7 research outputs found
Necesidades percibidas por las mujeres respecto a su maternidad. Estudio cualitativo para el redise帽o de la educaci贸n maternal
Objetivo: Explorar las necesidades expresadas por las mujeres a lo largo del proceso de convertirse en madre y sus demandas relacionadas con la educaci贸n maternal. Dise帽o: Estudio cualitativo con grupos focales. Emplazamiento: 脕rea de salud de Bizkaia, Servicio Vasco de Salud/Osakidetza. Participantes: Treinta mujeres seleccionadas de forma consecutiva por matronas de atenci贸n primaria de 6 centros de salud diferentes. M茅todos: Entre septiembre y noviembre de 2010 se formaron 4 grupos focales estratificados por situaci贸n socioecon贸mica y etapa del proceso (embarazo/puerperio). Para recoger las preocupaciones de las embarazadas, de las pu茅rperas y su opini贸n sobre la educaci贸n maternal se sigui贸 el m茅todo de an谩lisis del contenido tem谩tico con el apoyo del software ATLAS.ti. Resultados: El foco de preocupaci贸n de las mujeres va cambiando con el tiempo. Pasaba de la necesidad de confirmar que 芦todo va bien禄 a necesitar m谩s apoyo emocional y confianza para enfrentarse a sus miedos al parto y al cuidado de los hijos. Necesitaban mayor acompa帽amiento en el puerperio y menos presi贸n con la lactancia materna. En cuanto a la educaci贸n maternal, demandaban un programa de educaci贸n perinatal en lugar de solo prenatal, m谩s actualizado, con mayor participaci贸n de su pareja, m谩s interactivo y flexible.Objectives: To assess women's perceptions of their needs during the process of becoming a mother and identify what they want from maternal education. Design: Qualitative study with focus groups. Setting: Bizkaia health region, Basque Health Service (Osakidetza), Spain. Participants: Thirty one women were recruited consecutively by midwives at six Osakidetza health centres. Methods: Four sessions were held from September to November 2010 in Bizkaia (Spain), the four groups being stratified by socioeconomic status and stage of the process (pregnancy vs. postnatal period). To collate the information related to the various topics discussed, we used manifest content analysis that was facilitated by use of ATLAS.ti software. Results: The focus of the women worries changes over time. In early pregnancy, women's main concern was for "everything to go well". As the pregnancy progressed, they needed more emotional support and wanted to feel confident and be self-reliant to face their fears of the birth and care for their child. They needed greater accompaniment in the puerperium and less pressure concerning breastfeeding. They also wanted an extended programme of perinatal rather than just antenatal education, which was more participatory and flexible and greater participation of their partner. Conclusion: Women have the same social and family networks needs, regardless of cultural differences between Anglo-Saxon and Southern European countries. We recommend an perinatal education to empower women to manage their own health and that of their family and link the health system with other networks of personal and social support for women. (C) 2016 Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Design and process of the EMA Cohort Study: the value of antenatal education in childbirth and breastfeeding
漏 2008 Paz-Pascual et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens
Necesidades percibidas por las mujeres respecto a su maternidad. Estudio cualitativo para el redise帽o de la educaci贸n maternal
Objetivo: Explorar las necesidades expresadas por las mujeres a lo largo del proceso de convertirse en madre y sus demandas relacionadas con la educaci贸n maternal.
Dise帽o: Estudio cualitativo con grupos focales.
Emplazamiento: 脕rea de salud de Bizkaia, Servicio Vasco de Salud/Osakidetza.
Participantes: Treinta mujeres seleccionadas de forma consecutiva por matronas de atenci贸n primaria de 6 centros de salud diferentes.
M茅todos: Entre septiembre y noviembre de 2010 se formaron 4 grupos focales estratificados por situaci贸n socioecon贸mica y etapa del proceso (embarazo/puerperio). Para recoger las preocupaciones de las embarazadas, de las pu茅rperas y su opini贸n sobre la educaci贸n maternal se sigui贸 el m茅todo de an谩lisis del contenido tem谩tico con el apoyo del software ATLAS.ti.
Resultados: El foco de preocupaci贸n de las mujeres va cambiando con el tiempo. Pasaba de la necesidad de confirmar que 芦todo va bien禄 a necesitar m谩s apoyo emocional y confianza para enfrentarse a sus miedos al parto y al cuidado de los hijos. Necesitaban mayor acompa帽amiento en el puerperio y menos presi贸n con la lactancia materna. En cuanto a la educaci贸n maternal, demandaban un programa de educaci贸n perinatal en lugar de solo prenatal, m谩s actualizado, con mayor participaci贸n de su pareja, m谩s interactivo y flexible.
Conclusi贸n: Las mujeres de nuestro entorno perciben necesidades similares a las de los pa铆ses anglosajones, independientemente de las diferencias culturales. Parece claro la necesidad de redise帽ar un programa de educaci贸n perinatal extenso, personalizado, din谩mico, que empodere a las mujeres para gestionar su propia salud y la de su famili
Design and process of the EMA Cohort Study: The value of antenatal education in childbirth and breastfeeding
Background. Antenatal education (AE) started more than 30 years ago with the purpose of decreasing pain during childbirth. Epidural anaesthesia has achieved this objective, and the value of AE is therefore currently questioned. This article describes the protocol and process of a study designed to assess AE results today. Methods/Design. A prospective study was designed in which a cohort of 616 nulliparous pregnant women attending midwife offices of the Basque Health Service were followed for 13 months. Three exposure groups were considered based on the number of AE sessions attended: (a) women attending no session, (b) women attending 1 to 4, and (c) women attending 5 or more sessions. Sociodemographic, personality, and outcome variables related to childbirth and breastfeeding were measured. It was expected 40% of pregnant women not to have participated in any AE session. However, 93% had attended at least one session. This low exposure variability decreased statistical power of the study as compared to the initially planned power. Despite this, there was a greater than 80% power for detecting as significant differences between exposure groups of, for instance, 10% in continuation of breastfeeding at one and a half months and in visits for false labour. Women attending more sessions were seen to have a mean higher age and educational level, and to belong to a higher socioeconomic group (p < 0.01). Follow-up was completed in 99% of participants. Discussion. Adequate prior estimation of variability in the exposure under study is essential for designing cohort studies. Sociodemographic characteristics may play a confounding role in studies assessing AE and should be controlled in design and analyses. Quality control during the study process and continued collaboration from both public system midwives and eligible pregnant women resulted in a negligible loss rate. 漏 2008 Paz-Pascual et al; licensee BioMed Central Ltd