Evidence map›Paper›PMID 38816601›Full record

ArticleMaternal and child health journal2024

Cross Sectional Survey of Antenatal Educators' Views About Current Antenatal Education Provision.

Tamarind Russell-Webster, Anna Davies, Miriam Toolan, Mary Lynch, Rachel Plachcinski, Michael Larkin, Abigail Fraser, Sonia Barnfield, Margaret Smith, Christy Burden and 1 more

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In one paragraph

Article in Maternal and child health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tamarind Russell-WebsterAcademic Women's Health Unit, Bristol Medical School, Second Floor, Learning and Research Building, North Bristol NHS Trust, Westbury-on-Trym, BS10 5NB, UK.
Anna DaviesCentre for Academic Child Health, University of Bristol, 1-5 Whiteladies Road, Bristol, BS8 1NU, UK.ORCID http://orcid.org/0000-0003-0743-6547
Miriam ToolanNorth Bristol NHS trust, Bristol, BS10 5NB, UK.
Mary LynchNorth Bristol NHS trust, Bristol, BS10 5NB, UK.
Rachel PlachcinskiNCT, 30 Euston Square, London, UK.ORCID http://orcid.org/0000-0001-9908-0773
Michael LarkinDepartment of Psychology, Aston University, Birmingham, B4 7ET, UK.ORCID http://orcid.org/0000-0003-3304-7000
Abigail FraserPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Bristol, BS8 2BN, UK.
Sonia BarnfieldDepartment of Women's and Children's Health, North Bristol NHS Trust, Bristol, BS10 5NB, UK.
Margaret SmithDepartment of Women's and Children's Health, North Bristol NHS Trust, Bristol, BS10 5NB, UK.
Christy BurdenAcademic Women's Health Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Level 2, Learning and Research Building, North Bristol NHS Trust, Bristol, BS10 5NB, UK.
Abi MerrielNorth Bristol NHS trust, Bristol, BS10 5NB, UK. abi.merriel@liverpool.ac.uk.ORCID http://orcid.org/0000-0003-0352-2106

Funding

Health Foundation Innovating for Improvement award and the Elizabeth Blackwell Institute, University of Bristol, and funded in whole, or in part, by the Wellcome Trust 204813/Z/16/ZWellcome Trust
6 · The paper itself

Abstract

objectivesAntenatal education (ANE) is part of National Health Service (NHS) care and is recommended by The National Institute for Health and Care Excellence (NICE) to increase birth preparedness and help pregnant women/birthing people develop coping strategies for labour and birth. We aimed to understand antenatal educator views about how current ANE supports preparedness for childbirth, including coping strategy development with the aim of identifying targets for improvement.

methodsA United Kingdom wide, cross-sectional online survey was conducted between October 2019 and May 2020. Antenatal educators including NHS midwives and private providers were purposively sampled. Counts and percentages were calculated for closed responses and thematic analysis used for open text responses.

resultsNinety-nine participants responded, 62% of these did not believe that ANE prepared women for labour and birth. They identified practical barriers to accessing ANE, particularly for marginalised groups, including financial and language barriers. Educators believe class content is medically focused, and teaching is of variable quality with some midwives being ill-prepared to deliver antenatal education. 55% of antenatal educators believe the opportunity to develop coping strategies varies between location and educators and only those women who can pay for non-NHS classes are able to access all the coping strategies that can support them with labour and birth. CONCLUSIONS FOR PRACTICE: Antenatal educators believe current NHS ANE does not adequately prepare women for labour and birth, leading to disparities in birth preparedness for those who cannot access non-NHS classes. To reduce this healthcare inequality, NHS classes need to be standardised, with training for midwives in delivering ANE enhanced.

Indexed as

Prenatal EducationAdultCross-Sectional StudiesFemaleHumansMiddle AgedPregnancyPregnant PeoplePrenatal CareState MedicineSurveys and QuestionnairesUnited KingdomAntenatal careAntenatal educationHealth services researchMaternity services

Identifiers

PMID38816601
PMCPMC11358166

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.