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Group antenatal car...
Group antenatal care compared with standard antenatal care for Somali-Swedish women : a historically controlled evaluation of the Hooyo Project
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- Ahrne, Malin (författare)
- Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.,Karolinska Institutet, Stockholm
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- Byrskog, Ulrika, 1970- (författare)
- Högskolan Dalarna,Sexuell, reproduktiv och perinatal hälsa
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- Essén, Birgitta, 1961- (författare)
- Uppsala universitet,Internationell kvinno- och mödrahälsovård och migration,Uppsala University, Uppsala
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- Andersson, Ewa (författare)
- Karolinska Institutet
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- Small, Rhonda (författare)
- Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;La Trobe Univ, Sch Nursing & Midwifery, Judith Lumley Ctr, Melbourne, Vic, Australia.,Karolinska Institutet, Stockholm; La Trobe University, Melbourne, Victoria, Australia
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- Schytt, Erica (författare)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Western Norway Univ Appl Sci, Dept Hlth & Caring Sci, Bergen, Norway.,Center for Clinical Research Dalarna, Uppsala University, Falun; Western Norway University of Applied Sciences, Bergen, Norway
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Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden Karolinska Institutet, Stockholm (creator_code:org_t)
- 2023-01-25
- 2023
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://du.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Objectives: Comparing language-supported group antenatal care (gANC) and standard antenatal care (sANC) for Somali-born women in Sweden, measuring overall ratings of care and emotional well-being, and testing the feasibility of the outcome measures.Design: A quasi-experimental trial with one intervention and one historical control group, nested in an intervention development and feasibility study.Setting: Midwifery-led antenatal care clinic in a mid-sized Swedish town.Participants: Pregnant Somali-born women (<25 gestational weeks); 64women in gANC and 81 in sANC.Intervention: Language-supported gANC (2017-2019). Participants were offered seven 60-minute group sessions with other Somali-born women led by one to two midwives, in addition to 15-30min individual appointments with their designated midwife.Outcomes: Primary outcomes were women's overall ratings of antenatal care and emotional well-being (Edinburgh Postnatal Depression Scale (EPDS)) in gestational week >= 35and 2 months post partum. Secondary outcomes were specific care experiences, information received, social support, knowledge of pregnancy danger signs and obstetric outcomes.Results: Recruitment and retention of participants were challenging. Of eligible women, 39.3% (n=106) declined to participate. No relevant differences regarding overall ratings of antenatal care between the groups were detected (late pregnancy OR 1.42, 95% CI 0.50 to 4.16 and 6-8 weeks post partum OR 2.71, 95% CI 0.88 to 9.41). The reduction in mean EPDS score was greater in the intervention group when adjusting for differences at baseline (mean difference -1.89; 95% CI -3.73 to -0.07). Women in gANC were happier with received pregnancy and birth information, for example, caesarean section where 94.9% (n=37) believed the information was sufficient compared with 17.5% (n=7) in standard care (p<0.001) in late pregnancy.Conclusions: This evaluation suggests potential for language-supported gANC to improve knowledge acquisition among pregnant Somali-born women with residence in Sweden <10 years. An adequately powered randomised trial is needed to evaluate the effectiveness of the intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Antenatal
- Prenatal diagnosis
- Maternal medicine
- Reproductive medicine
- SOCIAL MEDICINE
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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