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Permanent link (DOI): https://doi.org/10.7939/R36W96C2G

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Women's and care providers' perspectives of quality prenatal care: a qualitative descriptive study Open Access

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Author or creator
Sword, W.
Heaman, M.I.
Brooks, S.
Tough, S.
Janssen, P.A.
Young, D.
Kingston, D.
Helewa, M.E.
Akhtar-Danesh, N.
Hutton, E.
Additional contributors
Subject/Keyword
Guidelines
Low income
Experience
Patient
Perceptions
Randomized controlled trial
Satisfaction
Outcomes
United States
Antenatal care
Type of item
Journal Article (Published)
Language
English
Place
Time
Description
Background: Much attention has been given to the adequacy of prenatal care use in promoting healthy outcomes for women and their infants. Adequacy of use takes into account the timing of initiation of prenatal care and the number of visits. However, there is emerging evidence that the quality of prenatal care may be more important than adequacy of use. The purpose of our study was to explore women's and care providers' perspectives of quality prenatal care to inform the development of items for a new instrument, the Quality of Prenatal Care Questionnaire. We report on the derivation of themes resulting from this first step of questionnaire development. Methods: A qualitative descriptive approach was used. Semi-structured interviews were conducted with 40 pregnant women and 40 prenatal care providers recruited from five urban centres across Canada. Data were analyzed using inductive open and then pattern coding. The final step of analysis used a deductive approach to assign the emergent themes to broader categories reflective of the study's conceptual framework. Results: The three main categories informed by Donabedian's model of quality health care were structure of care, clinical care processes, and interpersonal care processes. Structure of care themes included access, physical setting, and staff and care provider characteristics. Themes under clinical care processes were health promotion and illness prevention, screening and assessment, information sharing, continuity of care, non-medicalization of pregnancy, and women-centredness. Interpersonal care processes themes were respectful attitude, emotional support, approachable interaction style, and taking time. A recurrent theme woven throughout the data reflected the importance of a meaningful relationship between a woman and her prenatal care provider that was characterized by trust. Conclusions: While certain aspects of structure of care were identified as being key dimensions of quality prenatal care, clinical and interpersonal care processes emerged as being most essential to quality care. These processes are important as they have a role in mitigating adverse outcomes, promoting involvement of women in their own care, and keeping women engaged in care. The findings suggest key considerations for the planning, delivery, and evaluation of prenatal care. Most notably, care should be woman-centred and embrace shared decision making as an essential element.
Date created
2012
DOI
doi:10.7939/R36W96C2G
License information
Creative Commons Attribution 3.0 Unported
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Citation for previous publication
Sword W , Heaman MI , Brooks S , Tough S , Janssen PA , Young D , Kingston D , Helewa ME , Akhtar-Danesh N , Hutton E. (2012). Women's and care providers' perspectives of quality prenatal care: a qualitative descriptive study.. BMC pregnancy and childbirth 12(29), 1-18. doi:10.1186/1471-2393-12-29.
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File format: pdf (Portable Document Format)
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Last modified: 2015:10:12 15:26:50-06:00
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Copyright note: ?? 2012 Sword et al; licensee BioMed Central Ltd.
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File title: Abstract
File title: Women's and care providers' perspectives of quality prenatal care: a qualitative descriptive study
File author: Wendy Sword
Page count: 18
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