Exploring routine hospital antenatal care consultations : An ethnographic study

Journal article


Wright, Diane, Pincombe, Jan and McKellar, Lois. (2018). Exploring routine hospital antenatal care consultations : An ethnographic study. Women and Birth. 31(3), pp. 162-169. https://doi.org/10.1016/j.wombi.2017.09.010
AuthorsWright, Diane, Pincombe, Jan and McKellar, Lois
Abstract

Background
Listening to women as part of their antenatal care has been recognized as valuable in understanding the woman’s needs. Conversations as part of routine antenatal interactions offer ideal opportunities for women to express themselves and for midwives to learn about the woman’s issues and concerns. The antenatal visit and the convention of antenatal consultations for midwives have not been well explored or defined and much of what takes place replicate medical consultative processes. As a consequence, there is little to assist midwives construct woman-centred care consultations for their routine antenatal care practice. This study showed how some practices were better in promoting the woman’s voice and woman-centred care in the hospital setting.

Method
Contemporary focused ethnography using both interview and observations, explored how midwives from six different public antenatal clinics in South Australia organized their antenatal care consultations with pregnant women.

Findings
Thematic analysis of the data provided insights into professional interpretation of woman-centred practice. How midwives interacted with women during routine antenatal care events demonstrated that some practices in a hospital setting could either support or undermine a woman-centred philosophy.

Conclusion
Individual midwives adopted practices according to their own perceptions of actions and behaviors that were considered to be in accordance with the philosophy of woman-centred care. Information arising from this study has shown ways midwives may arrange antenatal care consultations to maximize women’s participation.

Keywordsantenatal care; antenatal consultation; midwifery care ; communication; pregnancy care; women-centred
Year01 Jan 2018
JournalWomen and Birth
Journal citation31 (3), pp. 162-169
PublisherElsevier Australia
ISSN1871-5192
Digital Object Identifier (DOI)https://doi.org/10.1016/j.wombi.2017.09.010
Web address (URL)https://www.sciencedirect.com/science/article/pii/S1871519216302244?via%3Dihub
Open accessPublished as non-open access
Research or scholarlyResearch
Page range162-169
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online29 Sep 2017
Publication process dates
Accepted12 Sep 2017
Deposited25 Jul 2024
Additional information

© 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Place of publicationNetherlands
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https://acuresearchbank.acu.edu.au/item/90v6y/exploring-routine-hospital-antenatal-care-consultations-an-ethnographic-study

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