“Who's afraid?”: Attitudes of midwives to the use of information and communication technologies (ICTs) for delivery of pregnancy-related health information

Dalton, Julia; Rodger, Dianne; Wilmore, Michael; Skuse, Andrew; Humphreys, Sal; Flabouris, M.; Clifton, Vicki L.

doi:10.1016/j.wombi.2014.06.010

Cited by 39 publications

(64 citation statements)

References 20 publications

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Section: Pregnancy Resources As An Adjunct To Care and In An Accessibsupporting

confidence: 68%

“…The use of the internet, particularly by young women, is widely accepted as a means of seeking information during pregnancy [31,32] and has been shown to be effective as a means of providing emotional support for isolated young mothers [33]. Similar to the health professionals in our study other research has found that health professionals are more likely to express reservations and lack of skills in using technologies effectively [32]. Drawing on existing evidence of how adolescents use social media to access health information [34] and how health literacy skills can impact on accessibility and use of online information [35] are all worthy of further exploration within pregnant adolescents.…”

Section: Pregnancy Resources As An Adjunct To Care and In An Accessibmentioning

confidence: 99%

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Exploring the views of young women and their healthcare professionals on dietary habits and supplementation practices in adolescent pregnancy: a qualitative study

2018

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Background: Nutrition is a modifiable factor affecting foetal growth and pregnancy outcomes. Inadequate nutrition is of particular concern in adolescent pregnancies with poor quality diet and competing demands for nutrients. The aim of this study was to explore knowledge and understanding of nutrition advice during adolescent pregnancy, and identify barriers and facilitators to dietary change and supplementation use in this vulnerable population. Methods: Semi-structured interviews were conducted with young women and key antenatal healthcare providers: midwives, family nurses and obstetricians. Doncaster, Manchester and London were chosen as sites offering different models of midwifery care alongside referral to the Family Nurse Partnership programme. Results: A total of 34 young women (adolescents aged 16-19 years) and 20 health professionals were interviewed. Young women made small changes to their dietary intake despite limited knowledge and social constraints. Supplementation use varied; the tablet format was identified by few participants as a barrier but forgetting to take them was the main reason for poor adherence. Health professionals provided nutrition information but often lack the time and resources to tailor this appropriately. Young women's prime motivator was a desire to have a healthy baby; they wanted to understand the benefits of supplementation and dietary change in those terms. Conclusion: Pregnancy is a window of opportunity for improving nutrition but often constrained by social circumstances. Health professionals should be supported in their role to access education, training and resources which build their self-efficacy to facilitate change in this vulnerable population group beyond the routine care they provide.

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Section: Pregnancy Resources As An Adjunct To Care and In An Accessibsupporting

confidence: 68%

Section: Pregnancy Resources As An Adjunct To Care and In An Accessibmentioning

confidence: 99%

Exploring the views of young women and their healthcare professionals on dietary habits and supplementation practices in adolescent pregnancy: a qualitative study

2018

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“…A lack of using online technologies either as tools to facilitate discussion or for helping young women to access further support was evident in the data collected from health care professionals. Young women have been found to routinely access online information [23] and support [24] during pregnancy; however research has suggested that health care professionals lack confidence in using these technologies effectively [25]. This suggests that further investigation to develop and evaluate dietary and lifestyle interventions delivered through mobile technology and interactive websites as an adjunct to care provided by health care professionals may be advantageous.…”

Section: Discussionmentioning

confidence: 99%

Dietary habits and supplementation practices of young women during pregnancy: an online cross-sectional survey of young mothers and health care professionals

et al. 2017

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Background: Nutrition is a modifiable factor affecting birth outcomes, particularly in adolescent pregnancies. This study explores diet and supplementation practices, information and advice before, during and after pregnancy from the perspectives of pregnant or new young mothers and healthcare professionals. Methods: Two cross-sectional surveys used online questionnaires for young women who were currently pregnant or who had recently given birth, and health care professionals providing antenatal care. The surveys utilised a combination of question types including free text and multiple choice. Recruitment was conducted via the Tommy's website, online forums for young mothers and professional networks. Results: A total of 205 young women and 146 health care professionals were included in the study. Most young women reported taking supplements at some stage of pregnancy (93.2%), with 54.6% taking it on a daily basis. Those who reported taking supplements less than 7 days a week stated it was mainly due to forgetting. Health care professionals however reported that some young women had difficulties accessing healthy start supplements. Young women reported positive dietary changes; however a significant proportion of participants indicated that they avoided some foods unnecessarily. Avoiding or reducing foods such as red meat (22.7%), eggs (40.6%), oily fish (60.4%) and soft cheese (36.2%) is of concern. Midwife/family nurse (38.0%) was young women's current favourite information source; smartphone applications (apps) and recipe booklets were suggested by over 50% of participants as a new addition to existing services. Health care professionals reported they included nutritional information and support as part of their role; however they felt there were some gaps in knowledge and confidence. Midwives in particular suggested a lack of sufficient time and resources as a main challenge in providing adequate support.

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“…Many pregnancy and parenting apps for smartphones and other mobile devices are on the market -more than one thousand for pregnancy alone 2 . Healthcare and public health professionals have observed that many women seeking maternity care and child health services are using these apps and that app use should be considered in the future planning of care provision 3,4 . Despite the prevalence and apparent popularity of these apps, as yet little research has been published that has focused in detail on how women use them, particularly in the Australian context.…”

Section: Introductionmentioning

confidence: 99%

An Australian survey of women's use of pregnancy and parenting apps

Lupton

Pedersen²

2016

Women and Birth

204

185

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“Who's afraid?”: Attitudes of midwives to the use of information and communication technologies (ICTs) for delivery of pregnancy-related health information

Cited by 39 publications

References 20 publications

Exploring the views of young women and their healthcare professionals on dietary habits and supplementation practices in adolescent pregnancy: a qualitative study

Exploring the views of young women and their healthcare professionals on dietary habits and supplementation practices in adolescent pregnancy: a qualitative study

Dietary habits and supplementation practices of young women during pregnancy: an online cross-sectional survey of young mothers and health care professionals

An Australian survey of women's use of pregnancy and parenting apps

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