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How does group antenatal care function within a caseload midwifery model? A critical ethnographic analysis.

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Summary

Combining caseload midwifery with group antenatal care for young women presented challenges, limiting relationship-building opportunities. Further research is recommended for this integrated maternity care model.

Keywords:
Antenatal careCaseload midwiferyCenteringPregnancyEthnographyGroup antenatal careModels of care

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Area of Science:

  • Maternal Health
  • Midwifery Care Models
  • Group Antenatal Care

Background:

  • Caseload midwifery and CenteringPregnancy™ (group antenatal care) are linked to improved maternal outcomes and satisfaction.
  • Limited research exists on younger women's experiences with group antenatal care or combined caseload midwifery and group antenatal care models.

Purpose of the Study:

  • To explore the experiences of younger women receiving caseload midwifery within a setting that integrates group antenatal care.

Main Methods:

  • A critical, focused ethnographic study was conducted in an Australian hospital and community setting (2011-2013).
  • Data collection involved focus groups with young women (19-22 years) and caseload midwives, observations, and document analysis.
  • Thematic analysis prioritized women's accounts, with comparative analysis of midwife data, field notes, and documents.

Main Results:

  • The study focused on initial group encounters and interactions between young women, peers, and midwives.
  • The group antenatal care setting appeared to reduce opportunities for developing rapport between women and their caseload midwives.

Conclusions:

  • The findings challenge the integration of group antenatal care within caseload midwifery models.
  • Further research is recommended to investigate the efficacy and experiences of this combined maternity care approach.