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Defining vulnerability in European pregnant women, a Delphi study.

J Scheele1, H W Harmsen van der Vliet-Torij1, E M Wingelaar-Loomans1

  • 1Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rochussenstraat 198, Rotterdam 3015 EK, the Netherlands.

Midwifery
|April 15, 2020
PubMed
Summary

Midwives established a consensus definition for vulnerable pregnant women, identifying key risk factors and support needs. This definition is crucial for improving care for pregnant women facing vulnerability.

Keywords:
DefinitionDelphi studyEuropePregnant womenVulnerability

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Area of Science:

  • Maternal Health
  • Midwifery Practice
  • Public Health

Background:

  • Vulnerability in pregnant women is a complex issue impacting midwifery practice.
  • Exchanging best practices among European midwives can enhance care for vulnerable populations.
  • A European consortium was formed to address knowledge gaps in identifying and supporting vulnerable pregnant women.

Purpose of the Study:

  • To develop a mutual definition of vulnerable pregnant women.
  • To identify key aspects and risk factors associated with pregnancy vulnerability.
  • To establish a common understanding within a European midwifery consortium.

Main Methods:

  • A four-round Delphi study was conducted.
  • Included literature review, partner definitions, survey rounds, and an in-person consensus meeting.
  • Participants included midwives, educators, researchers, and students from seven European cities.

Main Results:

  • The Delphi process identified various aspects and definitions of vulnerability.
  • Consensus was reached on a definition of a vulnerable pregnant woman.
  • A vulnerable pregnant woman is defined by physical, psychological, cognitive, and/or social risk factors combined with inadequate support or coping skills.

Conclusions:

  • A mutual definition of vulnerable pregnant women and related aspects was achieved.
  • The Delphi approach facilitated valuable discussions and consensus building.
  • Establishing a clear definition is essential for projects aiming to improve care for vulnerable pregnant women.