidelines inform clinical screening, testing and maternity care, gaps exist regarding the design, implementation and evaluation for comprehensive prenatal health programs. Methods Using a multijurisdictional approach, prenatal health guidance documents released by clinical associations and regional governments across Canada, Australia, the United States, the United Kingdom and Ireland were systematically evaluated to identify standards and practices regarding the design, implementation and evaluation of prenatal health programs. Results Evidence-based, surveillance/monitoring, and expert/stakeholder collaborations were principles affirmed by guidance documents across all jurisdictions. Each jurisdiction described tailored strategies to optimize prenatal health in their respective communities. Divergence between jurisdictions was noted for patient care models and promotion of providers and companions of choice. Discussion A best practices model is proposed describing recommendations as follows: prenatal health programs should be grounded in a theoretical approach, fundamentally woman-centered and designed to address interacting prenatal health determinants across the lifespan. Accessible and inclusive prenatal health care can be achieved through provider training and community stakeholder collaborations. Identification of best practices for prenatal health program design, implementation and evaluation ensures that service standards are harmonized across communities, thereby optimizing maternal and child health.

show abstract

Perceptions of barriers, facilitators and motivators related to use of prenatal care: A qualitative descriptive study of inner-city women in Winnipeg, Canada

Cited by 22 publications

References 37 publications

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

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

Vulnerable Women’s Perceptions of Individual Versus Group Prenatal Care: Results of a Cross-Sectional Survey

Best Practices for the Design, Implementation and Evaluation of Prenatal Health Programs

Contact Info

Product

Resources

About