Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Womens Health (Lond). 2023 Jan-Dec;19:17455057231158223. doi: 10.1177/17455057231158223.
Prenatal health promotion includes the provision of evidence-based information and practical skills to optimize maternal-fetal outcomes. Increasingly, prenatal education is delivered by both healthcare professionals and allied childbirth educators, in community- or hospital-based group classes, targeted outreach programs, and online modules.
To better understand how prenatal health promotion relates to a diverse urban community, we assessed the perspectives of Ottawa, Canada prenatal key informants.
This is a qualitative research with key informant interviews.
Semi-structured interviews were conducted with 11 prenatal key informants, responsible for the design, delivery, or promotion of publicly available prenatal health services. Interviews explored concepts and delivery of prenatal health promotion, strategies to address existing and emerging prenatal topics, identification of barriers to prenatal health services, and recommendations.
Key informants recommended a lifespan approach to prenatal health promotion, with an emphasis on healthy behaviors, emotional health, labor and delivery, and postpartum/early parenting. Recognizing community health disparities, key informants used community outreach, and intersectoral collaborations for Indigenous and other at-risk communities to mitigate barriers to prenatal service uptake.
Ottawa key informants conceptualized prenatal health promotion as inclusive, comprehensive, and as an extension of preconception, school-based sexual education. Respondents recommended the design and delivery of prenatal interventions as culturally safe and trauma informed, using online modalities to complement in-person activities. The experience and intersectoral networks of community-based prenatal health promotion programs represent potential capacity to address emergent public health risks to pregnancy, particularly among at-risk populations.
A broad and diverse community of professionals deliver prenatal education to help people have healthy babies. We interviewed Ottawa, Canada experts in prenatal care/education to learn about the design and delivery of reproductive health promotion. We found that Ottawa experts emphasized healthy behaviors beginning before conception and through pregnancy. Community outreach was identified as a successful strategy to promote prenatal education to marginalized groups.
产前健康促进包括提供循证信息和实践技能，以优化母婴结局。越来越多的产前教育由医疗保健专业人员和联合分娩教育者在社区或医院的小组课程、针对性外展计划和在线模块中提供。
为了更好地了解产前健康促进与多元化城市社区的关系，我们评估了加拿大渥太华的产前主要知情人的观点。
这是一项采用关键知情人访谈的定性研究。
对 11 名负责设计、提供或推广公共可用产前保健服务的产前主要知情人进行半结构式访谈。访谈探讨了产前健康促进的概念和提供方式、解决现有和新兴产前主题的策略、产前保健服务障碍的识别以及建议。
主要知情人建议采用终生方法进行产前健康促进，重点是健康行为、情绪健康、分娩和产后/早期育儿。主要知情人认识到社区健康差异，利用社区外展和部门间合作，为土著和其他高危社区提供服务，以减轻产前服务接受的障碍。
渥太华的主要知情人将产前健康促进概念化为包容性、全面性的，并将其作为孕前、学校性教育的延伸。受访者建议设计和提供文化安全和创伤知情的产前干预措施，使用在线模式补充面对面活动。社区为基础的产前保健推广计划的经验和部门间网络代表了应对新兴公共卫生对怀孕风险的潜在能力，特别是在高危人群中。
一个广泛而多样化的专业人士社区提供产前教育，以帮助人们拥有健康的婴儿。我们采访了加拿大渥太华的产前保健/教育专家，了解生殖健康促进的设计和提供。我们发现，渥太华的专家强调从受孕前和整个孕期开始的健康行为。社区外展被确定为向边缘化群体推广产前教育的成功策略。
