Expectations Of Pregnant Women Research Articles

Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam.

The prevalence of common perinatal mental disorders in Vietnam ranges from 16.9% to 39.9%, and substantial treatment gaps have been identified at all levels. This paper explores constraints to the integration of maternal and mental health services at the primary healthcare level and the implications for the health system's responsiveness to the needs and expectations of pregnant women with mental health conditions in Vietnam. As part of the RESPONSE project, a three-phased realist evaluation study, we present Phase One findings which employed systematic and scoping literature reviews, and qualitative data collection (focus groups and interviews) with key health system actors, in Bac Giang province, Vietnam, to understand the barriers to maternal mental healthcare provision, utilisation, and integration strategies. A four-level framing of the barriers to integrating perinatal mental health services in Vietnam was used in reporting findings, which comprised individual, socio-cultural, organisational, and structural levels. At the socio-cultural and structural levels, these barriers included: cultural beliefs about the holistic notion of physical and mental health, stigma towards mental health, biomedical approach to healthcare services, absence of comprehensive mental health policy, and a lack of mental health workforce. At the organisational level, there was absence of clinical guidelines on the integration of mental health in routine antenatal visits, a shortage of staff, and poor health facilities. Finally, at the provider level, a lack of knowledge and training on mental health was identified. The integration of mental health into routine antenatal visits at the primary care level has the potential help to reduce stigma towards mental health and improve health system responsiveness by providing services closer to the local level, offering prompt attention, better choice of services, and better communication while ensuring privacy and confidentiality of services. This can improve the demand for mental health services and help reduce the delay of care-seeking.

Assessment of Quality of Life in Gestational Diabetes Mellitus Care-Study Protocol of the GDM-QOL Project.

In recent years, the concept of quality of life (QoL) has gained significant importance within health care and clinical research, e.g., as in patient-reported outcomes. In gestational diabetes mellitus (GDM) care, enhancing QoL through reasonable interventions is considered equally important as achieving metabolic control and preventing complications in the treatment process, leading to the suggestion that QoL assessment should be implemented as a clinical standard in GDM care. Although a considerable number of questionnaires for the measurement of general as well as health-related and diabetes-specific QoL are frequently used in GDM research, a validated QoL questionnaire tailored to women with GDM does not exist in German-speaking countries. To develop and test such an instrument, we plan to conduct the following steps: (a) translate the Persian questionnaire GDMQ-36, the only GDM-specific questionnaire to date; (b) conduct expert ratings as well as pretests featuring cognitive debriefings and structured interviews with women suffering from GDM for evaluating comprehensibility, face and content validity; (c) pilot and validate the preliminary questionnaire in terms of testing its psychometric performance (e.g., via confirmatory factor analysis). The resulting GDM-specific questionnaire will facilitate a broader perspective of the pregnant women's expectations, needs, impairments, and burdens related to their disease, and its treatment. This enables physicians and other health professionals to establish an individualized treatment plan and to provide customized information, support, and psychological counseling, which helps to optimize the provided care.

Group versus Individual Prenatal Care and Maternal Outcomes in Jordan: An Integrative Review

Background: There has been an increasing trend on the implementation of group prenatal care, where women go along as a group rather than as individuals to attend their prenatal appointments. However, there is a paucity of studies that compared group versus traditional individual prenatal care within Jordanian healthcare settings. Purpose: To examine the differences between traditional individual and group prenatal care based on maternal outcomes among Jordanian pregnant women. Methods: An integrative review of studies published between 1993 and 2023 was performed across three databases (CINAHL, Medline and PubMed). No studies were found that investigated group prenatal care and no studies were found that examined maternal outcomes relating to group prenatal care. Nevertheless, a total of 9 studies were found that examined outcomes relating to traditional prenatal care. Results: Three themes were identified in relation to traditional prenatal care for Jordanian women; namely, (1) limitations of prenatal care, (2) barriers to prenatal care, and (3) expectations of pregnant women. However, even data on the relationship between traditional prenatal care and maternal outcomes was scarce such that there was evidence of prenatal care. The quality and extent of data were inadequate to strongly infer on the effectiveness of traditional prenatal-care programs for pregnant Jordanian women. Conclusion: There is a significant gap in literature on the implementation of group prenatal care among pregnant Jordanian women. Future research can investigate how developing, integrating and implementing group prenatal care for pregnant Jordanian women can influence maternal and neonatal health outcomes. Implications for Nursing: There is a potential for pregnant women to miss out on the benefits of group prenatal care over traditional prenatal care. Likewise, maternal health nurses will need to identify and implement strategies to overcome the limitations and barriers to traditional prenatal care in order to increase access and improve effectiveness of interventions. Keywords: Group prenatal care, Individual prenatal care, Maternal outcomes, Jordan

Pregnant Women’s Knowledge and Expectations about Prenatal Ultrasound: A Cross-Sectional Study

BackgroundUltrasound imaging has been shown to improve maternal health outcomes through timely diagnosis of pregnancy problems. Despite ultrasound being vital for women's management in pregnancy, studies have reported low awareness among African women ObjectiveTo evaluate the knowledge and expectations of pregnant women in Harare about prenatal ultrasound. MethodsA cross-sectional survey of 385 pregnant women was done at the ultrasound department of a private maternity hospital in Harare, Zimbabwe. Statistical Package for Social Sciences (SPSS) 27.0 and Windows Excel were used to analyse the data.Results The majority of women (85.4%) concurred that ultrasound scans are important during pregnancy, but most (79.3%) were not aware that congenital abnormalities can be detected through ultrasound. Despite low overall knowledge of congenital abnormalities, 80.2% of women were familiar with Down's syndrome, and this knowledge tended to increase with higher education levels, although not statistically significant (linear-by-linear association = 0.057). The primary expectation of ultrasound scans among pregnant women was to confirm the expected delivery date, and gender determination, with the least expectation being a diagnosis of congenital abnormalities.ConclusionKnowledge levels were lower in our setting relative to other similar studies, and hence this underscores the need for further public education.Rwanda J Med Health Sci 2023;6(3):346-354

Perceptions and Challenges of Telehealth Obstetric Clinics Among Pregnant Women in Hong Kong: Cross-Sectional Questionnaire Study.

Integrating telehealth in an obstetric care model is important to prepare for possible infection outbreaks that require social distancing and limit in-person consultations. To ensure the successful implementation of obstetric telehealth in Hong Kong, it is essential to understand and address pregnant women's concerns. This study aimed to assess pregnant women's attitudes, concerns, and perceptions regarding telehealth obstetric clinic services in Hong Kong. We conducted a prospective cross-sectional questionnaire study at Queen Mary Hospital between November 2021 and August 2022. Utilizing a 5-point rating scale, the questionnaire aimed to capture pregnant women's preferences, expectations, feasibility perceptions, and privacy concerns related to telehealth clinic services. We used statistical analyses, including chi-square tests and multinomial logistic regression, to compare questionnaire responses and investigate the association between advancing gestation and attitudes toward telehealth clinics. The study included 664 participants distributed across different pregnancy stages: 269 (40.5%) before 18 gestational weeks, 198 (29.8%) between 24 and 31 weeks, and 197 (29.7%) after delivery. Among them, 49.8% (329/664) favored face-to-face consultations over telehealth clinics, and only 7.3% (48/664) believed the opposite. Additionally, 24.2% (161/664) agreed that telehealth clinics should be launched for obstetric services. However, the overall preference for telehealth clinics was <20% for routine prenatal checkups (81/664, 12.2%) and addressing pregnancy-related concerns, such as vaginal bleeding (76/664, 11.5%), vaginal discharge (128/664, 19.4%), reduced fetal movement (64/664, 9.7%), uterine contractions (62/664, 9.4%), and suspected leakage of amniotic fluid (54/664, 8.2%). Conversely, 76.4% (507/664) preferred telehealth clinics to in-person visits for prenatal education talks, prenatal and postpartum exercise, and addressing breastfeeding problems. Participants were more comfortable with telehealth clinic tasks for tasks like explaining pregnancy exam results (418/664, 63.1%), self-administering urinary dipsticks at home (373/664, 56.4%), medical history-taking (341/664, 51.5%), and self-monitoring blood pressure using an electronic machine (282/664, 42.8%). %). During the postpartum period, compared to before 18 weeks of gestation, significantly more participants agreed that telehealth clinics could be an option for assessing physical symptoms such as vaginal bleeding (aOR 2.105, 95% CI 1.448-3.059), reduced fetal movement (aOR 1.575, 95% CI 1.058-2.345), uterine contractions (aOR 2.906, 95% CI 1.945-4.342), suspected leakage of amniotic fluid (aOR 2.609, 95% CI 1.721-3.954), fever (aOR 1.526, 95% CI 1.109-2.100), and flu-like symptoms (aOR 1.412, 95% CI 1.030-1.936). They were also more confident with measuring the symphysis-fundal height, arranging further investigations, and making diagnoses with the doctor via the telehealth clinic. The main perceived public health advantage of telehealth clinics was the shorter traveling and waiting time (526/664, 79.2%), while the main concern was legal issues from wrong diagnosis and treatment (511/664, 77.4%). Face-to-face consultation remained the preferred mode of consultation among the participants. However, telehealth clinics could be an alternative for services that do not require physical examination or contact. An increased acceptance of and confidence in telehealth was found with advancing gestation and after delivery. Enforcing stricter laws and guidelines could facilitate the implementation of telehealth clinics and increase confidence in their use among pregnant women for obstetric care.

Women's Expectations of and Satisfaction with Antenatal Care Services in a Semi-Urban Setting in Tanzania and Associated Factors: A Cross-Sectional Survey.

Women's satisfaction has been found to be a good indicator of quality of care and is associated with the utilization of healthcare services. Women's needs and satisfaction could be improved through the provision of high-quality antenatal care services. This study assessed women's expectations of and satisfaction with antenatal care and their associated factors in a semiurban setting in Tanzania. A cross-sectional survey using the Expectations and Satisfaction with the Prenatal Care Questionnaire (PESPC) was used to measure pregnant women's expectations of and satisfaction with antenatal care in the two districts of Kibaha and Bagamoyo, involving 338 pregnant women. The data were analyzed using SPSS version 26. In the expectation subscale, women had high expectations for personalized care (78.4%), other services (from a social worker and nutritionist) (68.8%), and complete care (being taken care of on time, receiving excellent care, and receiving information without prompting) (60.9%), while expectations for continuity of care were the lowest (38.9%). In the satisfaction subscale, women were highly satisfied with providers' care (being cared for with respect, healthcare provision, the way they were made to feel, and the ability to ask questions) (88.9%), while the least satisfying aspect was system characteristics (e.g., waiting times, scheduling, parking, tests and examinations, and facilities) (63.4%). Distance from a health facility was a significant predictor of both women's expectations of and satisfaction with antenatal care services, while age and number of pregnancies were also significant predictors of antenatal care expectations. To meet expectations for quality antenatal care services and improve satisfaction with antenatal care, policymakers should improve system characteristics, including the availability of human resources and medical supplies, increased consultation time, flexible schedules, and reduced waiting time. Additionally, ensuring the accessibility of evidence-based health information is important for increasing health literacy among pregnant women.

Efforts and expectations of pregnant women against the impact of the COVID-19 pandemic: a phenomenological study

BackgroundCOVID-19 is a global threat that directly impacts people’s mental health and physical well-being. This study explored the efforts and expectations of pregnant women against the impact of the COVID-19 pandemic.MethodsThis study was a qualitative study that used a phenomenological approach. The informants of this study were pregnant women (n = 20). Data analysis used content analysis with software assistance (Nvivo Release 1.5).ResultsThe results of this study identified three themes which were: 1) causative factors of pregnant women’s anxiety regarding the impact of COVID-19 including lack of knowledge regarding the impact of the COVID-19 virus and perceived susceptibility; 2) Efforts to reduce anxiety during the COVID-19 pandemic including a spiritual approach, the role of family and COVID-19 prevention; and 3) Expectation regarding healthcare services during COVID-19 including virtual based Antenatal Care (ANC) Services and Private ANC Services.ConclusionA spiritual approach, the role of family, and COVID-19 prevention will help pregnant women reduce their anxiety about being infected with the COVID-19 virus. Furthermore, virtual-based ANC Services, and private ANC services, such as home visits and dividing ANC services and general services into two different tracks as a protective mechanism from being infected with the COVID-19 virus, would assist pregnant women feel safer and secure.

Male Involvement in the Maternal Health Care: Expectations of Pregnant Women in Bolgatanga Municipality in the Upper East Region of Ghana

Background: Male involvement during pregnancy and childbirth is very important as it has been shown to increase the number of times a pregnant woman undertakes antenatal care visits before delivery. The purpose of this study was to determine whether there is a relationship between the background characteristics of participants and their male partners’ involvement in maternal health care in the Bolgatanga Municipality of Upper East Region. Methods: The study design employed was a facility-based cross-sectional study design in 9 health facilities in the Bolgatanga municipality. The study populations for this study consisted of pregnant women using antenatal services in the health facilities before the commencement of this current study and are residents of the Bolgatanga municipality. A multistage sampling strategy was used in the sampling of participants for this study with an estimated sample size of 422. Results: Findings show that the majority of 403 (95.5%) of the participants expect their male partner accompanies them during the antenatal care clinic. The chi-square test revealed that marital status had a significant influence on male partners’ support in house chore and support in antenatal care service (P-value of 0.001 and 0.002, <0.05). The level of education and region of the participants were found to have a relationship with the expectation of pregnant women that male partners help them in doing house chores antenatal care (P-value 0.027 and 0.000, <0.05). Conclusion: This study’s findings showed that pregnant women always want their male partners to accompany them to antenatal care and during labour and delivery. The pregnant women expected their male partners to be educated on the effects of pregnancy, how to take care of a pregnant woman, how to tolerate their partners, Sex during pregnancy, and how to prepare for emergencies (blood donation, transportation and finance).

Knowledge and Expectations of Perinatal Care Among Pregnant Women During the COVID-19 Pandemic.

IntroductionThis study aimed to investigate the knowledge and expectations of pregnant women on perinatal care during the coronavirus disease 2019 (COVID-19) pandemic.MethodsA cross-sectional survey was conducted among pregnant women ≥21 years, without a history of confirmed COVID-19, attending antenatal clinics between August and September 2020 via a secure online platform. The survey consisted of 10 questions which evaluated the knowledge and expectations on perinatal and neonatal care during the current pandemic.ResultsA total of 313 pregnant women completed the survey. The mean age of the participants was 30 years (SD 4; range 22–43 years). The median gestational age was 25 weeks (range 4–40 weeks). The participants were predominantly multiparous (54%) and almost all (98%) had completed secondary level education. Majority of participants were aware of the spread of COVID-19 by respiratory secretions and contact (90%), and the importance of prevention strategies (94%). Up to 72% agreed or strongly agreed that in-utero transmission of SARS-CoV-2 was possible. Most were unsure of the optimal mode of delivery (77%) and only 22% believed that breastfeeding was safe in a pregnant woman with active COVID-19. Although 46% were concerned about increased transmission risk with antenatal clinic visits, only 37% were agreeable to teleconferencing of clinic appointments. Maternal age >35 years was significantly associated with agreement with separation of mother-infant after birth [AOR 1.89 (95% CI 1.05, 3.39)], restrictions of visitors during the postnatal period [1.92 (1.05, 3.49)] and having their confinement practices were affected [2.3 (1.26, 4.17)]. Pregnant women who were multiparous disagreed that breastfeeding was safe in women with active COVID-19 [0.42 (0.23, 0.75)].ConclusionsThere was significant uncertainty about the optimal delivery method and safety of breastfeeding with COVID-19 among expectant mothers, along with variable agreement with alterations to routine perinatal care.

Perceptions of Tailored Dietary Advice to Improve the Nutrient Adequacy of the Diet in French Pregnant Women.

Tailored dietary counseling could be specifically efficient during pregnancy, a period accompanied by a rise in nutrition awareness, but little is known about the expectations of pregnant women in this regard. We studied these expectations regarding tailored dietary advice in French women during their pregnancy, as well as their motivations and the perceived barriers and enablers. In French pregnant women, we evaluated the perceptions of tailored dietary advice provided by stepwise dietary counseling based on three types of dietary changes, consisting of: (1) a modification of the amounts consumed, (2) substitutions within the food subgroups, and (3) substitutions between food subgroups. A sequential explanatory mixed-method approach was designed. Using qualitative data from a focus group study (n = 40), we intended to explore in depth the women’s expectations regarding dietary advice and adherence to a tailored approach. These were combined with quantitative and qualitative data from a 6-week online longitudinal study (n = 115), using questionnaires designed to assess the modifications of dietary habits during pregnancy and to evaluate each type of dietary change. Both studies confirmed that most women in our samples did indeed intend to institute changes regarding healthier dietary practices during pregnancy. The principal motivation behind changes to their habits was to ensure the health and well-being of both their babies and themselves. The proposal of dietary advice that is tailored to both the current diet and the specific needs of pregnant women, but that is also positive and credible, was perceived as enabling implementing healthier dietary practices during pregnancy. Regarding the implementation of the dietary changes proposed, the enablers and barriers identified differed between modifications of the amounts consumed and substitutions. The women displayed interest in all types of dietary changes. This gave relevance to combining different types of changes in order to propose dietary counseling during pregnancy. Tailored dietary counseling was identified by French pregnant women in our samples as enabling them to adopt a healthier diet. However, perceived barriers might limit the implementation of dietary changes, especially when they involved marked modifications to their usual diet.

Gap analysis between expectations and perceptions of pregnant women attending Prevention of Maternal to Child Transmission of HIV services in a private referral hospital in northern Tanzania: A cross-sectional descriptive study

ObjectivePregnant women satisfaction with the Prevention of Mother-To-Child HIV Transmission services is an essential parameter in the determination of the quality of care and performance. This study aimed to measure the gap between pregnant women expectations of PMTCT services and perceptions of the actual PMTCT services and the relationship between their service gap scores and socio-demographic characteristics.MethodsA cross-sectional descriptive study design was conducted from August to September 2020 on a sample of 105 participants. A pre-tested SERVIQUAL questionnaire was used to collect data and paired sample t-test, independent one-sample t-test, and one–way ANOVA was used to compare mean service gap scores. A p-value of < 0.05 was considered statistically significant.ResultsThe overall mean gap score was (+ 0.31) indicating pregnant women perceived value of the quality of care of PMTCT services. The gap score in the 5 service dimensions was as follows: empathy (+0.49), tangibles (+0.43), assurance (+0.22), responsiveness (+0.20), and reliability (+0.19). Marital status (p-value 0.031) was the only social demographic characteristic associated with pregnant women service gap scores.ConclusionOverall, pregnant women perceptions of PMTCT services provided in the RCH clinic at KCMC were meet. Marital status was associated with the overall pregnant women service gap scores and perceived quality of care with PMTCT services. Pregnant women who were married had small service gap scores compared to either divorced or widowed or cohabiting women.

Perspectives of Italian pregnant women on pregnancy examinations and pregnancy care: is the caregiver more important than the care?

Aim:Assessing awareness of Italian low-risk pregnant patients on low-risk pregnancy care and what do they feel about their own pregnancy.Methods:A questionnaire was administered to 382 low-risk pregnant women. This questionnaire assessed general knowledge of low-risk pregnancy, low-risk pregnancy care, and how much patients rated ten topics of low-risk pregnancy care. It would be expected that the knowledge of each topic would associates with the patient’s perceived importance of that topic.Results:Poor knowledge of pregnancy care was proven. Patients seem to incorrectly overrate vaginal examinations and obstetric and gynecologist-led care, while they attribute appropriate importance to midwife-led care. The more examinations performed (vaginal examinations, sonographic checks, cardiotocographies), the higher their rating.Conclusions:In Italy, expectations of pregnant women about their own pregnancy are incorrectly trusted in the obstetrics and gynecologists. Both poor knowledge of pregnancy care and cultural perspectives on the birth process amongst Italian people explain the finding. Referring low-risk pregnant women to midwives would help them to rate more the care than the caregiver. (www.actabiomedica.it)

Women's ideal and real expectations of postnatal care during their first pregnancy: An online survey in England

BackgroundThere are many studies of women's experiences of care during the postnatal period, however little is known about women's expectations of postnatal care. ObjectiveThis study explores first-time pregnant women's expectations, both ideal and real life, of postnatal care in England. Designa descriptive, cross-sectional online survey design was used. The questionnaire took approximately 10 minutes to complete and was developed specifically for this survey. It included an informed consent section, socio-demographic questions and closed tick-box questions on where they had received information on postnatal care, and real and ideal expectations of postnatal care in hospital/birth centre and at home. SettingThe survey was hosted on the National Perinatal Epidemiology Unit website and advertised through a number of third sector and commercial organisations in 2017. ParticipantsWomen who were pregnant, had not given birth before, were aged 16 years and over, and living in England were eligible to participate. AnalysisSurvey data were analysed using descriptive statistics and, where appropriate, chi square test using SPSS Version 23. Data from open ended questions were analysed by two researchers separately then codes and themes were discussed until consensus was reached. Results283 women responded to the survey of whom 200 were eligible and included in the analysis. Most had received information on postnatal care from multiple sources, with pregnancy classes and midwives being most common. Most expected to stay one day or less in hospital or birth centre after normal delivery. Real life expectations were lower than ideal expectations, and hospital/birth centre real life expectations were higher than home real life expectations for physical health advice/checks and information/help with feeding. Categories developed from the open text answers were 'Respect, compassion and individualised care at a vulnerable time', 'The ward environment', 'Feeling ready for hospital discharge' and 'Help to find support in the community'. Key conclusionsWomen in this survey had high ideal world expectations of their postnatal care but in real life expected more focus on checking on their health and that of their baby and on giving information about the new challenges of how to breastfeed and look after a baby. While women valued checks of their health and that of their baby, ideally they wanted easy access to reassurance that they were feeding and looking after their baby well, that they were ‘doing it right’, and that what was happening to them was normal. Implications for practiceAs well as the necessary checks in the immediate postpartum period, consideration also needs to be given to the best way to meet the informational and support needs of women to optimise their wellbeing and transition to parenthood. A number of resources are used by women that could be enhanced to inform expectations of postnatal care and to provide valuable information to support their postnatal care.

Satisfação das gestantes com o cuidado pré-natal em unidades básicas de saúde no Centro-Oeste Brasileiro

Objetivo: avaliar a satisfação e expectativas de gestantes em relação a assistência pré-natal realizada nas unidades de atenção básica de saúde em um município do Centro-Oeste brasileiro. Métodos: estudo transversal quantitativo cuja amostra foi constituída de 107 gestantes atendidas nas unidades básicas de saúde, com idade igual ou superior a 18 anos e que realizaram no mínimo três consultas de pré-natal. Utilizou-se um instrumento com variáveis sociodemográficas e a versão brasileira do Patient Expectations and Satisfaction whit Prenatal Care (PESPC). A análise dos dados foi realizada por meio do teste t independente, com significância estatística em 5%. Resultados: idade média de 25,6 (DP=5,7) anos, maioria casadas/união estável (80,4%), cor parda (62,6%), do lar (46,7%), renda mensal familiar de até dois salários mínimos (43,9%), de quatro a sete anos de estudo (58,9%); idade gestacional variou de 15 a 39 semanas de gestação, multigesta (38,3%), um parto (37,4%), um filho (37,4%). A satisfação associou-se à variável complicações na gestação anterior (p&lt;0,05). Conclusão: a satisfação das gestantes demonstrou um nível positivo quanto ao cuidado profissional, a forma recebida de tratamento, o interesse da equipe em transmitir informações, a facilidade quanto ao agendamento das consultas e realização de exames durante o período de pré-natal.

Clothing problems and expectations of pregnant women

Pregnancy period is an important and special process due to the physiological, psychological, social changes that occur before and after birth and the change in body appearance. In this process, it is very important for pregnant women to look beautiful in clothes and feel comfortable. Accordingly, it is aimed to determine the preferences, problems and expectations of pregnant women regarding pregnant clothes.&#x0D; Pregnant women living in Ankara province are the population of the research using screening method; the sample consists of 247 pregnant women selected by the purposive sampling method. A questionnaire was prepared to collect data in the research. The data obtained as a result of the survey were analyzed using statistical methods and interpreted over tables. As a result of the research; pregnant women are expensive when purchasing maternity clothes and are not suitable for the body; while using maternity clothes, it is concluded that the colors of the fabrics fade and whether the clothes can be worn comfortably or not.&#x0D; ​Extended English summary is in the end of Full Text PDF (TURKISH) file.&#x0D; Özet&#x0D; Hamilelik dönemi, doğum öncesinde ve sonrasında yaşanan fizyolojik, psikolojik, sosyal değişimler ve vücut görüntüsünde yaşanan değişiklik nedeniyle önemli ve özel bir süreçtir. Hamile kadınların bu süreçte giysilerin içinde güzel görünmek ve kendilerini rahat hissetmeleri oldukça önemli olmaktadır. Bu doğrultuda hamile kadınların hamile giysilerine ilişkin tercihleri, sorunları ve beklentilerinin belirlenmesi amaçlanmaktadır.&#x0D; Tarama yönteminin kullanıldığı araştırmanın evrenini, Ankara ilinde yaşayan hamile kadınlar; örneklemini ise amaçlı örnekleme yöntemi ile seçilen 247 hamile kadın oluşturmaktadır. Araştırmada veri toplamak amacıyla anket hazırlanmıştır. Anket sonucunda elde edilen veriler istatistiksel yöntemlerden faydalanılarak analiz edilmiş ve tablolar üzerinden yorumlanmıştır. Araştırma sonucunda; hamile kadınların, hamile giysisi satın alırken pahalı olması ve vücuda uygun giysi olmaması; hamile giysisi kullanırken ise, kumaşların renklerinin solması ve giysilerin rahat giyilip çıkarılmaması konularında sorun yaşadıkları sonucuna ulaşılmıştır.

The Viewpoint of Iranian Gynecologists and Midwives on the Expectations of Pregnant Women: A Content Analysis Study.

Background:Prenatal care providers play an important role during pregnancy. Because healthcare providers provide comprehensive support to pregnant women, they must pay attention to pregnant women's expectations and efforts to meet their expectations. Understanding of pregnant women's expectations is associated with continuation of care and improving the health of the community. The present study is carried out to investigate the viewpoints of Iranian gynecologists and midwives on the expectations of pregnant women.Materials and Methods:This qualitative study was carried out on 10 prenatal care providers in Shiraz in 2018. Sampling method was purposive. Sampling continued until data saturation. Structured, face to face and in-depth interviews were used for data collection. Implementation and coding of interviews were performed simultaneously with data collection. The data were analyzed using conventional content analysis approach. The Lincoln and Guba criteria were used to increase the trustworthiness of the data.Results:Two main categories were emerged after analyzing of the data. The main category of “competent prenatal care providers” consisted of three subcategories: professional skills, communication skills, and individual characteristics. Another main category was the “appropriate pregnancy and childbirth centers” that included two subcategories of personnel-facilities and management system.Conclusions:According to the results, prenatal care providers have been aware that women during pregnancy period expect to have competent providers. Also, they tend that receive pregnancy care and delivery from appropriate pregnancy and childbirth centers.

Perceptions and expectations of pregnant women about the type of birth.

to understand the perceptions and expectations of pregnant women about the type of birth. this is a qualitative research, based on the assumptions of the Humanization of Obstetric Care. 15 pregnant women were interviewed twice at the beginning and the end of gestation between October 2015 and May 2016. Data were analyzed according to the method of the Discourse of the Collective Subject. the discourses were associated with four themes: Advantages of vaginal birth over cesarean section; Fear and unpredictability of vaginal birth; Importance of the doctor in the definition of the type of birth; and Influence of family and friends in choosing the type of birth. according to pregnant women, vaginal birth has more benefit compared to cesarean section. However, during gestation and birth, fear of pain and the unexpected, and medical opinions of friends and family against vaginal birth strongly influence the choice of cesarean section.

Perspective of pregnant women regarding antenatal preparation: A qualitative study

BackgroundAntenatal Education programs have been recommended for pregnant women to help them during gestation, childbirth and development of parenthood. Evidence on the perspectives and expectations of pregnant women regarding antenatal education in hospital settings, specifically in developing countries is still scarce. In-depth understanding is a key issue to organize interventions. AimIdentify experiences, needs and expectations of a group of pregnant women regarding antenatal education. MethodsA qualitative study was conducted. Data were collected through semi-structured interviews at the antenatal clinic of a public maternity teaching hospital in the southeastern region of Brazil. The interviews were recorded, transcribed verbatim and thematic analysis was performed. Twenty-two pregnant women were recruited following the logic of purposive sampling. FindingsAll the participants reported they would like to receive guidance on non-pharmacological techniques for pain management during labor. The participants reported barriers to performed physical exercise; however, they also said that if they were encouraged by healthcare professionals they would exercise. According to the majority, the exercises should be of low intensity, and the improvement of general wellbeing was the most commented benefit. Also participants said that antenatal education meetings should be linked to antenatal consultations to facilitate participation. According to some participants, knowledge about antenatal education was acquired in conversations with other women, from lay media, and some reported a lack of guidance during antenatal consultation. ConclusionThe participants of our study reported they would like to participate in antenatal education groups to receive guidance on non-pharmacological techniques to use during labor and childbirth.

Experiences and expectations of pregnant women in advanced maternal age with suspected or confirmed fetus malformation.

O presente estudo tem como objetivo investigar as vivências e as expectativas de mulheres em idade materna avançada, grávidas de bebês com diagnóstico suspeito ou confirmado de malformação. Trata-se de uma pesquisa qualitativa, descritiva e exploratória, realizada entre janeiro e junho de 2016, com análise de conteúdo, na modalidade temática. Foram entrevistadas sete gestantes com 35 anos ou mais, acompanhadas no ambulatório de pré-natal de uma unidade de saúde pública, federal, de referência para risco fetal. Evidenciou-se duas categorias: “O constrangimento de receber e compartilhar a notícia”; e “Receios quanto ao futuro”. Verificou-se que existem tensões das mulheres quanto à aceitação social da criança, incertezas quanto ao futuro profissional e expectativas de sobrecarga nos cuidados com a criança. Conclui-se que estas mulheres devem receber atendimento especializado para tratar estas questões.

Experiences with and expectations of maternity waiting homes in Luapula Province, Zambia: a mixed\u2013methods, cross-sectional study with women, community groups and stakeholders

BackgroundLuapula Province has the highest maternal mortality and one of the lowest facility-based births in Zambia. The distance to facilities limits facility-based births for women in rural areas. In 2013, the government incorporated maternity homes into the health system at the community level to increase facility-based births and reduce maternal mortality. To examine the experiences with maternity homes, formative research was undertaken in four districts of Luapula Province to assess women’s and community’s needs, use patterns, collaboration between maternity homes, facilities and communities, and promising practices and models in Central and Lusaka Provinces.MethodsA cross-sectional, mixed-methods design was used. In Luapula Province, qualitative data were collected through 21 focus group discussions with 210 pregnant women, mothers, elderly women, and Safe Motherhood Action Groups (SMAGs) and 79 interviews with health workers, traditional leaders, couples and partner agency staff. Health facility assessment tools, service abstraction forms and registers from 17 facilities supplied quantitative data. Additional qualitative data were collected from 26 SMAGs and 10 health workers in Central and Lusaka Provinces to contextualise findings. Qualitative transcripts were analysed thematically using Atlas-ti. Quantitative data were analysed descriptively using Stata.ResultsWomen who used maternity homes recognized the advantages of facility-based births. However, women and community groups requested better infrastructure, services, food, security, privacy, and transportation. SMAGs led the construction of maternity homes and advocated the benefits to women and communities in collaboration with health workers, but management responsibilities of the homes remained unassigned to SMAGs or staff. Community norms often influenced women’s decisions to use maternity homes. Successful maternity homes in Central Province also relied on SMAGs for financial support, but the sustainability of these models was not certain.ConclusionsWomen and communities in the selected facilities accept and value maternity homes. However, interventions are needed to address women’s needs for better infrastructure, services, food, security, privacy and transportation. Strengthening relationships between the managers of the homes and their communities can serve as the foundation to meet the needs and expectations of pregnant women. Particular attention should be paid to ensuring that maternity homes meet quality standards and remain sustainable.