Cross-sectional survey of antenatal education attendance among nulliparous pregnant women in Sydney,Australia |
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| Institution: | 1. Royal Hospital for Women, Randwick, Sydney, NSW, Australia;2. Children’s Hospital at Westmead Clinical School, The University of Sydney, Sydney, NSW, Australia;3. School of Women’s and Children’s Health, UNSW Medicine and Health, Sydney, NSW, Australia;4. Department of Women’s and Children’s Health, St George Hospital, Sydney, NSW, Australia;1. Monash Nursing and Midwifery, Monash University, Clayton, Melbourne, Victoria 3168, Australia;2. Department of Obstetrics and Gynaecology, Monash University, Clayton, Melbourne, Victoria 3168, Australia;3. Monash Health, 246 Clayton Road, Clayton, Melbourne, Victoria 3168, Australia;4. The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Melbourne, Victoria 3168, Australia;1. Centre for Health Equity, School of Population and Global Health, The University of Melbourne, Victoria, Australia;2. Health Research Institute, Faculty of Health, University of Canberra, Canberra, ACT, Australia,;3. Monash Addiction Research Centre, Monash University, Melbourne, Victoria, Australia,;4. South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia,;5. Orygen Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia,;6. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, Australia;7. School of Public Health and Preventative Medicine, Turning Point Monash University, Melbourne, Victoria, Australia,;8. Integrated Place, Birkdale, Queensland, Australia,;9. NGANGK YIRA: Murdoch University Research Centre for Aboriginal Health and Social Equity, Murdoch University, Murdoch, Western Australia, Australia,;10. The Lowitja Institute, Melbourne, Victoria, Australia;1. School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Australia;2. Centre for Midwifery, Child and Family Health, University of Technology Sydney, 235 Jones St, Ultimo, NSW 2007, Australia;3. Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Australia;4. Westmead Institute for Maternal and Fetal Medicine, Women’s and Newborn Health, Westmead Hospital, NSW, Australia;5. Women’s and Newborn’s Health, Westmead Hospital, Western Sydney Local Health Districts, Australia;1. School of Nursing, Midwifery and Public Health, University of Canberra, Australia;2. ACT Government Health Directorate, Australia;3. School of Rehabilitation and Health Sciences, University of Canberra, Australia;4. Health Care Consumers’ Association, Australia;1. School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia;2. Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;3. Faculty of Health, Southern Cross University, Coffs Harbour, NSW 2450, Australia;4. Indigenous Epidemiology and Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, VIC 3053, Australia;1. School of Nursing and Midwifery, Trinity College Dublin, 24 D’Olier St, Dublin 2, Ireland;2. The Library of Trinity College Dublin, Dublin 2, Ireland;3. School of Law, Trinity College Dublin, House 39, New Square, Dublin 2, Ireland;4. School of Nursing and Midwifery, National University of Ireland Galway, Ireland;5. Department of Nursing and Midwifery, University of Limerick, Ireland;6. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11,10 Medical Drive, 117597, Singapore |
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| Abstract: | BackgroundAntenatal education aims to provide expectant parents with strategies for dealing with pregnancy, childbirth and parenthood and may have the potential to reduce obstetric intervention and fear of childbirth. We aimed to investigate antenatal education attendance, reasons for and barriers to attending, and techniques taught and used to manage labour.MethodsAntenatal and postnatal surveys were conducted among nulliparous women with a singleton pregnancy at two maternity hospitals in Sydney, Australia in 2018. Classes were classified into psychoprophylaxis, birth and parenting, other, or no classes. Reasons for and barriers to attendance, demographic characteristics, and techniques taught and used in labour were compared by class type, using Pearson’s Chi Squared tests of independence.Findings724 women were surveyed antenatally. The main reasons for attending classes were to better manage the birth (86 %), feel more secure in baby care (71 %) and as a parent (60 %); although this differed by class type. Reasons for not attending classes included being too busy (33 %) and cost (27 %). Epidural, breathing techniques, massage and nitrous oxide were the most common techniques taught. Women who attended psychoprophylaxis classes used a wider range of pain relief techniques in labour. Women found antenatal classes useful preparation for birth (94 %) and parenting (74 %). Women surveyed postnatally wanted more information on baby care/sleeping and breastfeeding.ConclusionThe majority of women found antenatal education useful and utilised techniques taught. Education providers should ensure breastfeeding and infant care information is provided, and barriers to attendance such as times and cost should be addressed. |
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| Keywords: | Antenatal education Pregnancy Labour Childbirth Parenting |
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