M'hamdi Hafez Ismaili, Sijpkens Meertien K, de Beaufort Inez, Rosman Ageeth N, Steegers Eric Ap
Department of Medical Ethics and Philosophy of Medicine, Erasmus University Medical Center, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus University Medical Center, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
Midwifery. 2018 Apr;59:62-67. doi: 10.1016/j.midw.2018.01.004. Epub 2018 Jan 6.
in the promotion of periconceptional health, appropriate attention has to be given to the perceptions of those who are most vulnerable, such as women with a relatively low socioeconomic status based on their educational attainment. The aim of this study was to explore these women's perceptions of pregnancy preparation and the role they attribute to healthcare professionals.
we conducted semi-structured interviews with women with a low to intermediate educational attainment and with a desire to conceive, of which a subgroup had experience with preconception care. Thematic content analysis was applied on the interview transcripts.
the final sample consisted of 28 women. We identified four themes of pregnancy preparation perceptions: (i)"How to prepare for pregnancy?", which included health promotion and seeking healthcare; (ii) "Why prepare for pregnancy?", which mostly related to fertility and health concerns; (iii) "Barriers and facilitators regarding pregnancy preparation", such as having limited control over becoming pregnant as well as the health of the unborn; (iv) "The added value of preconception care", reported by women who had visited a consultation, which consisted mainly of reassurance and receiving information.
the attained insights into the perceptions of women with a low to intermediate education are valuable for adapting the provision of preconception care to their views. We recommend the proactive offering of preconception care, including information on fertility, to stimulate adequate preparation for pregnancy and contribute to improving perinatal health among women who are socioeconomically more vulnerable.
在促进围孕期健康方面，必须适当关注最易受影响人群的观念，比如那些基于教育程度而社会经济地位相对较低的女性。本研究的目的是探究这些女性对备孕的看法以及她们赋予医疗保健专业人员的角色。
我们对教育程度低至中等且有怀孕意愿的女性进行了半结构化访谈，其中一个亚组有过孕前保健经历。对访谈记录进行了主题内容分析。
最终样本包括28名女性。我们确定了备孕观念的四个主题：（i）“如何为怀孕做准备？”，包括健康促进和寻求医疗保健；（ii）“为什么要为怀孕做准备？”，这大多与生育能力和健康问题有关；（iii）“备孕的障碍和促进因素”，比如对怀孕以及未出生胎儿的健康控制有限；（iv）“孕前保健的附加价值”，这是有过咨询经历的女性报告的，主要包括安心和获取信息。
对低至中等教育程度女性观念的深入了解，对于根据她们的观点调整孕前保健服务很有价值。我们建议主动提供孕前保健，包括生育方面的信息，以促进充分的备孕，并有助于改善社会经济上更易受影响女性的围产期健康。
