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Childbirth and parenting preparation in antenatal classes.

M Barimani1, K Forslund Frykedal2, M Rosander2

  • 1Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Re tsius väg 13 A, SE:17177 Stockholm, Sweden.

Midwifery
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Summary

Midwives spent most antenatal class time on childbirth preparation, but parents focused discussions on infant care and anxiety. Parents need more information for postpartum situations.

Keywords:
Antenatal classesChildbirthMidwivesParentingQualitative design

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Area of Science:

  • Maternal and Child Health
  • Midwifery Education
  • Parental Preparedness

Background:

  • Antenatal classes are crucial for preparing expectant parents.
  • Understanding the content and parent engagement in these classes is vital for optimizing their effectiveness.
  • Current class structures may not fully address parental concerns or provide adequate time for discussion.

Purpose of the Study:

  • To analyze the topics presented by midwives during antenatal classes and the time allocated to them.
  • To identify topics raised and discussed by first-time parents and the time dedicated to these discussions.
  • To compare the focus of midwife-led content with parent-led discussions in antenatal classes.

Main Methods:

  • Qualitative study utilizing video/tape recordings of antenatal classes.
  • Content analysis employing conventional, summative, and directed approaches.
  • Involved 3 antenatal courses, 2 units, 3 midwives, and 34 participants in a Swedish city.

Main Results:

  • Antenatal classes focused 67% on childbirth preparation and 33% on parenting preparation.
  • Parents' discussions were evenly split between childbirth (52%) and parenting preparation (48%).
  • Parents expressed concerns about newborns and needed more time for questions and postpartum management information.

Conclusions:

  • While childbirth preparation dominated class time, parents' key concerns revolved around infant issues, relationships, and anxiety.
  • Existing antenatal classes may require adjustments in content focus, timing, and opportunities for parent interaction and question-asking.
  • Midwives should consider equalizing content, offering classes earlier, and incorporating more time for parent-to-parent discussion and emergent topics.