A survey of contemporary antenatal parental education in Sweden: What is offered to expectant parents and midwives’ experiences

Pålsson, Petra; Kvist, Linda J.; Persson, Eva-Kristina; Hallström, Inger; Ekelin, Maria

doi:10.1016/j.srhc.2019.01.003

Cited by 17 publications

(13 citation statements)

References 26 publications

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“…Previous research shows, on the other hand, that midwives (10) and other health professionals (9) find leading parental classes to be challenging. Also, midwives have stated that they lack the knowledge and resources to lead parental classes (10,11). The current findings contribute to further knowledge about how midwives approach their task of leading (or teaching) such parental classes.…”

Section: Discussionmentioning

confidence: 58%

“…Previous research has shown that the leadership role of parental classes seems important in terms of how parents experience the group sessions and if their parental role is affected by them after birth (9). Also, midwives' experiences from leading ordinary parental classes have been described both as demanding (10) and enjoyable (11), and midwives need both individual skills and organizational resources to provide satisfactory parental classes (10,11). When developing the inspirational lecture, provided as an intervention within the Swedish RCT previously mentioned (8), the intent was to create opportunities for midwives to provide expectant parents with information about how to prepare for normal childbirth.…”

Section: Introductionmentioning

confidence: 99%

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Midwives' Experiences of Providing the “Inspirational Lecture” as a Care Intervention for Expectant Parents—A Qualitative Study

Bäckström

Söderlund

Thorstensson

et al. 2020

Front. Public Health

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Background: In most Western countries, ordinary parental classes exist and have become a well-established form of professional support within midwifery care, even though some of these classes lack evidence of benefits for the parents. A Swedish randomized controlled trial including an intervention as a pilot study, revealed that a type of parental preparatory professional support provided for expectant parents, the "inspirational lecture," showed a tendency to be beneficial for parents' birth experience, and their perceived quality of parental couple relationship. However, there is no previous research on the midwives' experiences from providing the inspirational lecture. Carrying out research on midwives' experiences from providing the lecture, could bring future opportunities to provide a work-integrated learning (WIL) related to professionals' skills, and the pedagogic used. Aim: To elucidate midwives' experiences about providing the inspirational lecture as a care intervention for expectant parents. Methods: Midwives were interviewed and data were analyzed using qualitative content analysis. Results: The midwives strived to put childbirth into a comprehensive and manageable context for the expectant parents, during the inspirational lecture. For this, different approaches were used to make expectant parents understand how the parents themselves can be engaged participants in their own birth. Conclusion and Clinical Implications: The midwives used the inspirational lecture to provide the expectant parents with knowledge about how they, as a parental couple, could cooperate and feel safe in relation to the upcoming birth. This could be understood as if the midwives were striving to facilitate the integrative power of the parental couple, which is the couples' ability to gather their joint power. These results can assist midwives and serve as a reference for providing parental classes for expectant parents with a focus on promoting both the parents' individual as well as mutual skills.

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Midwives' Experiences of Providing the “Inspirational Lecture” as a Care Intervention for Expectant Parents—A Qualitative Study

Bäckström

Söderlund

Thorstensson

et al. 2020

Front. Public Health

View full text Add to dashboard Cite

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“…These are offered in many countries worldwide to prepare expectant parents for childbirth and parenthood (Pålsson et al. 2019 ) and most frequently are provided by nurses, midwives and physicians (Bryanton et al., 2013 ). The arrangement of parental classes is commonly based on professionals' conceptions rather than expectant parents' needs (Gagnon & Sandall, 2007 ) and expectations (Pålsson et al., 2019 ), such as information on parenting skills and changes in their relationship (Afua Entsieh & Kristensson Hallström, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

“… 2019 ) and most frequently are provided by nurses, midwives and physicians (Bryanton et al., 2013 ). The arrangement of parental classes is commonly based on professionals' conceptions rather than expectant parents' needs (Gagnon & Sandall, 2007 ) and expectations (Pålsson et al., 2019 ), such as information on parenting skills and changes in their relationship (Afua Entsieh & Kristensson Hallström, 2016 ). Moreover, research has shown that it is challenging to measure parental classes' usefulness due to different aims and content.…”

Section: Introductionmentioning

confidence: 99%

Parental‐couple separation during the transition to parenthood

et al. 2021

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“…To optimize high-quality maternity care, Sweden has a long tradition of providing antenatal education, including health promotion and birth preparatory courses ( Barimani et al , 2018 ; Pålsson et al , 2019 ). This education is an essential component in antenatal care ( Gagnon and Sandall, 2007 ; Pålsson et al , 2019 ), and its provision is in line with international and national guidelines ( International Confederation of Midwives, 2017 ; The Swedish Association of Midwives, 2018 ). The goals of antenatal education vary.…”

Section: Introductionmentioning

confidence: 99%

The implementation process of the Confident Birth method in Swedish antenatal education: opportunities, obstacles and recommendations

Jansson

Farahshoor

Lindén

et al. 2020

Health Promotion International

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Summary Antenatal clinics in western Sweden have recently invested in a birth method called Confident Birth. In this study, we investigate midwives’ and first line managers’ perceptions regarding the method, and identify opportunities and obstacles in its implementation. Semi-structured individual interviews were conducted with ten midwives and five first line managers working in 19 antenatal clinics in western Sweden. The Consolidated Framework for Implementation Research was used in a directed content analysis approach. Intervention Characteristics—such as perceptions about the Confident Birth method—were found to have equipped the midwives with coping strategies that were useful for expecting parents during birth. Outer Setting—the method was implemented to harmonize the antenatal education, and provided a mean for a birth companionship of choice. Inner setting—included time-consuming preparations and insufficient information at all levels, which affected the implementation. Characteristics of individuals—, such as knowledge and believes in the method, where trust in the method was seen as an opportunity, while long experience of teaching other birth preparatory methods, affected how the Confident Birth method was perceived. Process—such as no strategy for ensuring that the core of the method remained intact or plans for guiding its implementation were major obstacles to successful implementation. The findings speak to the importance of adequate planning, time, information and communication throughout the process to have a successful implementation. Based on lessons learned from this study, we have developed recommendations for successful implementation of interventions, such as the Confident Birth, in antenatal care settings.

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A survey of contemporary antenatal parental education in Sweden: What is offered to expectant parents and midwives’ experiences

Cited by 17 publications

References 26 publications

Midwives' Experiences of Providing the “Inspirational Lecture” as a Care Intervention for Expectant Parents—A Qualitative Study

Midwives' Experiences of Providing the “Inspirational Lecture” as a Care Intervention for Expectant Parents—A Qualitative Study

Parental‐couple separation during the transition to parenthood

The implementation process of the Confident Birth method in Swedish antenatal education: opportunities, obstacles and recommendations

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