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- Fabian, Helena, et al.
(författare)
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Characteristics of primiparous women who are not reached by parental education classes after childbirth in Sweden
- 2006
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253. ; 95:11, s. 1360-1369
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Tidskriftsartikel (refereegranskat)abstract
- Background: Parental education classes are part of the national child health promotion programme of the Swedish Child Health Clinics (CHC). Aim: To investigate attendance at parental education classes during the infant's first year, and to identify factors associated with non-attendance in primiparous women. Methods: Swedish-speaking women were recruited from 97% of all antenatal clinics in Sweden during 3 wk, evenly spread over 1 y from 1999 to 2000. Questionnaires were mailed in early pregnancy, and at 2 mo and 1 y after the birth. Two thousand, four hundred and forty women answered the main outcome question about class attendance asked in the third questionnaire, and 1076 of these were first-time mothers. Results: Seventy-eight per cent of the primiparas attended classes and 31% of the multiparas. Factors associated with non-attendance in primiparas were: native language other than Swedish, a low level of education, smoking during pregnancy, inconvenient timing of pregnancy, maternal hospital admission, and infant health problems. Three per cent of the primiparas did not attend classes either during pregnancy or after the birth, and this group seemed to constitute an even less privileged group.
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| 2. |
- Fabian, Helena, et al.
(författare)
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Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes
- 2005
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349. ; 84:5, s. 436-443
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate first-time mothers' views about antenatal childbirth and parenthood education and their contact with other class participants after birth, and to compare participants and non-participants with respect to the use of pain relief, experience of pain, mode of delivery, childbirth overall, duration of breastfeeding, and assessment of parental skills. METHODS: A national cohort of 1197 Swedish-speaking women completed three questionnaires: during early pregnancy, 2 months, and 1 year after giving birth. RESULTS: Seventy-four percent of first-time mothers stated that antenatal education helped prepare them for childbirth, and 40% for early parenthood. One year after giving birth, 58% of the mothers had met with other class participants. These outcomes were associated with the number of class sessions. When controlling for the selection of women into participants and non-participants, no statistical differences were found concerning memory of labor pain, mode of delivery, overall birth experience, duration of breastfeeding, and assessment of parental skills. However, participants had a higher rate of epidural analgesia. Mothers who were young, single, with low level of education, living in a small city, and smokers were less likely to find the classes helpful. CONCLUSION: Participation in childbirth and parenthood education classes did not seem to affect first-time mothers' experience of childbirth and assessment of parental skills, but expanded their social network of new parents. The higher epidural rate suggests that participation in classes made women more aware of pain relief techniques available, rather than improving their own coping with pain. More research should focus on current forms of antenatal education, with special focus on women of low socioeconomic status.
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| 3. |
- Fabian, Helena
(författare)
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Women who do not attend parental education classes during pregnancy or after birth
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis focuses on childbirth and parenthood education during pregnancy and the year after childbirth, and investigates attendance rates and factors associated with non-attendance, and women's experiences and possible effects of antenatal education. Also, women with a non-Swedish speaking background are analysed: their uptake of care at the antenatal and child health centres, and their own and their child s physical and emotional well-being up to five years after birth. For the purpose of Papers I-IV, data from a prospective cohort study in which about 3,000 women were followed by means of questionnaires in early pregnancy, and 2 months, 1 year, and 5 years after the birth were used (the KUB study: Women s Experiences of Childbirth). Women were recruited at their first scheduled antenatal visit in early pregnancy, during a period of three weeks evenly spread over one year (in May and September 1999, and January 2000). Of all antenatal clinics, 593 (97.5%) participated in the recruitment, and 4,600 women were eligible for the study according to the Medical Birth Register. The number of responders to the first questionnaire was 3,061, to the second 2,762, to the third 2,563 and to the fourth 1,721. The representativeness of the sample was assessed by comparing the background characteristics of the study sample with the total Swedish birth cohort in 1999. Most primiparous women (93%) attended childbirth and parenthood education classes during pregnancy, and 19 per cent of the multiparas. The attendance rate after childbirth was 78 per cent in first-time mothers and 31 per cent in multiparas. Factors associated with non-attendance at both antenatal and postnatal classes were having a native language other than Swedish and an inconvenient timing of pregnancy. In primiparous women, smoking during pregnancy was also associated with non-attendance in classes both during and after pregnancy. Additional factors related to non-attendance at antenatal classes in primiparas was unemployment; and in multiparas age over 35 years, low education, having had counselling because of fear of childbirth or expressing a need of such counselling. After childbirth, additional factors in primiparas were maternal hospital admission and infant health problems (Papers I, III). Seventy-four per cent of first-time mothers stated that antenatal education helped prepare them for childbirth, and 40 per cent for early parenthood. One year after childbirth 58 per cent of the mothers still met with other class participants. These outcomes were associated with the number of class sessions. However, antenatal education did not seem to affect memory of labour pain, mode of delivery, overall birth experience, duration of breastfeeding, and assessment of parental skills, but participants had a higher rate of epidural analgesia (Paper II). Women with a non-Swedish speaking background from a poor country of origin did not differ from a reference group of women with a Swedish speaking background regarding number of antenatal and child health centre visits, but they had a lower attendance rate at antenatal and postnatal education classes. Depressive symptoms, parental stress and poor self-rated health were more common in these women, and they reported more psychological and behavioural problems in their five-year olds. Women with a rich country origin did not differ from the reference group regarding maternal and child health, but they had a lower uptake of all outpatient care, except parental classes after the birth (Paper IV).
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| 4. |
- Fabian, Helena, et al.
(författare)
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Women with non-Swedish speaking background and their children : a longitudinal study of uptake of care and maternal and child health
- 2008
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 97:12, s. 1721-1728
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To study uptake of care at the antenatal and child health clinic (CHC), and maternal and child health up to 5 years after the birth, as reported by mothers with a non-Swedish speaking background (NSB). Methods: A sample of 300 women with a NSB, 175 originated from a poor country and 125 originated from a rich country, were compared with a reference group of 2761 women with a Swedish speaking background. Four postal questionnaires were completed: during pregnancy, and 2 months, 1 year and 5 years after the birth. Results: Mothers with a NSB from a poor country of origin did not differ from the reference group of mothers with a Swedish speaking background regarding number of clinic visits, but they had a lower attendance rate at antenatal and postnatal education classes. Depressive symptoms, parental stress and poor self-rated health were more common in these women, and they reported more psychological and behavioral problems in their 5-year olds. Women with a rich country origin did not differ from the reference group regarding maternal and child health, but had a lower uptake of all out-patient care, except parental classes after the birth. Conclusion: Women originating from a poor country seem to be under great stress during pregnancy and the child's first years.
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