University College of Northern Denmark, Department of Midwifery, Selma Lagerløfs Vej 2, 9220 Aalborg Øst, Denmark.
Defactum - Public Health and Health Services Research, Central Denmark Region, Aarhus, Denmark; Center for Fetal Diagnostics, Aarhus University Hospital, Aarhus, Denmark.
Women Birth. 2022 Feb;35(1):e75-e83. doi: 10.1016/j.wombi.2021.01.010. Epub 2021 Jan 25.
Studies indicate that health promotion in antenatal care can be improved. Moreover, a schism seems to exist between health promotion and prevention in antenatal care.
Antenatal care to support and improve maternal health is a core midwifery activity in which prevention as well as HP and woman-centeredness are important.
To explore how Danish midwives experienced antenatal care and practiced health promotion.
Midwives undertaking antenatal care were interviewed individually (n=8) and two focus groups (n=10) were created. Thematic analysis was performed inductively, and the theoretical models from Piper's health promotion practice Framework for midwives were used to analyse the midwives' health promotion approach.
Two major themes were highlighted. Theme 1: 'The antenatal care context for health promotion' described factors contributing to quality in health promotion in antenatal care, such as communication and building relationships with the pregnant women. Theme 2: 'The health promotion approach in antenatal care' described both midwife-focused and woman-focused approaches to pregnant women's health. Barriers to high-quality antenatal care and a holistic health promotion approach were identified, such as shared-care issues, documentation demands and lack of time.
The midwives' experiences were discussed in the context of a health promotion approach. Why midwives practice using a midwife-centred approach has many explanations, but midwives need to learn and help each other understand how they can practice woman-focused care while simultaneously providing prophylactic, evidence-based care.
Midwives mainly had a midwife-focused approach. To further promote women's health, midwives need to focus on a woman-focused approach.
研究表明，产前护理中的健康促进可以得到改善。此外，健康促进和产前护理中的预防之间似乎存在分歧。
支持和改善产妇健康的产前护理是助产士的核心活动，预防以及健康促进和以妇女为中心是非常重要的。
探讨丹麦助产士如何体验产前护理并实践健康促进。
对从事产前护理的助产士进行个人访谈（n=8）和创建两个焦点小组（n=10）。采用归纳式主题分析，使用 Piper 的助产士健康促进实践框架理论模型来分析助产士的健康促进方法。
突出了两个主要主题。主题 1：“健康促进的产前护理背景”描述了促进产前护理中健康促进质量的因素，例如与孕妇的沟通和建立关系。主题 2：“产前护理中的健康促进方法”描述了以助产士为中心和以妇女为中心的两种方法来促进孕妇的健康。确定了高质量产前护理和整体健康促进方法的障碍，例如共享护理问题、文件需求和缺乏时间。
根据健康促进方法讨论了助产士的经验。为什么助产士实践采用以助产士为中心的方法有很多解释，但助产士需要学习并互相帮助理解如何在提供预防性、基于证据的护理的同时实践以妇女为中心的护理。
助产士主要采用以助产士为中心的方法。为了进一步促进妇女健康，助产士需要专注于以妇女为中心的方法。
